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Intravenous Lipid Emulsions (ILE)

                                                                                            Role for ILE

© 2019 ASPEN | American Society for Parenteral and Enteral Nutrition. All Rights Reserved.  • Source of essential fatty acids
                                                                                            • Concentrated source of calories

                                                                                                o Allows patients to meet energy needs without excessive dextrose load

                                                                                            • Historically, only soybean oil ILE available in US

                                                                                                o High n-6:n-3 ratio = pro-inflammatory (7:1)

                                                                                            • Recent FDA approval and availability of alternative ILE’s

                                                                                                o 4-oil ILE (Soybean, MCT, Olive oil, fish oil)
                                                                                                o Olive oil-soybean oil mixtures
                                                                                                o 100% fish oil

                                                                                            Vanek VW. Nutr Clin Pract. 2012;27(2):150-192

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