Olimel

Not all critically ill patients are the same, and neither are their nutritional requirements. The Olimel portfolio offers a range of central and peripheral formulations to match the individual protein and energy needs of your patients.^1-3  Olimel N12/N12E combines a high protein formulation with low glucose content, resulting in the lowest energy to protein ratio currently available in a standardized, three-chamber bag (3CB).^2,3,18-21  Olimel contains olive oil, which is rich in long-chain Omega-9 monounsaturated fatty acids (MUFAs), with fewer polyunsaturated fatty acids (PUFAs) than soybean and fish oil.²⁴ An olive oil-based lipid emulsion has been associated with fewer infections than soybean oil.^4,10-12

See full prescribing information for Olimel N12 SmPC
See full prescribing information for Olimel N12E SmPC
See full prescribing information for Olimel N9 SmPC
See full prescribing information for Olimel N9E SmPC
See full prescribing information for Olimel N7E SmPC
See full prescribing information for Olimel N5E SmPC
See full prescribing information for Olimel Perifer N4E SmPC

When compared to standard intake, higher protein as prescribed by guidelines was associated with significant clinical improvements in ICU patients.²² A higher and earlier intake of protein has proven to be beneficial in wound healing, hormonal regulation, and cell signaling and was significantly associated with lower mortality as illustrated by a one percent reduction in mortality for every gram of daily protein ingested.^7,23

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1. Peel the overpouch

Peel the front of overpouch using the notches. Discard the overpouch. Confirm the integrity of the bag and nonpermanent seals. Use only if the bag is not damaged and the nonpermanent seals are intact.

2. Roll the bag

Place the bag flat and manually roll the bag onto itself, starting at the top of the bag (hanger end). Continue to roll the bag until the seals are opened along approximately half of their length.

3. Mix the content 

Mix by inverting the bag at least 3 times. After reconstitution, the mixture is a homogeneous emulsion with a milky appearance.

4. Add micronutrients and other additions (if needed)

The capacity of the bag is sufficient to enable additions such as vitamins, electrolytes, and trace elements. Also, vitamins may be added into the glucose compartment before the mixture is reconstituted. Any further additions may be made into the reconstituted mixture. After any additions are made, mix the contents of the bag and the additives.

To perform an addition:
- Aseptic conditions must be observed.
- Prepare the injection site of the bag.
- Puncture the injection site and inject the additives using an injection needle or a reconstitution device.
- Mix content of the bag and the additives.

Compatibility may vary between products from different sources and health care professionals are advised to carry out appropriate checks when mixing Olimel with other parenteral solutions.

5. Administer Olimel/Olimel Perifer
Aseptic conditions must be observed. Remove the plastic protector. Twist off the protector from the administration outlet and firmly insert the spike of the infusion set into the administration outlet. The recommended duration of infusion is between 12 and 24 hours.