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The primary indications for PN are intestinal failure (IF) due to an underlying disease or treatment, or if the GI tract is not accessible. The goals of PN should be to ensure adequate nutrition provision to meet patient needs while minimising the risk of complications. PN should be commenced in &lt;48 h in patients who are malnourished or otherwise within 7\u2009days if oral or enteral nutrition is not possible or insufficient. There has been evolution in PN techniques and technology, and the risks associated with PN administration have been reduced. Monitoring clinical, laboratory and metabolic parameters in acute IF is essential to provision of safe nutritional support. When provided to appropriate patients with IF in a timely and considered manner, PN has been shown to be safe, improve nutritional parameters and reduce complications associated with malnutrition. This review aims to provide clinicians a practical guide for the management of PN in adult patients within the acute setting.<\/jats:p>","DOI":"10.1111\/imj.14786","type":"journal-article","created":{"date-parts":[[2020,4,9]],"date-time":"2020-04-09T01:11:29Z","timestamp":1586394689000},"page":"403-411","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Parenteral nutrition in adults during acute illness: a clinical perspective for clinicians"],"prefix":"10.1111","volume":"50","author":[{"given":"Kate","family":"Fetterplace","sequence":"first","affiliation":[{"name":"Allied Health (Clinical Nutrition) Royal Melbourne Hospital  Melbourne Victoria Australia"},{"name":"Department of Medicine The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7752-6279","authenticated-orcid":false,"given":"Darcy","family":"Holt","sequence":"additional","affiliation":[{"name":"Clinical Nutrition and Metabolism Unit and Department of Gastroenterology and Hepatology Monash Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Udy","sequence":"additional","affiliation":[{"name":"Department of Intensive Care and Hyperbaric Medicine The Alfred Hospital  Melbourne Victoria Australia"},{"name":"School of Public Health and Preventive Medicine Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7922-5717","authenticated-orcid":false,"given":"Emma","family":"Ridley","sequence":"additional","affiliation":[{"name":"Department of Intensive Care and Hyperbaric Medicine The Alfred Hospital  Melbourne Victoria Australia"},{"name":"School of Public Health and Preventive Medicine Monash University  Melbourne Victoria Australia"},{"name":"Nutrition Department The Alfred Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,4,8]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2011.02.009"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884533612439896"},{"key":"e_1_2_11_4_1","volume-title":"Basics in Clinical Nutrition","author":"Sobotka L","year":"2011"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2018.07.036"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2014.08.017"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2016.04.009"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2018.08.002"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2017.02.013"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2016.12.027"},{"key":"e_1_2_11_11_1","unstructured":"NSW Agency for Clinical Innovation. 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