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Lipofundin and Lipoplus (also marketed as Lipidem) are intravenous lipid emulsions developed by B. Braun Medical SA for use in total parenteral nutrition (TPN) for critically ill patients. Lipofundin is a standard 50:50 mixture of medium-chain triglycerides (MCT) and long-chain triglycerides (LCT). Lipoplus is an omega-3 enriched formulation containing a 50:40:10 ratio of MCT, LCT, and fish oil. These emulsions were evaluated in the Phase 4 ICULIP clinical trial to determine if the inclusion of fish oil-derived omega-3 fatty acids could reduce the incidence of nosocomial infections and improve mortality rates in the intensive care unit. The hypothesis is that omega-3 fatty acids modulate the inflammatory response and immune function, potentially offering superior outcomes compared to standard lipid emulsions in patients requiring long-term parenteral nutrition.
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