Die zahlreichen Nebenwirkungen intravenös verabreichter Substrate haben uns gelehrt, daβ es erforderlich ist, vor allem nach Trauma und während Sepsis die Dosierung der einzelnen Bestandteile einer intravenösen Ernährungstherapie zu überdenken. Dabei kommt der Limitierung der Glukosekalorien auf ca. 3 g/kg KG/Tag eine groβe Bedeutung zu. Werden zusätzliche Kalorien zur Deckung des täglichen Bedarfs benötigt, so kann dies durch die gleichzeitige Anwendung einer Fettemulsion in einer Dosierung von 1 bis maximal 1,5 g/kg KG/Tag und/oder durch die zusätzliche Gabe von Xylit in einer Dosierung von max. 3 g/kg KG/Tag erfolgen.

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