• Boon-Siang Khor, Shiumn-Jen Liaw, Hsin-Chin Shih, and Liang-Shun Wang.
• Department of Emergency & Critical Care Medicine, Landseed Hospital, Ping-Chen City, Taoyuan County, Taiwan.
• Asian J Surg. 2011 Jan 1;34(1):1-10.

ObjectiveThe present study aimed to determine the clinical benefits to critically ill patients with severe sepsis of receiving parenteral fish-oil-based lipid emulsion as adjuvant treatment.MethodsThis was a prospective, randomized, double-blind, placebo-controlled clinical trial of 28 patients with severe sepsis in the intensive care unit of a primary and referral teaching hospital.ResultsFourteen patients were randomly assigned to the study group and a similar number were placed in the control group. The study group showed a significant score reduction for Acute Physiology and Chronic Health Evaluation (APACHE) II on day 3 (p = 0.004), day 5 (p = 0.032) and day 7 (p = 0.03), together with APACHE III (p = 0.028) and Simplified Acute Physiology Score II (p = 0.019) on day 7. The serum procalcitonin level was significantly decreased in the study group on day 3 (p = 0.018), day 5 (p = 0.011) and day 7 (p = 0.028). However, the serum tumour necrosis factor-α level, length of intensive care unit and hospital stay showed no significant difference when the groups were compared.ConclusionAdjuvant treatment with fish-oil-based lipid emulsion of 10% Omegaven for critically ill patients with severe sepsis is probably safe and helpful for rapid reduction of clinical severity of the disease.Copyright © 2011 Asian Surgical Association. Published by Elsevier B.V. All rights reserved.

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