nutrients Review ParenteralReview Nutrition: Amino Acids Parenteral Nutrition: Amino Acids Leonard John Hoffer FacultyLeonard of Medicine, John Hoffer McGill University, Montreal, QC H3G 1Y5, Canada;
[email protected]; Tel.:Faculty +1-514-340-8222 of Medicine, McGill University, Montreal, QC H3G 1Y5, Canada;
[email protected]; Tel.: +1‐514‐340‐8222 Received: 8 February 2017; Accepted: 2 March 2017; Published: 10 March 2017 Received: 8 February 2017; Accepted: 2 March 2017; Published: date Abstract: There is growing interest in nutrition therapies that deliver a generous amount of protein, butAbstract: not a toxic There amount is growing of energy, interest to in protein-catabolic nutrition therapies critically that deliver ill patients. a generous Parenteral amount of amino protein, acids canbut achieve not a toxic this amount goal. This of energy, article to summarizes protein‐catabolic the biochemicalcritically ill patients. and nutritional Parenteral principles amino acids that guidecan parenteral achieve this amino goal. This acid article therapy, summarizes explains howthe biochemical parenteral and amino nutritional acid solutions principles are that formulated, guide andparenteral compares amino the advantages acid therapy, and explains disadvantages how parenteral of different amino parenteral acid solutions amino are acid formulated, products and with enterally-deliveredcompares the advantages whole protein and disadvantages products in the of context different of parenteral protein-catabolic amino criticalacid products illness. with enterally‐delivered whole protein products in the context of protein‐catabolic critical illness. Keywords: critical illness; parenteral nutrition; nutritional support; amino acids; protein nutrition Keywords: critical illness; parenteral nutrition; nutritional support; amino acids; protein nutrition 1. Nutritional Biochemistry of Amino Acids and Proteins 1.