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Lipid Emulsion (lipid + emulsion)
Kinds of Lipid Emulsion Selected AbstractsIntravenous Lipid Emulsion as Antidote Beyond Local Anesthetic Toxicity: A Systematic ReviewACADEMIC EMERGENCY MEDICINE, Issue 9 2009FACEM, Grant Cave MBChB Abstract Objectives:, The objective was to asses the efficacy of lipid emulsion as antidotal therapy outside the accepted setting of local anesthetic toxicity. Methods:, Literature was accessed through PubMed, OVID (1966,February 2009), and EMBASE (1947,February 2009) using the search terms "intravenous" AND ["fat emulsion" OR "lipid emulsion" OR "Intralipid"] AND ["toxicity" OR "resuscitation" OR "rescue" OR "arrest" OR "antidote"]. Additional author and conference publication searches were undertaken. Publications describing the use of lipid emulsion as antidotal treatment in animals or humans were included. Results:, Fourteen animal studies, one human study, and four case reports were identified. In animal models, intravenous lipid emulsion (ILE) has resulted in amelioration of toxicity associated with cyclic antidepressants, verapamil, propranolol, and thiopentone. Administration in human cases has resulted in successful resuscitation from combined bupropion/lamotrigine-induced cardiac arrest, reversal of sertraline/quetiapine-induced coma, and amelioration of verapamil- and beta blocker,induced shock. Conclusions:, Management of overdose with highly lipophilic cardiotoxic medications should proceed in accord with established antidotal guidelines and early poisons center consultation. Data from animal experiments and human cases are limited, but suggestive that ILE may be helpful in potentially lethal cardiotoxicity or developed cardiac arrest attributable to such agents. Use of lipid emulsion as antidote remains a nascent field warranting further preclinical study and systematic reporting of human cases of use. [source] Formation of Lipid Emulsions and Clear Gels by Liquid Crystal EmulsificationINTERNATIONAL JOURNAL OF COSMETIC SCIENCE, Issue 1 2007T. Suzuki Recently developed emulsion technologies for the formation of fine emulsions, lipid emulsions and clear gels by liquid crystal emulsification were reviewed. As a basic information on liquid crystal emulsification, the structures and characteristic behaviours of lyotropic liquid crystals were summarized. Formation of a liquid crystalline phase was often seen in emulsions and biological systems. The significance of liquid crystal formation during emulsification was analysed by comparing the states and stabilities of emulsions prepared by different processes. Then uses of liquid crystals for formation of the characteristic emulsions and gels were also discussed. In liquid crystal emulsification, an oil phase is dispersed directly into the lamellar liquid-crystalline phase composed of surfactant, glycerol and water to prepare a gel-like oil-in-liquid crystal emulsion. This is followed by dilution with the remaining water to produce an emulsion. From the phase behaviour during emulsification and analysis of the local motion of the liquid crystal membrane by fluorometry, it was confirmed that the interaction between surfactant and a polyol molecule such as glycerol promotes hydrogen bonding and enhances the strength of the lamellar liquid crystal membranes, which results in the formation of oil-in-liquid crystal emulsions. The interaction between the liquid crystal and oil was analysed from the changes in molecular motion of the membrane at the oil-liquid crystal interface using the spin label technique of electron spin resonance (ESR). The fluidity of the liquid crystal membrane did not change when oil was added, and therefore oil-in-liquid crystal emulsions of various oils were prepared by the identical process. This lack of dependence of the liquid crystal membrane on oil results in the unique properties of liquid crystal emulsification, which can be used for oils of various polarity and different molecular constituents. When a self-organizing artificial stratum corneum lipid containing pseudo-ceramide was used as a principal component of the oil, a multilamellar emulsion of concentric lamellar structure was formed. The multilamellar emulsion supplements the physiological function of stratum corneum by the identical mechanism as natural intercellular lipids. High-pressure treatment of the lipid emulsion produced a gel-like emulsion crystal, in which the homogeneous nanoemulsion droplets were arranged in a hexagonal array. This review paper was presented at the Conference of the Asian Societies of Cosmetic Scientists 2005 in Bangkok. [source] Lipid emulsion: is there sufficient knowledge among hospital staff?ANAESTHESIA, Issue 5 2010J. McKevith No abstract is available for this article. [source] Lipid emulsion to treat drug overdose: past, present and futureANAESTHESIA, Issue 2 2009J. Picard No abstract is available for this article. [source] Lipid emulsion for local anaesthetic toxicityANAESTHESIA, Issue 11 2006J. Picard No abstract is available for this article. [source] Lipid emulsion to treat overdose of local anaesthetic: the gift of the globANAESTHESIA, Issue 2 2006John Picard No abstract is available for this article. [source] LIPID REGISTRY: Intravenous lipid emulsion as antidoteEMERGENCY MEDICINE AUSTRALASIA, Issue 6 2009Martyn Harvey No abstract is available for this article. [source] Formation of Lipid Emulsions and Clear Gels by Liquid Crystal EmulsificationINTERNATIONAL JOURNAL OF COSMETIC SCIENCE, Issue 1 2007T. Suzuki Recently developed emulsion technologies for the formation of fine emulsions, lipid emulsions and clear gels by liquid crystal emulsification were reviewed. As a basic information on liquid crystal emulsification, the structures and characteristic behaviours of lyotropic liquid crystals were summarized. Formation of a liquid crystalline phase was often seen in emulsions and biological systems. The significance of liquid crystal formation during emulsification was analysed by comparing the states and stabilities of emulsions prepared by different processes. Then uses of liquid crystals for formation of the characteristic emulsions and gels were also discussed. In liquid crystal emulsification, an oil phase is dispersed directly into the lamellar liquid-crystalline phase composed of surfactant, glycerol and water to prepare a gel-like oil-in-liquid crystal emulsion. This is followed by dilution with the remaining water to produce an emulsion. From the phase behaviour during emulsification and analysis of the local motion of the liquid crystal membrane by fluorometry, it was confirmed that the interaction between surfactant and a polyol molecule such as glycerol promotes hydrogen bonding and enhances the strength of the lamellar liquid crystal membranes, which results in the formation of oil-in-liquid crystal emulsions. The interaction between the liquid crystal and oil was analysed from the changes in molecular motion of the membrane at the oil-liquid crystal interface using the spin label technique of electron spin resonance (ESR). The fluidity of the liquid crystal membrane did not change when oil was added, and therefore oil-in-liquid crystal emulsions of various oils were prepared by the identical process. This lack of dependence of the liquid crystal membrane on oil results in the unique properties of liquid crystal emulsification, which can be used for oils of various polarity and different molecular constituents. When a self-organizing artificial stratum corneum lipid containing pseudo-ceramide was used as a principal component of the oil, a multilamellar emulsion of concentric lamellar structure was formed. The multilamellar emulsion supplements the physiological function of stratum corneum by the identical mechanism as natural intercellular lipids. High-pressure treatment of the lipid emulsion produced a gel-like emulsion crystal, in which the homogeneous nanoemulsion droplets were arranged in a hexagonal array. This review paper was presented at the Conference of the Asian Societies of Cosmetic Scientists 2005 in Bangkok. [source] Solid emulsion gel as a vehicle for delivery of polyunsaturated fatty acids: implications for tissue repair, dermal angiogenesis and wound healingJOURNAL OF TISSUE ENGINEERING AND REGENERATIVE MEDICINE, Issue 7 2008Kirill I. Shingel Abstract The paper describes preparation and biological characterization of the solid hybrid biomaterial that was designed for cell-targeted lipid delivery in healing tissues. The material referred to as ,solid emulsion gel' combines a protein-stabilized lipid emulsion and a hydrogel structure in a single compartment. The potential of the omega-3 (n-3)-fatty acids rich solid emulsion gel for tissue repair applications was investigated at the macro-, micro-, molecular and gene expression levels, using human fibroblasts and endothelial cells and a porcine model of full-thickness wounds. Being non-cytotoxic in vitro and in vivo, the biomaterial was found to affect cell metabolism, modulate expression of certain genes, stimulate early angiogenesis and promote wound repair in vivo. The neovascular response in vivo was correlated with upregulated expression of the genes involved in lipid transport (e.g. adipophilin), anti-apoptosis (e.g. heat shock proteins, haem oxygenase 1) and angiogenesis (vascular endothelial growth factor, placental growth factor). Collectively, the results of this study provide first evidence that the angiogenic response provided by solid emulsion gel-mediated delivery of n-3 fatty acids is an alternative to the topical administration of exogenous growth factors or gene therapy, and can be advantageously used for the stimulation of tissue repair in complex wounds. Copyright © 2008 John Wiley & Sons, Ltd. [source] Xenon-129 MR imaging and spectroscopy of rat brain using arterial delivery of hyperpolarized xenon in a lipid emulsionMAGNETIC RESONANCE IN MEDICINE, Issue 2 2001Guillaume Duhamel Abstract Hyperpolarized 129Xe dissolved in a lipid emulsion constitutes an NMR tracer that can be injected into the blood stream, enabling blood-flow measurement and perfusion imaging. A small volume (0.15 ml) of this tracer was injected in 1.5 s in rat carotid and 129Xe MR spectra and images were acquired at 2.35 T to evaluate the potential of this approach for cerebral studies. Xenon spectra consistently showed two resonances, at 194.5 ppm and 199.0 ppm relative to the gas peak. The signal-to-noise ratio (SNR) obtained for the two peaks was sufficient (ranging from 12 to 90) to follow their time courses. 2D transverse-projection xenon images were obtained with an in-plane resolution of 900 ,m per pixel (SNR range 8,15). Histological analysis revealed no brain damage except in two rats that had received three injections. Magn Reson Med 46:208,212, 2001. © 2001 Wiley-Liss, Inc. [source] Effect of hypertonic saline on electrocardiography QRS duration in rabbit model of bupivacaine toxicity resuscitated by intravenous lipidANAESTHESIA, Issue 8 2010G. Cave Summary Intravenous lipid emulsion is established therapy for bupivacaine induced cardiotoxicity. The benefit of combined hypertonic saline and lipid treatment is unexplored. In this experiment, sedated rabbits were resuscitated from bupivacaine-induced asystole with intravenous lipid according to the Association of Anaesthetists of Great Britain and Ireland's guideline, or by identical lipid dosing with hypertonic saline: 6 mEq.kg,1 21% sodium chloride. Early electrocardiography QRS prolongation was less with lipid plus hypertonic saline (mean (SD) QRS 0.19 (0.07) s lipid only vs 0.09 (0.01) s lipid plus hypertonic saline; p = 0.003) at 9 min though not different from the lipid only group at 20 min. No difference was observed in rates of circulatory return (7/10 lipid only and 9/10 lipid plus hypertonic saline; p = 0.58) or survival (5/10 lipid only and 6/10 lipid plus hypertonic saline; p = 1.00). Some benefit to cardiac conduction may be afforded by hypertonic saline co-administered with lipid emulsion in bupivacaine-induced cardiotoxicity. [source] Lipid resuscitation in a carnitine deficient child following intravascular migration of an epidural catheter,ANAESTHESIA, Issue 2 2010G. K. Wong Summary A child with cerebral palsy and carnitine deficiency developed ventricular arrhythmias with loss of cardiac output during elective surgery under general anaesthesia with concomitant epidural analgesia. Sinus rhythm was restored on administration of adrenaline, but hypotension persisted despite resuscitation. Bolus administration of 0.8 ml.kg,1 (20 ml) lipid emulsion resulted in rapid improvement in cardiac output. Blood samples taken before and after the lipid bolus did not demonstrate toxic concentrations of bupivacaine. This case suggests that carnitine deficiency may increase susceptibility to bupivacaine cardiotoxicity. [source] Association of Anaesthetists of Great Britain and IrelandANAESTHESIA, Issue 7 2009Wiley's Anesthesia Collection Summary Infusion of lipid emulsion has been demonstrated to facilitate return of spontaneous circulation in animal models and human cases of local anaesthetic induced cardiac arrest. Guidelines for lipid application exist; however, experimental evidence of efficacy at recommended dosing is lacking. In 20 sedated, mechanically ventilated, and invasively monitored New Zealand White rabbits, asystole was induced via bolus bupivacaine injection. Animals were randomised to receive either 20% Intralipid administered according to Association of Anaesthetists of Great Britain and Ireland guidelines, or identical volumes of 0.9% saline solution, in addition to standard Advanced Cardiac Life Support resuscitative measures. Seven lipid treated rabbits developed return of spontaneous circulation vs four saline treated animals (p = 0.370). A trend toward sooner return of spontaneous circulation in the lipid treated group was observed (2.4 (0.53) vs 3.8 (1.7) min; p = 0.082). Five animals in the lipid treated group survived to protocol termination vs nil animals from the saline treated group (p = 0.033). The current Association of Anaesthestists of Great Britain and Ireland lipid infusion protocol provides a useful beginning for lipid emulsion administration. [source] Guidelines and the adoption of ,lipid rescue' therapy for local anaesthetic toxicityANAESTHESIA, Issue 2 2009J. Picard Summary Gathering evidence from animal experiments, an editorial in this journal and published human case reports culminated in the Association of Anaesthetists of Great Britain and Ireland recommending in August 2007 that lipid emulsion be immediately available to all patients given potentially cardiotoxic doses of local anaesthetic drugs. This development offered an opportunity to track the adoption of an innovation by anaesthetists in the UK and to gauge the effects of guidelines. Two surveys, each of 66 NHS hospitals delivering acute care within London and its penumbra, examined the adoption of lipid emulsion therapy. After the publication of the editorial in autumn 2006, the spread of ,lipid rescue' was rapid. The timing of the adoption and the impetus for innovation varied substantially between the sampled hospitals. When the formal guidelines were published, approximately half of the hospitals surveyed did not have lipid rescue. Of those that subsequently adopted it, half attributed their decision to the guidelines. At the end of 2007, there remained a small number of hospitals that had yet to adopt lipid rescue. Lipid rescue's adoption by anaesthetists in the UK offers a rare example of swift uptake of an innovation. National guidelines accelerated the adoption of innovation by some hospitals. [source] Reversal of local anaesthetic induced CNS toxicity with lipid emulsionANAESTHESIA, Issue 2 2008J. Whiteside No abstract is available for this article. [source] Intravenous Lipid Emulsion as Antidote Beyond Local Anesthetic Toxicity: A Systematic ReviewACADEMIC EMERGENCY MEDICINE, Issue 9 2009FACEM, Grant Cave MBChB Abstract Objectives:, The objective was to asses the efficacy of lipid emulsion as antidotal therapy outside the accepted setting of local anesthetic toxicity. Methods:, Literature was accessed through PubMed, OVID (1966,February 2009), and EMBASE (1947,February 2009) using the search terms "intravenous" AND ["fat emulsion" OR "lipid emulsion" OR "Intralipid"] AND ["toxicity" OR "resuscitation" OR "rescue" OR "arrest" OR "antidote"]. Additional author and conference publication searches were undertaken. Publications describing the use of lipid emulsion as antidotal treatment in animals or humans were included. Results:, Fourteen animal studies, one human study, and four case reports were identified. In animal models, intravenous lipid emulsion (ILE) has resulted in amelioration of toxicity associated with cyclic antidepressants, verapamil, propranolol, and thiopentone. Administration in human cases has resulted in successful resuscitation from combined bupropion/lamotrigine-induced cardiac arrest, reversal of sertraline/quetiapine-induced coma, and amelioration of verapamil- and beta blocker,induced shock. Conclusions:, Management of overdose with highly lipophilic cardiotoxic medications should proceed in accord with established antidotal guidelines and early poisons center consultation. Data from animal experiments and human cases are limited, but suggestive that ILE may be helpful in potentially lethal cardiotoxicity or developed cardiac arrest attributable to such agents. Use of lipid emulsion as antidote remains a nascent field warranting further preclinical study and systematic reporting of human cases of use. [source] Soybean protein concentrate as a protein source for turbot Scophthalmus maximus L.AQUACULTURE NUTRITION, Issue 4 2000O.J. Day In the first of two experiments, the effect of a gradual substitution of dietary fish meal with soybean protein concentrate (SPC) on growth, feed consumption and protein digestibility was examined in 13 g turbot Scophthalmus maximus. Five isonitrogenous and isoenergetic diets (50% protein and 22 kJ g,1) containing SPC at protein replacement levels of 0, 25, 50, 75 and 100% were offered by hand twice daily. Growth rates of fish fed diets with zero and 25% replacement were not significantly different, with SGRs of 2.47 and 2.28, respectively. At higher replacement levels, growth rates decreased significantly with SGRs of 2.00, 1.33 and 0.68, respectively. Feed conversion ratios increased with soya replacement, with values of 0.68, 0.75, 0.89, 1.27 and 2.32, respectively, although there was no significant difference between the first two. Feed consumption rates remained constant up to 50% replacement, above which they decreased significantly, possibly because of reduced diet palatability. Apparent protein digestibility (APD) was not affected by the incorporation of SPC and ranged from 82.8 to 87.5%. Results suggest that protein catabolism increases in SPC-rich diets, possibly because of rapid assimilation and utilization of the methionine supplement. In the second experiment, the importance of amino acid supplements and the beneficial effects of protecting these, either by coating them in protein or incorporating them in a protein,lipid emulsion, was investigated. Growth data provided some indication that the utilization of SPC may be improved by incorporating the methionine and lysine supplement in a protein,lipid emulsion prior to diet preparation, although this finding was not found to be statistically significant (0.1 < P < 0.2). [source] Comparison of continuous and batch feeding systems on maturation, biochemical composition and immune variables of the oyster Crassostrea corteziensis (Hertlein 1951)AQUACULTURE RESEARCH, Issue 4 2009Miguel A Hurtado Abstract Two feeding systems for maturing oysters were compared, one a continuous feeding system and the other a batch system in which the whole microalgal ration was supplied once daily. The maturation diet consisted in Isochrysis galbana (T-ISO) complemented with an enriched lipid emulsion. Survival and growth did not differ between the feeding systems after 3 weeks of conditioning. Maturation, biochemical composition, fatty acids in membranes and reserves, digestive enzymes activities and immune parameters in Crassostrea corteziensis were analysed. Only oysters fed using the once-daily system had vitellogenic oocytes, whereas the gonad of oysters fed using a continuous-drip system remained immature. Total and differential haemocyte counts were similar between both the systems, but respiratory burst was significantly higher in oysters fed using the once-daily system. Amylase, lipase and trypsin activities in oyster's digestive gland were similar between both the feeding systems. Total lipids, however, differed significantly in oyster tissue in relation to feeding system, with highest level in those fed using the once-daily system, but fatty acid composition in reserves and membrane were similar. No differences were found for biochemical parameters in haemolymph. These results suggest that feeding oysters using a batch, once-daily system allows more rapid initial gonad maturation without affecting general physiological condition and growth. [source] Correlation of Plasma and Peritoneal Diasylate Clomipramine Concentration with Hemodynamic Recovery after Intralipid Infusion in RabbitsACADEMIC EMERGENCY MEDICINE, Issue 2 2009MBChB, Martyn Harvey FACEM Abstract Objectives:, Drug sequestration to an expanded plasma lipid phase has been proposed as a potential mechanism of action for lipid emulsions in lipophilic cardiotoxin overdose. The authors set out to document plasma and peritoneal diasylate clomipramine concentration after resuscitation with lipid emulsion in a rabbit model of clomipramine-induced hypotension. Methods:, Twenty sedated mechanically ventilated New Zealand White rabbits were allocated to receive either 12 mL/kg 20% Intralipid or 12 mL/kg saline solution, following clomipramine infusion to 50% baseline mean arterial pressure (MAP). Hemodynamic parameters and serum clomipramine concentration were determined to 59 minutes. Peritoneal dialysis with 20% Intralipid or saline solution was evaluated for clomipramine concentration. Results:, Mean arterial pressure was greater in lipid-treated animals as assessed by repeated-measures analysis of variance (F[1,14] = 6.84; p = 0.020). Lipid infusion was associated with elevated plasma clomipramine concentration and reduced initial volume of distribution (Vd; 5.7 [±1.6] L/kg lipid vs. 15.9 [±7.2] L/kg saline; p = 0.0001). Peritoneal diasylate clomipramine concentration was greater in lipid-treated animals (366.2 [±186.2] ,g/L lipid vs. 37.7 [±13.8] ,g/L saline; p = 0.002). Conclusions:, Amelioration of clomipramine-induced hypotension with lipid infusion is associated with reduced initial Vd and elevated plasma clomipramine concentration consistent with intravascular drug,lipid sequestration. Concomitant peritoneal dialysis with lipid emulsion enhances clomipramine extraction. [source] Metabolic effects in neonates receiving intravenous medium-chain triglyceridesACTA PAEDIATRICA, Issue 2 2002G Angsten The effects of two lipid emulsions, one with 50% each of medium-chain and long-chain triglycerides, and a long-chain triglycerides lipid emulsion as a control, were evaluated for lipid and carnitine metabolism and respiratory quotient when given to neonates after major surgery during a short period of total parenteral nutrition. Each group included 10 neonates, and all tolerated the total parenteral nutrition well. The relative contents of linoleic acid and ,-linolenic acid increased in all lipid esters in plasma and adipose tissue in both groups, indicating that the content of these fatty acids is sufficient even in the medium-chain triglycerides emulsion. The serum concentration of ketones was within normal limits. Free fatty acids in plasma did not increase in either group. The total plasma carnitine concentration decreased in both groups but the distribution of free carnitine and acylcarnitine did not change. The total muscle carnitine did not change significantly but the ratio of acylcarnitine to free carnitine tended to increase in muscle in the treatment group, probably an effect of the medium-chain triglyceride supplementation. Conclusions: The two groups displayed the same fatty acid pattern in plasma and adipose tissue and the same respiratory quotient during the treatment period. Regarding carnitine status, essentially the same changes were seen in the two groups. However, discrete changes were seen in muscle tissue in the treatment group. [source] Formation of Lipid Emulsions and Clear Gels by Liquid Crystal EmulsificationINTERNATIONAL JOURNAL OF COSMETIC SCIENCE, Issue 1 2007T. Suzuki Recently developed emulsion technologies for the formation of fine emulsions, lipid emulsions and clear gels by liquid crystal emulsification were reviewed. As a basic information on liquid crystal emulsification, the structures and characteristic behaviours of lyotropic liquid crystals were summarized. Formation of a liquid crystalline phase was often seen in emulsions and biological systems. The significance of liquid crystal formation during emulsification was analysed by comparing the states and stabilities of emulsions prepared by different processes. Then uses of liquid crystals for formation of the characteristic emulsions and gels were also discussed. In liquid crystal emulsification, an oil phase is dispersed directly into the lamellar liquid-crystalline phase composed of surfactant, glycerol and water to prepare a gel-like oil-in-liquid crystal emulsion. This is followed by dilution with the remaining water to produce an emulsion. From the phase behaviour during emulsification and analysis of the local motion of the liquid crystal membrane by fluorometry, it was confirmed that the interaction between surfactant and a polyol molecule such as glycerol promotes hydrogen bonding and enhances the strength of the lamellar liquid crystal membranes, which results in the formation of oil-in-liquid crystal emulsions. The interaction between the liquid crystal and oil was analysed from the changes in molecular motion of the membrane at the oil-liquid crystal interface using the spin label technique of electron spin resonance (ESR). The fluidity of the liquid crystal membrane did not change when oil was added, and therefore oil-in-liquid crystal emulsions of various oils were prepared by the identical process. This lack of dependence of the liquid crystal membrane on oil results in the unique properties of liquid crystal emulsification, which can be used for oils of various polarity and different molecular constituents. When a self-organizing artificial stratum corneum lipid containing pseudo-ceramide was used as a principal component of the oil, a multilamellar emulsion of concentric lamellar structure was formed. The multilamellar emulsion supplements the physiological function of stratum corneum by the identical mechanism as natural intercellular lipids. High-pressure treatment of the lipid emulsion produced a gel-like emulsion crystal, in which the homogeneous nanoemulsion droplets were arranged in a hexagonal array. This review paper was presented at the Conference of the Asian Societies of Cosmetic Scientists 2005 in Bangkok. [source] New approaches to parenteral nutrition in infants and childrenJOURNAL OF PAEDIATRICS AND CHILD HEALTH, Issue 5 2002RG Heine Abstract: Parenteral nutrition (PN) has become a mainstay in the treatment of children with intestinal failure or conditions that preclude enteral feeding. Estimated energy and protein requirements can usually be met, unless the patient is fluid volume restricted or glucose intolerant. Although PN is generally well tolerated, in some patients it is still associated with a significant morbidity. Complications include metabolic disturbances, venous access device infection or dysfunction, venous thrombosis and cholestatic liver disease. Patients need to be carefully monitored for evidence of micronutrient deficiencies or excesses. There is a close relationship between line sepsis and thrombosis. Strict aseptic technique is the key to preventing line infections. Recurrent sepsis and thrombosis may eventually lead to loss of venous access and may jeopardize the long-term delivery of PN. Chronic cholestatic liver disease is common in premature infants with gastrointestinal problems, recurrent sepsis and lack of enteral feeding. The aetiology is multifactorial. Early enteral feeding is the most effective strategy in preventing PN-associated liver disease. New specialized nutrient solutions and lipid emulsions promise improved clinical outcomes. However, long-term clinical data are not yet available in children. In recent years, nutrition support teams have improved clinical and economic outcomes by encouraging the appropriate use and monitoring of PN therapy. In patients with intestinal failure, parent-administered home PN has become an alternative to long-term hospitalization. Apart from a positive effect on the quality of life of patient and family, home PN is cost-effective and reduces the risk of nosocomial infections and catheter-related complications. [source] A commentary on the effect of lipid emulsions on pathology testsANAESTHESIA, Issue 9 2009G. Dimeski No abstract is available for this article. [source] A commentary on the effect of lipid emulsions on pathology testsANAESTHESIA, Issue 9 2009J. Picard No abstract is available for this article. [source] Live feeds for early stages of fish rearingAQUACULTURE RESEARCH, Issue 5 2010Luís E C Conceição Abstract Despite the recent progress in the production of inert diets for fish larvae, feeding of most species of interest for aquaculture still relies on live feeds during the early life stages. Independently of their nutritional value, live feeds are easily detected and captured, due to their swimming movements in the water column, and highly digestible, given their lower nutrient concentration (water content>80%). The present paper reviews the main types of live feeds used in aquaculture, their advantages and pitfalls, with a special emphasis on their nutritional value and the extent to which this can be manipulated. The most commonly used live feeds in aquaculture are rotifers (Brachionus sp.) and brine shrimp (Artemia sp.), due to the existence of standardized cost-effective protocols for their mass production. However, both rotifers and Artemia have nutritional deficiencies for marine species, particularly in essential n-3 highly unsaturated fatty acids (HUFA, e.g., docosahexaenoic acid and eicosapentaenoic acid). Enrichment of these live feeds with HUFA-rich lipid emulsions may lead to an excess dietary lipid and sub-optimal dietary protein content for fish larvae. In addition, rotifers and Artemia are likely to have sub-optimal dietary levels of some amino acids, vitamins and minerals, at least for some species. Several species of microalgae are also used in larviculture. These are used as feed for other live feeds, but mostly in the ,green water' technique in fish larval rearing, with putative beneficial effects on feeding behaviour, digestive function, nutritional value, water quality and microflora. Copepods and other natural zooplankton organisms have also been used as live feeds, normally with considerably better results in terms of larval survival rates, growth and quality, when compared with rotifers and Artemia. Nonetheless, technical difficulties in mass-producing these organisms are still a constraint to their routine use. Improvements in inert microdiets will likely lead to a progressive substitution of live feeds. However, complete substitution is probably years away for most species, at least for the first days of feeding. [source] Correlation of Plasma and Peritoneal Diasylate Clomipramine Concentration with Hemodynamic Recovery after Intralipid Infusion in RabbitsACADEMIC EMERGENCY MEDICINE, Issue 2 2009MBChB, Martyn Harvey FACEM Abstract Objectives:, Drug sequestration to an expanded plasma lipid phase has been proposed as a potential mechanism of action for lipid emulsions in lipophilic cardiotoxin overdose. The authors set out to document plasma and peritoneal diasylate clomipramine concentration after resuscitation with lipid emulsion in a rabbit model of clomipramine-induced hypotension. Methods:, Twenty sedated mechanically ventilated New Zealand White rabbits were allocated to receive either 12 mL/kg 20% Intralipid or 12 mL/kg saline solution, following clomipramine infusion to 50% baseline mean arterial pressure (MAP). Hemodynamic parameters and serum clomipramine concentration were determined to 59 minutes. Peritoneal dialysis with 20% Intralipid or saline solution was evaluated for clomipramine concentration. Results:, Mean arterial pressure was greater in lipid-treated animals as assessed by repeated-measures analysis of variance (F[1,14] = 6.84; p = 0.020). Lipid infusion was associated with elevated plasma clomipramine concentration and reduced initial volume of distribution (Vd; 5.7 [±1.6] L/kg lipid vs. 15.9 [±7.2] L/kg saline; p = 0.0001). Peritoneal diasylate clomipramine concentration was greater in lipid-treated animals (366.2 [±186.2] ,g/L lipid vs. 37.7 [±13.8] ,g/L saline; p = 0.002). Conclusions:, Amelioration of clomipramine-induced hypotension with lipid infusion is associated with reduced initial Vd and elevated plasma clomipramine concentration consistent with intravascular drug,lipid sequestration. Concomitant peritoneal dialysis with lipid emulsion enhances clomipramine extraction. [source] Metabolic effects in neonates receiving intravenous medium-chain triglyceridesACTA PAEDIATRICA, Issue 2 2002G Angsten The effects of two lipid emulsions, one with 50% each of medium-chain and long-chain triglycerides, and a long-chain triglycerides lipid emulsion as a control, were evaluated for lipid and carnitine metabolism and respiratory quotient when given to neonates after major surgery during a short period of total parenteral nutrition. Each group included 10 neonates, and all tolerated the total parenteral nutrition well. The relative contents of linoleic acid and ,-linolenic acid increased in all lipid esters in plasma and adipose tissue in both groups, indicating that the content of these fatty acids is sufficient even in the medium-chain triglycerides emulsion. The serum concentration of ketones was within normal limits. Free fatty acids in plasma did not increase in either group. The total plasma carnitine concentration decreased in both groups but the distribution of free carnitine and acylcarnitine did not change. The total muscle carnitine did not change significantly but the ratio of acylcarnitine to free carnitine tended to increase in muscle in the treatment group, probably an effect of the medium-chain triglyceride supplementation. Conclusions: The two groups displayed the same fatty acid pattern in plasma and adipose tissue and the same respiratory quotient during the treatment period. Regarding carnitine status, essentially the same changes were seen in the two groups. However, discrete changes were seen in muscle tissue in the treatment group. [source] | |||||||||||||