Historical Development of Parenteral and Enteral Nutrition for Critically Ill Patients in Thailand during the Past 40 Years (1970-2010), and the Beginning of SPENT and PENSA

Authors

  • Professor Emeritus Chomchark Chuntrasaku Doctor of Medicine, Honoris Causa, Mahidol University Research Professor IBC, Cambridge, England

Abstract

Total Parenteral Nutrition (TPN) begun as basic research studies on beagles that were fed nothing by mouth (NPO) and administered parenteral nutrition through the intravenous line. These studies were carried out by Professor Stanley J. Dudrick and his associates, a group of surgeons from Pennsylvania, USA. After a few weeks to a few months of intravenous feeding, they found that the beagle puppies were able to grow as well as those eating normally. Following the publication of his experiments in the Journal of the American Medical Association in 1968, Professor Dudrick became well known and respected world-wide, a potential leader of a new medical field1,3. Many surgeons in the United States followed his lead in using intravenous nutrition to care for patients with nutritional problems, such as those with entero-cutaneous fistula. After TPN was given to this group of patients, the fistula spontaneously closed at a much higher rate, from 35% up to 75%.TPN was being used in patients who could not utilize their gastrointestinal tract, or who did not get enough nutrition, or those patients who had slow wound healing2.

References

1. Rhoads JE. TPN and interview with pioneer surgical nutritionist
Stanley Dudrick. JAMA 1968;203:860-4.

2. Blackburn G, Wollner S, Bistrian B. Nutrition support in the
intensive care unit, An evolving Science. Arch Surg 2010;
145:533-8.

3. Stanley Dudrickl had what I considered the best job in
American Surgiry, runnin a medical. JAMA 1968;203:860-4.

4. American College of Surgeons, Care of Surgical Patients,
Volume 1 Critical Care, A publication Of the Committee in
Pre and Postoperative Care. Edited by: Wilmore, Brennan,
Harken, Holcroft , Meakins. 1988-1999, Nutrition Support by
John Rombeau, et al.

5. CV Professor Chomchark Chuntrasakul, (Biography, sketch).
Personal history of lifetime achievement of Professor
Chuntrasakul C, Request details from division of Traumalogy,
Department of Surgery, Faculty of Medicione, Siriraj Hospital,
Mahidol University, Recent printing; 2015.

6. Mahidol P. informed statement of Prince Mahidol to every
thai physicians between doctors and patients relationships,
used to be appearent in the book of Siriraj welcome to new
freshy medical students every year.

7. Total Burn Care, edited by DN Herndon. WB Saunders
Company , Printer, Bath Printer, Bath Avon. Nutrition Support
of Burn by vascular. 1996. p. 237-65.

8. Manafo WM, Chuntrasakul C, Ayvazian VH. Hypertonic
sodium solution in the treatment of burn shock. Am J Surg
1973;126:778-83.

9. Chuntrasakul C. Hypertonic saline in treatment of burn.
Siriraj Hosp Gaz 1975;27:1985-93.

10. Chuntrasakul C. Clinical experiences with the use of amniotic
membranes as temporary dressing in treatment of burns
and other opened surgical wound. J Med Ass Thai 1977;
60:66-77.

11. Chuntrasakul C. Thermal Injury. In: Prem Buri, editor. Injury.
Bangkok: Bangkok Medical Publisher; 1977. p. 137-53.

12. Chuntrasakul C, Karnpleamchit P. A new topical agent
used in management of severe wound infection. Annual
scientific meeting of Royal College of Surgeons of Thailand,
July 1979. p. 72.

13. Chuntrasakul C. Burn shock and resuscitation. In Guideline
of practice for general practice doctor: Faculty of Medicine
at Siriraj Hospital: Bangkok: 181-90.

14. Chuntrasakul C. Management in multiple injuried patients.
Thai J of Trauma 1982;3:19-30.

15. Chuntrasakul C. Common problems in ICU trauma. In:
Pritchanon B, Maranet N, editors. Common problems in
critical care. Bangkok: Roenboon printing 1982:136-42.

16. Chuntrasakul C. Nutrition support in severe burn patient.
Siriraj Hosp Gaz 1982;4:205-11.

17. Chuntrasakul C. Multiple injuries. In Parakornkul S. et.al. Ed.
Practice in trauma surgery. Bangkok: Greenhum press; 1982:
261-75.

18. Chuntrasakul C. Care of severe burn patient. Siriraj Hosp
Gaz 1983;9:839-43.

19. Chuntrasakul C. Wound management in extensive burn:
trends in 10 years experiences at Siriraj Burn Unit. Annual
scientific meeting of Royal College of Surgeons of Thailand,
July 1983:107.

20. Chuntrasakul C. Necrotizing fasciitis of the extremities in
traumatic patients. Annual scientific meeting of Royal
College of Surgeons of Thailand (regional section), Feb
1985:33-4.

21. Chuntrasakul C. Silver zinc sulfadiazine in treatment of
extremities wound. Siriraj Hosp Gaz 1985;2:99-103.

22. Chuntrasakul C. TPN: principal and clinical use. Thai J Trauma
1988;6:13-37.

23. Chuntrasakul C. Burn Unit experience at Siriraj Hospital
(abstract). In the 5th Asean Pediatrics Federation Conference,
Kuala Lumpur, July 27-30, 1990.

24. Chuntrasakul C. Diagnosis and treatment of burn shock. In:
Jitmittapap S, Chuntrasakul C, Sakolsattayatorn P,
Siritongtavorn P, editors. Current advanced trauma
management. Bangkok: Chulalongkorn University Printing
Department; 1990.

25. Chuntrasakul C. Pitfall and guideline in acute management
of burn (the first 48 hours). In Chartbunchachai W. et.al. Ed.
Integrated regional trauma service. Khon Kaen: Khon Kaen
Printing; 1990. p. 63-9.

26. Chuntrasakul C. Early enteral feeding: it is safety and
effective. Annual scientific meeting of Royal College of
Surgeons of Thailand, July 1993. p. 111.

27. Chuntrasakul C, Siltharm S, Pongprasopchai T,
Chockvivatanavanit S, Bunnak A. Early nutritional support in
severe traumatic patients: a prospective randomized study.
J Med Ass Thai 1966;29: 21-6.

28. Chuntrasakul C. Immunonutrition in trauma and burn
patients. Presented in the 2nd Congress of Parenteral and
Enteral Nutrition Society of Asia. 14 June 1996, Jakarta,
Indonesia:22.

29. Chuntrasakul C. Early enteral nutrition in severely burn
patients. Presented in the 3rd congress of PENSA. Nutrition
and metabolic support in clinical practice, October 29-31,
1997, Bangkok: 34.

30. Chuntrasakul C. Nutrition in critically ill patient. In: Tienboon
P, et al, editor. Parenteral and enteral nutrition. Bangkok;
Roenkaew printing; 1997. p. 126-39.

31. Chuntrasakul C. Surgical management of burn wound. In:
Chuntrasakul C, Chaiyapruk S, Dejamorntan A. Ed. General
cares for burn patient. Bangkok 1997:70-3.

32. Chuntrasakul C. Nutrition support in developing country.
How to manage it? Presented in the 12th Asian-pacific
Federation Congress, ICS, December 12-14, 1997, Taipei,
Taiwan:45.

33. Chuntrasakul C, Siltharm S, Sarasombath S, Sehapairochana
C, Leowattana W, Chockvivatanavanit S, Bunnak A.
Metabolic and immune effects of dietary arginine, glutamine
and omega-3 fatty acids supplement in immunocompromised
patients. J Med Assoc Thai 1998;81:334-43.

34. Chuntrasakul C. Nutrition support in immunocompromised
patient, enteral nutrition in severely burn patients. In: Tienboon
P, Chuntrasakul C, Yamwong P, Stiltharm S, Chockvivatanavanit
S. Ed. Nutrition and metabolic support in clinical
practice. Bangkok; PENSA, Roenkaew pritnting 1998. p/
115-21.

35. Siltharm S, Chuntrasakul C, Kaowsaad P. Indirect calorimetry
in trauma patient. Thai J Trauma 2000;19:11-16.

36. Chuntrasakul C. Early enteral nutrition for critically ill patients.
Presented in the 4th Congress of Parenteral and Enteral
Nutrition Society of Asia. 9-12 Dec 1998, Hong Kong: 14.

37. Chuntrasakul C. Nutrition support service in Thailand.
Presented in the 5th Congress of Parenteral and Enteral
Nutrition Society of Asia. 28-30 Oct 1999, Kuala Lumpur
Malaysia: 58.

38. Chuntrasakul C. Nutrition support service in Asia in the 21st
century. Presented in the 6th Congress of Parenteral and
Enteral Nutrition Society of Asia. 9-12 Nov 2000, Taipei,
Taiwan: 74.

39. Chuntrasakul C, Siltham S, Sarasombath S, et al. Comparison
of a immunonutrition formula enriched arginine, glutamine
and Omega-3 fatty acid with a currently high-enriched
enteral nutrition for trauma patients. J Med Ass Thai
2003;86:552-61.

40. Chuntrasakul C. Nanocrystalline Silver or Acticoat experience
in burn wound management. In: Chaiyaprunk S, et
al, editors. clinical practice in burns. 2003. p. 172-9.

41. Chuntrasakul C. Wound management in developing
countries, Past, Present and Future, Perspective Thailand 2nd
WUWHS 2004, Paris, in program overview. P27.

42. Chuntrasakul C. Development of parenteral and Enteral
nutrition and nutrition support service in Siriraj Hospital and
establishment of SPENT and PENSA, Proceeding collected
at Nutrition Support service (library) Siriraj Hospital.

43. Chuntrasakul C. How to get started a PENSA?, Proceeding
of the 10th PENSA Congress, October 27, 2004. p. 29, Dusit
Resort Pattaya, Thailand.

44. Chuntrasakul C. Zinc and wound healing, in proceeding of
update practice in wound management, the second wound
care meeting of the Thai Society of Wound Healing, 28 Feb.
2007 - 2 March 2007. p. 202-4.

45. Chuntrasakul C. Role of silver in infection control of burn
wound in proceeding of Burn Care 2007, Thai Society of Burn
Injury, meeting 22-24 Aug. 2007. p. 15-23.

46. Chuntrasakul C. Early nutrition intervention, Cost benefit
and cost-effectiveness, Immunonutrition. Special lecture
for the last year of Dietetic students, Faculty of Alliced
Health Science, Chulalonnkorn University, 1 July, 2008.

47. Chuntrasakul C. 20 years time of Changes of the Society to
Association of Parenteral and Enteral Nutrition of Thailand
(SPENT), Thai Journal of Parenteral and Enteral Nutrition
2008;19:53-5.

48. Chuntrasakul C, et al. Experience of Nanocrystalline Silver in
Extensive Burns. Thai Journal of Burn Injury 2006;1:7-19.

49. Chuntrasakul C. Pathophysiologic changes in burn and
therapeutic application in Wound Care book. Bangkok
Medical Publisher; 2015.

50. Chuntrasakul C, Boonnak AR, Vibulyanont S, Chokvivatanavanij
S, Vejjasus T, et al. Special formula of Blenderize Diet
(BD) for burn patients, printed as monograph and presented
in medical conference on. 2nd February 1991 total 12 pages

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Published

2015-10-30

How to Cite

1.
Chuntrasaku PEC. Historical Development of Parenteral and Enteral Nutrition for Critically Ill Patients in Thailand during the Past 40 Years (1970-2010), and the Beginning of SPENT and PENSA. Thai J Surg [Internet]. 2015 Oct. 30 [cited 2024 Nov. 22];36(4). Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/226043

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