Expert consensus on clinical application of multi-chamber bag for parenteral nutrition (2022)

Abstract

Parenteral nutrition has become a routine clinical nutritional treatment. The guidelines at home and abroad unanimously recommend and standardize the application of "all in one" parenteral nutrition."Multi-chamber bag" parenteral nutrition encapsulates nutrients such as fat emulsion, amino acid and glucose in a non polyvinyl chloride soft bag composed of two or three cavities. When in use, the inner cavity separator is opened. The multi-chamber bag preparation has a variety of specifications and has the characteristics of reasonable prescription, strict quality standards, ready-to-use, and other characteristics, which can reduce prescription and configuration errors, reduce bloodstream infections, and meet the clinical nutritional needs of most patients. In view of the non-standard application of multi-chamber bag, the Chinese Society for Parenteral and Enteral Nutrition organized domestic experts in general surgery, critical care medicine, gastroenterology, geriatrics, nutrition, clinical pharmacy, and evidence-based medicine to write this expert consensus in accordance with the latest guidelines, expert consensus, and the latest clinical evidence. According to the improved Delphi method, 43 experts discussed and modified 23 recommendations one by one in the first round, and 219 experts voted and put forward modification suggestions in the second round. Each recommendation shall be established only when the approval rate of ≥ 90%. It is hoped that this consensus can promote the rational application of multi-chamber bag for parenteral nutrition.