PMID- 3144172 OWN - NLM STAT- MEDLINE DCOM- 19890117 LR - 20180330 IS - 0002-9165 (Print) IS - 0002-9165 (Linking) VI - 48 IP - 6 DP - 1988 Dec TI - Increased plasma carnitine in trauma patients given lipid-supplemented total parenteral nutrition. PG - 1400-2 AB - The purpose of this study was to determine the effects of altering the fuel substrate mix of total parenteral nutrition (TPN) on plasma and urinary carnitine in trauma patients. TPN solutions were either 100% carbohydrate (CHO) based or lipid based (70% CHO, 30% lipid). There were statistically significant (p less than 0.05) increases in plasma levels of free carnitine, short-chain acyl carnitine, and total carnitine in trauma patients receiving lipid-based TPN. No significant differences in urinary carnitine excretion were noted between groups. We conclude that the use of lipids in the TPN of trauma patients leads to an alteration in plasma carnitine metabolism. FAU - Davis, A T AU - Davis AT AD - Department of Surgery, Michigan State University, Grand Rapids. FAU - Albrecht, R M AU - Albrecht RM FAU - Scholten, D J AU - Scholten DJ FAU - Morgan, R E AU - Morgan RE LA - eng PT - Clinical Trial PT - Controlled Clinical Trial PT - Journal Article PL - United States TA - Am J Clin Nutr JT - The American journal of clinical nutrition JID - 0376027 RN - 0 (Dietary Fats) RN - S7UI8SM58A (Carnitine) SB - IM MH - Adult MH - Carnitine/*blood/urine MH - Dietary Fats/*administration & dosage MH - Female MH - Humans MH - Male MH - *Parenteral Nutrition, Total MH - Wounds and Injuries/blood/*therapy EDAT- 1988/12/01 00:00 MHDA- 1988/12/01 00:01 CRDT- 1988/12/01 00:00 PHST- 1988/12/01 00:00 [pubmed] PHST- 1988/12/01 00:01 [medline] PHST- 1988/12/01 00:00 [entrez] AID - 10.1093/ajcn/48.6.1400 [doi] PST - ppublish SO - Am J Clin Nutr. 1988 Dec;48(6):1400-2. doi: 10.1093/ajcn/48.6.1400.