STANDARD 2-COMPARTMENT FORMULATION FOR TOTAL PARENTERAL-NUTRITION IN THE NEONATAL INTENSIVE-CARE UNIT - A FLUID TOLERANCE BASED SYSTEM

被引：12
作者：
DEVLIEGER, H
DEPOURCO, L
CASNEUF, A
VANHOLE, C
DEZEGHER, F
JAEKEN, J
EGGERMONT, E
机构：
[1] Departments of Paediatrics and Pharmacy, University Hospital Gasthuisberg
来源：
CLINICAL NUTRITION | 1993年 / 12卷 / 05期
关键词：
D O I：
10.1016/0261-5614(93)90047-8
中图分类号：
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号：
100403 ;
摘要：
The nutrient requirements of most (pre) term newborns receiving intensive care appear to be relatively fixed. The range of optimal fluid load however, is perceived as being quite narrow and highly variable in time. We designed four amino acid-dextrose mixtures for a standardized neonatal-parenteral nutrition, delivering a fixed amount of nutrients in four dilutions with water and corresponding to a fluid load of 90, 110, 130 or 170 ml/kg per day. The addition of a lipid emulsion completes the TPN. In a pilot study, we followed the weight of 30 very low birthweight infants on this parenteral nutrition. After a stabilisation period, the weight gain was found to be similar to the normal fetal weight accretion in utero. We have now infused these solutions in to more than 1000 infants, without significant complications. These formulations proved to have substantial advantages compared to the individualized prescription in terms of availability, safety and time- and cost-effectiveness.
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页码：282 / 286
页数：5
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