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Total parenteral nutrition via central venous access enables the delivery of full caloric and fluid requirements, unless [39] poorly controlled hyperglycemia or hypercarbia limits the caloric delivery. These techniques and many more are defined in Appendix A and a bibli- ography is provided in Appendix C. The reciprocal interrela- tionships, always dynamic and changing, between all varieties of use are becoming increasingly close and intense, and the permeability between oral and written language is particularly marked.

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