scholarly journals Use of Intravenous Fat Emulsion in the Emergency Department for the Critically Ill Poisoned Patient

2016 ◽  
Vol 51 (2) ◽  
pp. 203-214 ◽  
Author(s):  
Samuel H.F. Lam ◽  
Nima Majlesi ◽  
Gary M. Vilke
Keyword(s):  
Emergency Department ◽  
Critically Ill ◽  
Fat Emulsion ◽  
Intravenous Fat Emulsion

Composite Intravenous Fat Emulsion in a Postsurgical Critically Ill Patient: A Case Report

2017 ◽  
Vol 41 (1_suppl) ◽  
pp. 14S-16S ◽  
Author(s):  
Gregory J. Roberti ◽  
Cameron G. Cangelose ◽  
Robert G. Martindale
Keyword(s):  
Case Report ◽  
Critically Ill ◽  
Critically Ill Patient ◽  
Fat Emulsion ◽  
Intravenous Fat Emulsion

A Randomized Trial of Micropreemies Receiving Higher Amounts of Intravenous Fat Emulsion During the First Week of Life

2011 ◽  
Vol 4 (1) ◽  
pp. 58-66
Author(s):  
Douglas Drenckpohl ◽  
Matthew Niehaus ◽  
Catherine Schneider ◽  
Connie McConnell ◽  
Huaping Wang ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Fat Emulsion ◽  
Intravenous Fat Emulsion

Intravenous Alimentation and Insensible Water Loss in Low-Birth- Weight Infants

PEDIATRICS ◽  
1979 ◽  
Vol 63 (4) ◽  
pp. 543-546
Author(s):  
Keith H. Marks ◽  
Timothy P. Farrell ◽  
Zvi Friedman ◽  
M. Jeffrey Maisels
Keyword(s):  
Amino Acid ◽  
Acid Solution ◽  
Water Loss ◽  
Caloric Intake ◽  
Constant Infusion ◽  
Fat Emulsion ◽  
Low Birth Weight Infants ◽  
Amino Acid Solution ◽  
Intravenous Fat Emulsion ◽  
Multiple Measurements

Insensible water loss (IWL) was measured in six premature infants, betWeen 4 and 21 days of age, by continuous weight monitoring on an electronic balance inside an incubator. Multiple measurements of IWL were made during the sequential infusion of 10% dextrose in 0.225% NaCl, 10% dextrose-amino acid solution, or 10% dextrose-amino acid and a commercial intravenous fat emulsion. Each solution was administered for three hours by constant infusion through a scalp vein needle. The order of the infusion was random and a 30-to 60-minute infusion with 5% dextrose water was given between each solution. During the infusion of 10% dextrose in 0.225% NaCl and 10% dextrose + amino acid solution, IWL was 1.0 ± 0.8 gm/kg/ hr and 1.1 ± 0.8 gm/kg/hr, respectively. In contrast, IWL increased significantly to 1.6 ± 0.7 gni/kg/hr when additional calories were given using the 10% dextrose-amino acid with the intravenous fat emulsion (P < .005). There was a positive correlation between caloric intake and IWL. These data suggest that parenteral nutrition solutions with intravenous fat emulsion are rapidly metabolized and the increase in IWL is probably secondary to an increase in thermogenesis.

Pediatric Diabetic Ketoacidosis and Hypoglycemia

2020 ◽  
Author(s):  
Rachel J Williams ◽  
Samantha L. Wood
Keyword(s):  
Emergency Department ◽  
Key Words ◽  
Diabetic Ketoacidosis ◽  
Critically Ill ◽  
Cerebral Edema ◽  
Critically Ill Patients ◽  
Pediatric Patients ◽  
Serum Glucose ◽  
Neurologic Function ◽  
Threat To Life

Abnormalities of serum glucose in pediatric patients are commonly encountered in the emergency department and represent an acute threat to life and neurologic function. Rapidly identifying and aggressively treating hyperglycemia with diabetic ketoacidosis and hypoglycemia are critical to ensure the best possible outcome. This review will guide the emergency provider in the identification, resuscitation, workup, and disposition of these critically ill patients. This review contains 6 figures, 13 tables, and 50 reviews. Key Words: Cerebral edema, diabetic ketoacidosis, hyperglycemia, hypoglycemia

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