Intralipid disappearance in critically ill patients.

Abstract:

:Intralipid elimination patterns were compared in 25 healthy controls, 12 patients recovering from uncomplicated cholecystectomy, and 25 critically ill patients. The intravenous fat tolerance test revealed a similar fractional removal rate (k2) in healthy controls and critically ill patients, but k2 was increased in cholecystectomy patients. The concentration of cross-reactive protein (CRP) correlated positively to the concentration of total triglyceride and low-density lipoprotein-triglyceride, and negatively to low-density lipoprotein-cholesterol and high-density lipoprotein-cholesterol. The extrapolated zero-time concentration of Intralipid in the critically ill patients was only one-third of the value in healthy controls. After this initial loss, however, Intralipid was removed from the circulation after first-order kinetics. These low concentrations of Intralipid were not correlated with concentrations of CRP. Possible explanations for this phenomenon include a change in the configuration of the lipid particles, the so-called creaming phenomenon, and/or immediate and substantial uptake of the emulsion by certain organs.

journal_name

Crit Care Med

journal_title

Critical care medicine

authors

Lindh A,Lindholm M,Rössner S

doi

10.1097/00003246-198605000-00009

subject

Has Abstract

pub_date

1986-05-01 00:00:00

pages

476-80

issue

5

eissn

0090-3493

issn

1530-0293

journal_volume

14

pub_type

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