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Journals and Conferences
BACKGROUND AND AIMS To determine whether the inclusion of 20 g free glutamine as part of the nitrogen source of parenteral feeds reduces length of hospital stay or mortality. METHODS In a randomised, double blind, controlled trial in 168 patients clinically accepted for parenteral nutrition, standard feeds were compared with feeds in which 3.8 g of the… (More)
One of the well known complications of radical neck dissection is a chylous fistula, which results from injury to the thoracic duct as it enters the left subclavian vein. Such fistulae may cause considerable increased morbidity to a patient who is already debilitated by malignancy and by the increased catabolic response to surgery. Further surgery may be… (More)
The decision of whether to withdraw or withhold nutritional support in terminally ill patients presents a multifaceted ethical dilemma. Any decision must, of course, be in the patient's best interests and in accordance with an interpretation of his or her wishes, but how can this be proved to be so?
Nutrition nurse specialists play an increasingly important role in the hospital nutrition team, responsible for the clinical care of patients on enteral and parenteral nutrition and the educational development of nursing colleagues. This, the first of an occasional series looking at different nursing specialties, examines the work of these nurses.
Nutrition nurses are faced with a wide choice of nasogastric tubes, all of which claim to meet specialist needs. The NNS and nurses at the Royal London Hospital set up a trial to assess the tubes' individual benefits, and apply them to patient needs.
The King's Fund Report A Positive Approach To Nutrition As Treatment (King's Fund, 1992) generated much interest. However, a recent survey by Hospital Doctor and Nutricia revealed that its impact in hospitals lias been disappointing (Warne, 1994).