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Maurice E. Shils, MD, ScD

JAMA. 1972;220(13):1721-1729.

Abstract
Total parenteral nutrition is a procedure capable of maintaining patients in good condition for prolonged periods while underlying disease is being treated. Achievement of this goal presents problems in formulation, in sterile preparation, and in safe administration of the nutrient solution. A practical program is outlined for simple, inexpensive, and sterile preparation of standard solutions in closed systems. Indications and precautions for this potentially life-saving treatment are discussed together with consideration of routes of administration, ancillary equipment, and nutrient requirements for total parenteral nutrition.

Author Affiliations
From the departments of medicine, Memorial Hospital for Cancer and Allied Diseases and Cornell University Medical College, and the Division of Medical Research, Sloan-Kettering Institute for Cancer Research, New York.

Footnotes
Authorized for publication by the Council on Foods and Nutrition. Philip L. White, ScD, Secretary.

Reprint requests to AMA Department of Foods and Nutrition, 535 N Dearborn St, Chicago 60610.

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