We offer nutrition screening, assessment, intervention, and counseling for adult and pediatric inpatients. Enteral and Parenteral nutrition.
Enteral nutrition formulas can be divided into the following groups; polymeric (normoproteic, normoproteic calorieenhanced, normoproteic with fiber, hyperproteic), oligomonomeric (peptidic normoproteic, peptidic hyperproteic with amino acids) and special (kidney disease, chronic liver disease, hyperglycemia, respiratory insufficiency, critical care patients and immunonutrient-enhanced formulas). Special formulas have improved rapidly and consequently the level of evidence in this area is reviewed. Low protein formulas can be recommended (Level A) in patients with chronic kidney disease not undergoing dialysis. Low protein formulas enhanced with branch chain amino acids can be recommended (Level A) in patients with liver encephalopathy unable to tolerate normal oral dietary protein intake. Formulas enriched with monounsaturated fatty acids can be used (Level A) in diabetic patients with poor metabolic control or stress hyperglycemia. Formulas with a normal macronutrient composition can be recommended (Level A) in patients with respiratory insufficiency. When analyzing the use of enteral nutrition formulas in clinical practice, the following factors should be taken into account: the type of nutrition, route of access, type of administration, and the type of enteral formula used.1
All people need food to live. Sometimes a person cannot eat any or enough food because of an illness. The stomach or bowel may not be working normally, or a person may have had surgery to remove part or all of these organs. When this occurs, and you are unable to eat, nutrition must be supplied in a different way. One method is “parenteral nutrition” (intravenous nutrition).
In the field of parenteral artificial nutrition (PN) there is debate over the application of such concepts as standardisation, individualisation, protocolisation and normalisation. Artificial Nutrition Units (ANU) that are designing or reviewing their PN provision system must take into account the existing methodological and regulatory references as well as the resources available for implementing the process.2
In BiomediKcal we are specialist in Clinical Nutrition with international experience in the best hospitals.