{"id":1850,"date":"2025-05-28T13:00:49","date_gmt":"2025-05-28T16:00:49","guid":{"rendered":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/?p=1850"},"modified":"2025-06-04T11:43:56","modified_gmt":"2025-06-04T14:43:56","slug":"indicacao-nutricao-parenteral","status":"publish","type":"post","link":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/indicacao-nutricao-parenteral\/","title":{"rendered":"O que Voc\u00ea Precisa Saber Sobre a Indica\u00e7\u00e3o de Nutri\u00e7\u00e3o Parenteral"},"content":{"rendered":"<p><span data-contrast=\"auto\">A indica\u00e7\u00e3o de nutri\u00e7\u00e3o parenteral \u00e9 um tema que ainda desperta muitas d\u00favidas entre os profissionais de sa\u00fade. Isso ocorre porque, na maioria das vezes, a nutri\u00e7\u00e3o enteral \u00e9 a via de escolha preferencial para pacientes que necessitam de terapia nutricional.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Mas, afinal, em quais situa\u00e7\u00f5es a nutri\u00e7\u00e3o parenteral torna-se indispens\u00e1vel? Neste artigo, abordaremos os principais crit\u00e9rios e condi\u00e7\u00f5es que indicam sua utiliza\u00e7\u00e3o, al\u00e9m de destacar outros pontos essenciais para a pr\u00e1tica cl\u00ednica.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2>Em primeiro lugar, o que \u00e9 a nutri\u00e7\u00e3o parenteral?<\/h2>\n<p><span data-contrast=\"auto\">De acordo com a ASPEN (<\/span><i><span data-contrast=\"auto\">American Society for Parenteral and Enteral Nutrition<\/span><\/i><span data-contrast=\"auto\">), a nutri\u00e7\u00e3o parenteral (NP) \u00e9 uma forma pela qual os pacientes recebem nutri\u00e7\u00e3o quando n\u00e3o conseguem usar o trato gastrointestinal (GI) para atender suas necessidades nutricionais de forma satisfat\u00f3ria (1).<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Em termos pr\u00e1ticos, trata-se de uma solu\u00e7\u00e3o intravenosa (IV) est\u00e9ril exclusiva, administrada diretamente na corrente sangu\u00ednea por meio de um cateter inserido em uma veia (1).<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Historicamente, a NP foi desenvolvida na d\u00e9cada de 1960 para alimentar pacientes com desnutri\u00e7\u00e3o grave. Embora tenha sido alvo de duras cr\u00edticas com o passar dos anos, o avan\u00e7o das tecnologias e as evid\u00eancias de seus benef\u00edcios a consolidaram como uma terapia indispens\u00e1vel em determinadas situa\u00e7\u00f5es cl\u00ednicas (2), como veremos adiante.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2>Nutri\u00e7\u00e3o parenteral: conceitos b\u00e1sicos<span data-ccp-props=\"{&quot;134245418&quot;:true,&quot;134245529&quot;:true}\">\u00a0<\/span><\/h2>\n<h5><strong>NP suplementar ou total<\/strong><\/h5>\n<p><span data-contrast=\"auto\">A nutri\u00e7\u00e3o parenteral pode ser <\/span><b><span data-contrast=\"auto\">suplementar <\/span><\/b><span data-contrast=\"auto\">\u2013 quando fornece apenas partes dos nutrientes \u2013 ou <\/span><b><span data-contrast=\"auto\">total<\/span><\/b><span data-contrast=\"auto\"> \u2013 quando o suprimento das necessidades nutricionais \u00e9 completo, feito exclusivamente pela nutri\u00e7\u00e3o parenteral.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<h5><strong>NP central ou perif\u00e9rica<\/strong><\/h5>\n<p><span data-contrast=\"auto\">A nutri\u00e7\u00e3o parenteral pode ser administrada por meio de duas vias de acesso:<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\u25cf\" data-font=\"Lexend Light\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Via central<\/span><\/b><span data-contrast=\"auto\">: acesso por veia de grande di\u00e2metro e alto fluxo, como veia cava superior ou \u00e1trio direito (1, 3).<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\u25cf\" data-font=\"Lexend Light\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Via perif\u00e9rica<\/span><\/b><span data-contrast=\"auto\"> &#8211; Acesso por veia perif\u00e9rica de pequeno di\u00e2metro, geralmente na m\u00e3o ou no antebra\u00e7o (1). A inser\u00e7\u00e3o \u00e9 mais f\u00e1cil e o risco de infec\u00e7\u00e3o \u00e9 menor. Por outro lado, h\u00e1 limita\u00e7\u00e3o em rela\u00e7\u00e3o \u00e0 osmolaridade da f\u00f3rmula, que n\u00e3o pode ultrapassar os 900 mOsm\/L (3).<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<h5><strong>Composi\u00e7\u00e3o da nutri\u00e7\u00e3o parenteral<\/strong><\/h5>\n<p><span data-contrast=\"auto\">A nutri\u00e7\u00e3o parenteral deve conter <\/span><b><span data-contrast=\"auto\">glicose, amino\u00e1cidos e lip\u00eddios; al\u00e9m dos micronutrientes (eletr\u00f3litos, vitaminas e oligoelementos)<\/span><\/b><span data-contrast=\"auto\"> (5).<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<h5><strong>Solu\u00e7\u00f5es de nutri\u00e7\u00e3o parenteral<\/strong><\/h5>\n<p><span data-contrast=\"auto\">As solu\u00e7\u00f5es de nutri\u00e7\u00e3o parenteral podem ser obtidas <\/span><b><span data-contrast=\"auto\">prontas para uso (industrializadas) <\/span><\/b><span data-contrast=\"auto\">ou<\/span><b><span data-contrast=\"auto\"> manipuladas (individualizadas)<\/span><\/b><span data-contrast=\"auto\">.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Quando individualizada, a nutri\u00e7\u00e3o parenteral atende a todas as necessidades nutricionais do paciente, al\u00e9m de permitir o acr\u00e9scimo de todos os micronutrientes. Entretanto, h\u00e1 o risco de erros de prescri\u00e7\u00e3o, transcri\u00e7\u00e3o e manipula\u00e7\u00e3o, dentre outros malef\u00edcios envolvendo demora de administra\u00e7\u00e3o e log\u00edstica de transporte e armazenamento (5).<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">J\u00e1 as solu\u00e7\u00f5es prontas para uso s\u00e3o padronizadas, atendendo as necessidades da maioria dos pacientes, ao passo que podem n\u00e3o atender condi\u00e7\u00f5es espec\u00edficas (5). Contudo, nutrientes podem ser acrescidos de forma isolada com base em dados laboratoriais a respeito da condi\u00e7\u00e3o cl\u00ednica do paciente, da sua evolu\u00e7\u00e3o, de doen\u00e7as de base, entre outros fatores.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<h5><strong>Quando indicar nutri\u00e7\u00e3o parenteral?<\/strong><\/h5>\n<p><span data-contrast=\"auto\">Segundo as diretrizes da Sociedade Brasileira de Nutri\u00e7\u00e3o Parenteral e Enteral (BRASPEN), <\/span><b><span data-contrast=\"auto\">pacientes que n\u00e3o podem ingerir ou absorver mais de 60% das necessidades nutricionais, por via oral ou enteral<\/span><\/b><span data-contrast=\"auto\">, t\u00eam indica\u00e7\u00e3o de terapia nutri\u00e7\u00e3o parenteral (3).\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Em outras palavras, a NP constitui uma alternativa terap\u00eautica em situa\u00e7\u00f5es em que a fun\u00e7\u00e3o gastrointestinal prejudicada impede a adequa\u00e7\u00e3o das metas nutricionais via oral ou enteral (6).<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Para estimativa de at\u00e9 14 dias de tratamento, pode se indicar a NP perif\u00e9rica. J\u00e1 quando o tratamento ir\u00e1 ultrapassar 14 dias, faz-se necess\u00e1rio a NP central (3).\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Com base no consenso de especialistas, pacientes candidatos \u00e0 NP s\u00e3o aqueles em que a nutri\u00e7\u00e3o enteral n\u00e3o for de uso vi\u00e1vel (3).<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Em rela\u00e7\u00e3o ao in\u00edcio da terapia, todo paciente cr\u00edtico de alto risco nutricional deve receber a nutri\u00e7\u00e3o parenteral o quanto antes, se houver estabilidade cl\u00ednica e uma contraindica\u00e7\u00e3o para o uso do trato gastrointestinal (5).<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2>Em quais situa\u00e7\u00f5es cl\u00ednicas em que a nutri\u00e7\u00e3o parenteral \u00e9 necess\u00e1ria?<\/h2>\n<p><span data-contrast=\"auto\">A nutri\u00e7\u00e3o parenteral \u00e9 frequentemente administrada a <\/span><b><span data-contrast=\"auto\">pessoas com doen\u00e7as gastrointestinais moderadas a graves, e \u00e0queles indiv\u00edduos que n\u00e3o conseguem digerir ou absorver alimentos adequadamente<\/span><\/b><span data-contrast=\"auto\"> (3).<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">A insufici\u00eancia intestinal completa \u00e9 a principal indica\u00e7\u00e3o para NP, sendo aceita mundialmente por todas as sociedades de nutri\u00e7\u00e3o (2). No entanto, a nutri\u00e7\u00e3o parenteral tamb\u00e9m pode ser necess\u00e1ria em diversas outras situa\u00e7\u00f5es, tais como (2, 7):<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\u25cf\" data-font=\"\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">S\u00edndrome do intestino curto<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\u25cf\" data-font=\"\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">F\u00edstula gastrointestinal (alto d\u00e9bito)<\/span><span data-ccp-props=\"{&quot;335559738&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\u25cf\" data-font=\"\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"auto\">Obstru\u00e7\u00e3o ou descontinuidade intestinal<\/span><span data-ccp-props=\"{&quot;335559738&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\u25cf\" data-font=\"\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"auto\">Repouso intestinal prolongado<\/span><span data-ccp-props=\"{&quot;335559738&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\u25cf\" data-font=\"\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"5\" data-aria-level=\"1\"><span data-contrast=\"auto\">Fal\u00eancia intestinal devido a \u00edleo paral\u00edtico e mec\u00e2nico (p\u00f3s-operat\u00f3rio)<\/span><span data-ccp-props=\"{&quot;335559738&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\u25cf\" data-font=\"\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"6\" data-aria-level=\"1\"><span data-contrast=\"auto\">Desnutri\u00e7\u00e3o grave em condi\u00e7\u00f5es em que a nutri\u00e7\u00e3o enteral n\u00e3o \u00e9 poss\u00edvel<\/span><span data-ccp-props=\"{&quot;335559738&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\u25cf\" data-font=\"\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"7\" data-aria-level=\"1\"><span data-contrast=\"auto\">Sepse abdominal grave<\/span><span data-ccp-props=\"{&quot;335559738&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\u25cf\" data-font=\"\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"8\" data-aria-level=\"1\"><span data-contrast=\"auto\">Hiper\u00eamese grav\u00eddica<\/span><span data-ccp-props=\"{&quot;335559738&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\u25cf\" data-font=\"\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"9\" data-aria-level=\"1\"><span data-contrast=\"auto\">Diarreia persistente grave<\/span><span data-ccp-props=\"{&quot;335559738&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\u25cf\" data-font=\"\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"10\" data-aria-level=\"1\"><span data-contrast=\"auto\">Trauma que requeira v\u00e1rios procedimentos cir\u00fargicos<\/span><span data-ccp-props=\"{&quot;335559738&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\u25cf\" data-font=\"\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"11\" data-aria-level=\"1\"><span data-contrast=\"auto\">Doen\u00e7a inflamat\u00f3ria intestinal<\/span><span data-ccp-props=\"{&quot;335559738&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\u25cf\" data-font=\"\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"12\" data-aria-level=\"1\"><span data-contrast=\"auto\">Pacientes pedi\u00e1tricos neonatos<\/span><span data-ccp-props=\"{&quot;335559738&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\u25cf\" data-font=\"\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"13\" data-aria-level=\"1\"><span data-contrast=\"auto\">Colite ulcerativa complicada ou em per\u00edodo perioperat\u00f3rio<\/span><span data-ccp-props=\"{&quot;335559738&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\u25cf\" data-font=\"\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"14\" data-aria-level=\"1\"><span data-contrast=\"auto\">Hemorragia gastrointestinal persistente<\/span><span data-ccp-props=\"{&quot;335559738&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">Em uma recente pesquisa realizada em hospitais brasileiros, a maior parte dos pacientes que receberam nutri\u00e7\u00e3o parenteral possu\u00eda diagn\u00f3stico cir\u00fargico (71,8%).\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Os diagn\u00f3sticos com maior frequ\u00eancia estavam relacionados a doen\u00e7as do trato gastrointestinal (41%) e doen\u00e7as oncol\u00f3gicas (37,2%). Al\u00e9m disso, a maior parte dos pacientes necessitou de cuidados intensivos (84,6%) (6).<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2>Complica\u00e7\u00f5es e contraindica\u00e7\u00f5es da nutri\u00e7\u00e3o parenteral<\/h2>\n<p><span data-contrast=\"auto\">Apesar de apresentar benef\u00edcios e melhorar desfechos cl\u00ednicos, a nutri\u00e7\u00e3o parenteral pode apresentar alguns <\/span><b><span data-contrast=\"auto\">efeitos colaterais<\/span><\/b><span data-contrast=\"auto\">, incluindo (1, 8):<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\u25cf\" data-font=\"\" data-listid=\"3\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Problemas metab\u00f3licos, como desequil\u00edbrios eletrol\u00edticos, anormalidades \u00e1cido-base e intoler\u00e2ncia \u00e0 glicose<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\u25cf\" data-font=\"\" data-listid=\"3\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">Altera\u00e7\u00f5es glic\u00eamicas, minerais e eletrol\u00edticas<\/span><span data-ccp-props=\"{&quot;335559738&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\u25cf\" data-font=\"\" data-listid=\"3\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"auto\">Infec\u00e7\u00e3o relacionada ao cateter intravenoso e outras complica\u00e7\u00f5es infecciosas<\/span><span data-ccp-props=\"{&quot;335559738&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\u25cf\" data-font=\"\" data-listid=\"3\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"auto\">Trombose<\/span><span data-ccp-props=\"{&quot;335559738&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\u25cf\" data-font=\"\" data-listid=\"3\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"5\" data-aria-level=\"1\"><span data-contrast=\"auto\">Efeitos hep\u00e1ticos e biliares<\/span><span data-ccp-props=\"{&quot;335559738&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">Geralmente, os efeitos colaterais podem ser prevenidos ou controlados com monitoramento e interven\u00e7\u00e3o adequados (1). A BRASPEN sugere o uso de protocolos e a presen\u00e7a de uma equipe multidisciplinar de terapia nutricional (EMTN) para desenvolver estrat\u00e9gias que maximizem a efic\u00e1cia e reduzam os riscos associados \u00e0 NP (3).\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Vale ressaltar que a nutri\u00e7\u00e3o parenteral tem se tornado uma terapia cada vez mais segura. Nos \u00faltimos anos, dois grandes estudos multic\u00eantricos, randomizados e controlados, envolvendo 4.798 pacientes cr\u00edticos, compararam o uso da nutri\u00e7\u00e3o parenteral com a nutri\u00e7\u00e3o enteral na primeira semana de UTI. Nenhum dos dois estudos demonstrou qualquer desfecho desfavor\u00e1vel associado ao uso da nutri\u00e7\u00e3o parenteral <\/span><span data-contrast=\"auto\">(5, 9, 10).<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<h5><strong>Conclus\u00e3o<\/strong><\/h5>\n<p><span data-contrast=\"auto\">Em resumo, a nutri\u00e7\u00e3o parenteral \u00e9 uma ferramenta terap\u00eautica indispens\u00e1vel em situa\u00e7\u00f5es espec\u00edficas, quando a nutri\u00e7\u00e3o oral ou enteral n\u00e3o \u00e9 vi\u00e1vel ou suficiente para atender \u00e0s necessidades do paciente.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Conhecer as indica\u00e7\u00f5es, composi\u00e7\u00f5es e limita\u00e7\u00f5es da nutri\u00e7\u00e3o parenteral \u00e9 essencial para maximizar seus resultados e assegurar a seguran\u00e7a do paciente.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h5><b><span data-contrast=\"auto\">Refer\u00eancias<\/span><\/b><span data-contrast=\"auto\">:<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/h5>\n<ol>\n<li><span data-contrast=\"auto\">American Society for Parenteral and Enteral Nutrition. <\/span><a href=\"https:\/\/www.nutritioncare.org\/About_Clinical_Nutrition\/What_Is_Parenteral_Nutrition_\/\"><span data-contrast=\"none\">What Is Parenteral Nutrition?<\/span><\/a><span data-contrast=\"auto\"> .<\/span><\/li>\n<li>Berger MM, Pichard C. <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC9923955\/#sec0003\"><span data-contrast=\"none\">When is parenteral nutrition indicated?<\/span><\/a> <span data-contrast=\"auto\">J Intensive Med. 2022 Jan 10;2(1):22-28.\u00a0<\/span><\/li>\n<li>Matsuba CST, et al. <a href=\"https:\/\/braspenjournal.org\/article\/10.37111\/braspenj.diretrizENF2021\/pdf\/braspen-36-3%2C+Supl+3-6537d56ba953950a50771815.pdf\"><span data-contrast=\"none\">Diretriz BRASPEN de enfermagem em terapia nutricional oral, enteral e parenteral<\/span><\/a><span data-contrast=\"auto\">. Braspen J. 2021;36(3, Supl 3):0-0.<\/span><\/li>\n<li>Ciosak SI, Matsuba CST, Silva MLT, Serpa LF, Poltronieri MJ. <a href=\"https:\/\/amb.org.br\/files\/_BibliotecaAntiga\/acessos_para_terapia_de_nutricao_parenteral_e_enteral.pdf\"><span data-contrast=\"none\">Acessos para terapia de nutri\u00e7\u00e3o parenteral e enteral<\/span><\/a><span data-contrast=\"auto\">. Proj Diretrizes Assoc Med Bras. 2011.<\/span><\/li>\n<li>de Souza IAO. <a href=\"https:\/\/braspenjournal.org\/article\/10.37111\/braspenj.2020352013\/pdf\/braspen-35-2-187.pdf\"><span data-contrast=\"none\">O futuro da nutri\u00e7\u00e3o parenteral no paciente cr\u00edtico<\/span><\/a><span data-contrast=\"auto\">. Braspen J. 2023;35(2):187-192.<\/span><\/li>\n<li>Castro MG, Toledo DO. <a href=\"https:\/\/braspenjournal.org\/article\/10.37111\/braspenj.2023.38.1.05\/pdf\/braspen-38-1-6536857ba953957cf6541095.pdf\"><span data-contrast=\"none\">Nutri\u00e7\u00e3o parenteral hospitalar: um panorama nacional<\/span><\/a><span data-contrast=\"auto\">. Braspen J. 2023;38(1):0-0.<\/span><\/li>\n<li>Junior SJAM, Santos OF, Gomes MRL, Cabral LAF, Pereira PL. <a href=\"http:\/\/www.hgv.pi.gov.br\/download\/201204\/HGV25_acf79f701f.pdf\"><span data-contrast=\"none\">Protocolo de Terapia Nutricional Enteral e Parenteral da Comiss\u00e3o de Suporte Nutricional<\/span><\/a><span data-contrast=\"auto\">. <\/span><span data-contrast=\"auto\">Teresina: Hospital Get\u00falio Vergas; 2012. 18 p.<\/span><\/li>\n<li>Lappas BM, Patel D, Kumpf V, Adams DW, Seidner DL. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29413018\/\"><span data-contrast=\"none\">Parenteral Nutrition: Indications, Access, and Complications<\/span><\/a><span data-contrast=\"auto\">. Gastroenterol Clin North Am. 2018 Mar;47(1):39-59.\u00a0<\/span><\/li>\n<li>Harvey SE, Parrott F, Harrison DA, Bear DE, Segaran E, Beale R, et al. CALORIES Trial Investigators. Trial of the route of early nutritional support in critically ill adults. N Engl J Med. 2014;371(18):1673-84.<\/li>\n<li>Reignier J, Boisram\u00e9-Helms J, Brisard L, Lascarrou JB, Hssain AA, Anguel N, et al. NUTRIREA-2 Trial Investigators; Clinical <span data-contrast=\"auto\">Research in Intensive Care and Sepsis (CRICS) group. Enteral versus parenteral early nutrition in ventilated adults with shock: a randomised, controlled, multicentre, open-label, parallel-group study (NUTRIREA-2). Lancet. 2018;391(10116):133-43.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>A indica\u00e7\u00e3o de nutri\u00e7\u00e3o parenteral \u00e9 um tema que ainda desperta muitas d\u00favidas entre os profissionais de sa\u00fade. Isso ocorre porque, na maioria das vezes, a nutri\u00e7\u00e3o enteral \u00e9 a via de escolha preferencial para pacientes que necessitam de terapia nutricional.\u00a0 Mas, afinal, em quais situa\u00e7\u00f5es a nutri\u00e7\u00e3o parenteral torna-se indispens\u00e1vel? Neste artigo, abordaremos os [&hellip;]<\/p>\n","protected":false},"author":67,"featured_media":2053,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[49],"tags":[285,284,67,286],"class_list":["post-1850","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artigo-5","tag-dieta-parenteral","tag-indicacao-de-nutricao-parenteral","tag-nutricao-parenteral","tag-terapia-de-nutricao-parenteral"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Entenda a Indica\u00e7\u00e3o da Nutri\u00e7\u00e3o Parenteral<\/title>\n<meta name=\"description\" content=\"Descubra quando indicar a nutri\u00e7\u00e3o parenteral, seus tipos, composi\u00e7\u00f5es, riscos e aplica\u00e7\u00f5es cl\u00ednicas com base nas diretrizes mais atuais.\" \/>\n<meta name=\"robots\" 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