Abstract
Total parenteral nutrition has been of clinical importance in the United States for less than a decade. Although it has not yet achieved its full status, its striking impact on medical practice and research has been expedited by numerous conferences and scientific meetings,1 , 2 and the development of textbooks and guides for its appropriate use.3 4 5 It necessitates a team approach with expertise in diverse areas, including technical and nursing skills, nutrition and metabolism. This review provides guidelines and references for current use, documents recognized problems and suggests future directions.There are two components of total parenteral nutrition: mechanical aspects of formulation . . .

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