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(Teil)parenterale Ernährung[(T)PN]

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Ernährungsmedizin Pädiatrie
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Zusammenfassung

Parenterale Ernährung hat für die Kinder- und Jugendmedizin einen hohen Stellenwert. Von den verschiedenen Formen ist die teilparenterale Ernährung diejenige, die bei Kindern am häufigsten angewandt wird. Nach den einer parenteralen Ernährung vorangehenden theoretischen Grundlagen befasst sich diese Kapitel mit den praktischen Aspekten, die notwendig sind, um Kinder der jeweiligen Altersstufen bedarfsgerecht und sicher parenteral zu ernähren. Hierbei werden alle praktischen Aspekte angesprochen – von den Zugangswegen, über Maßnahmen zur Reduktion von Nebenwirkungen bis zu Inkompatibilitäten von Infusionslösungen.

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Literatur

  • Bell EF, Acarregui MJ (2000) Restricted versus liberal water intake for preventing morbidity and mortality in preterm infants. Cochrane Database Syst Rev: CD000503

    Google Scholar 

  • Bell EF, Oh W (1983) Water requirement of premature newborn infants. Acta Paediatr Scand Suppl 30: 521–526

    Google Scholar 

  • Bell EF, Warburton D, Stonestreet BS, Oh W (1979) High-volume fluid intake predisposes premature infants to necrotising enterocolitis. Lancet 2: 90

    Article  PubMed  CAS  Google Scholar 

  • Brunton JA, Ball RO, Pencharz PB (2000) Current total parenteral nutrition solutions for the neonate are inadequate. Curr Opin Clin Nutr Metab Care 3: 299–304

    Article  PubMed  CAS  Google Scholar 

  • Cairns PA, Stalker DJ (2000) Carnitine supplementation of parenterally fed neonates. Cochrane Database Syst Rev 4: CD000950

    PubMed  Google Scholar 

  • Darlow BA, Graham PJ (2000) Vitamin A supplementation for preventing morbidity and mortality in very low birthweight infants. Cochrane Database Syst Rev 2: CD000501

    PubMed  Google Scholar 

  • Darlow BA, Graham PJ (2002) Vitamin A supplementation for preventing morbidity and mortality in very low birthweight infants. Cochrane Database Syst Rev 4: CD000501

    PubMed  Google Scholar 

  • Deutsche Arbeitsgemeinschaft für künstliche Ernährung (DAKE), Österreichische Arbeitsgemeinschaft für künstliche Ernährung (ÖAKE) (1987) Empfehlungen zur parenteralen Infusions- und Ernährungstherapie im Kindesalter. Klin Padiatr 199: 315–317

    Google Scholar 

  • Fusch C, Bauer K, Böhles HJ et al. for the Working group for developing the guidelines for parenteral nutrition of The German Society for Nutritional Medicine (2009) Neonatology/Paediatrics – Guidelines on Parenteral Nutrition, Chapter 13. Ger Med Sc. 18: Doc15

    Google Scholar 

  • Fusch C, Jochum F (2005) Water, sodium, potassium, and chloride. In: Tsang RC, Lucas A, Uauy R, Zlotkin S (eds) Nutritional needs of the preterm infant. Williams & Wilkins, Baltimore

    Google Scholar 

  • Hartnoll G, Betremieux P, Modi N (2000) Randomised controlled trial of postnatal sodium supplementation on oxygen dependency and body weight in 25–30 week gestational age infants. Arch Dis Child Fetal Neonatal Ed 82: F19–23

    Article  PubMed  CAS  Google Scholar 

  • Heyland DK, Novak F, Drover JW et al. (2001) Should immunonutrition become routine in critically ill patients? A systematic review of the evidence. JAMA 286: 944–953

    Article  PubMed  CAS  Google Scholar 

  • Kennedy KA, Tyson JE, Chamnanvanikij S (2000) Early versus delayed initiation of progressive enteral feedings for parenterally fed low birth weight or preterm infants. Cochrane Database Syst Rev 2: CD001970

    PubMed  Google Scholar 

  • Koletzko B (1992) Fats for brains. Eur J Clin Nutr 46 [Suppl 1]: S51–62

    PubMed  Google Scholar 

  • Koletzko B, Goulet O, Hunt J, Krohn K, Shamir R; Parenteral Nutrition Guidelines Working Group; European Society for Clinical Nutrition and Metabolism; European Society of Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN); European Society of Paediatric Research (ESPR) (2005) 1. Guidelines on Paediatric Parenteral Nutrition of the European Society of Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) and the European Society for Clinical Nutrition and Metabolism (ESPEN), Supported by the European Society of Paediatric Research (ESPR). J Pediatr Gastroenterol Nutr 41 (Suppl 2): S1–87

    Article  PubMed  Google Scholar 

  • Lucas A (1991) Programming by early nutrition in man. Ciba Found Symp 156: 38–50

    PubMed  CAS  Google Scholar 

  • Magnusson G, Boberg M, Cederblad G, Meurling S (1997) Plasma and tissue levels of lipids, fatty acids and plasma carnitine in neonates receiving a new fat emulsion. Acta Paediatr 86: 638–644

    Article  PubMed  CAS  Google Scholar 

  • Metges CC (2001) Does dietary protein in early life affect the development of adiposity in mammals? J Nutr 131: 2062–2066

    PubMed  CAS  Google Scholar 

  • Neu J, Roig JC, Meetze WH et al. (1997) Enteral glutamine supplementation for very low birth weight infants decreases morbidity. J Pediatr 131: 691–699

    Article  PubMed  CAS  Google Scholar 

  • Pinelli J, Symington A (2001) Non-nutritive sucking for promoting physiologic stability and nutrition in preterm infants. Cochrane Database Syst Rev 3: CD001071

    PubMed  Google Scholar 

  • Poindexter BB, Ehrenkranz RA, Stoll BJ et al. (2003) Effect of parenteral glutamine supplementation on plasma amino acid concentrations in extremely low-birth-weight infants. Am J Clin Nutr 77: 737–743

    PubMed  CAS  Google Scholar 

  • Putet G, Senterre J, Rigo J, Salle B (1984) Nutrient balance, energy utilization, and composition of weight gain in very-low-birth-weight infants fed pooled human milk or a preterm formula. J Pediatr 105: 79–85

    Article  PubMed  CAS  Google Scholar 

  • Rayyan M, Devlieger H, Jochum F, Allegaert K (2012) Short-term use of parenteral nutrition with a lipid emulsion containing a mixture of soybean oil, olive oil, medium-chain triglycerides, and fish oil: a randomized double-blind study in preterm infants. JPEN J Parenter Enteral Nutr 36 (Suppl 1): 81S–94S

    Article  PubMed  CAS  Google Scholar 

  • Shah PS, Shah N (2007) Heparin-bonded catheters for prolonging the patency of central venous catheters in children. Cochrane Database Syst Rev 17: CD005983

    Google Scholar 

  • Shah P, Shah V (2005) Continuous heparin infusion to prevent thrombosis and catheter occlusion in neonates with peripherally placed percutaneous central venous catheters. Cochrane Database Syst Rev 3: CD002772

    PubMed  Google Scholar 

  • Shah PS, Ng E, Sinha AK (2003) Heparin for prolonging peripheral intravenous catheter use in neonates. Cochrane Database Syst Rev 3: CD002774

    Google Scholar 

  • Sohn AH, Garrett DO, Sinkowitz-Cochran RL et al. (2001) The Pediatric Prevention Network; Prevalence of nosocomial infections in neonatal intensive care unit patients: results from the first national point-prevalence survey. J Pediatr 139: 821–827

    Article  PubMed  CAS  Google Scholar 

  • Suchner U, Senftleben U, Askanazi J, Peter K (1993) Nichtenergetische Bedeutung der enteralen Ernährung bei kritisch kranken Patienten. Infusionsther Transfusionsmed 20: 38–46

    PubMed  CAS  Google Scholar 

  • Suchner U, Katz DP, Furst P et al. (2001) Effects of intravenous fat emulsions on lung function in patients with acute respiratory distress syndrome or sepsis. Crit Care Med 29: 1569–1574

    Article  PubMed  CAS  Google Scholar 

  • Suchner U, Heyland DK, Peter K (2002a) Immune-modulatory actions of arginine in the critically ill. Br J Nutr 87 (Suppl 1): S121–132

    Article  CAS  Google Scholar 

  • Suchner U, Katz P, Furst P et al. (2002b) Impact of sepsis, lung injury, and the role of lipid infusion on circulating prostacyclin and thromboxane A(2). Intensive Care Med 28: 122–129

    Article  CAS  Google Scholar 

  • Thureen PJ, Melara D, Fennessey PV, Hay WW (2003) Effect of low versus high intravenous amino acid intake on very low birth weight infants in the early neonatal period. Pediatr Res 53: 24–32

    Article  PubMed  CAS  Google Scholar 

  • Tsang R, Lucas A, Uaay R, Zlotkin S (eds) (1993) Nutritional needs of the preterm infant: scientific basis and practical guidelines. Williams & Wilkins, Baltimore

    Google Scholar 

  • Tubman TR, Thompson SW, McGuire W (2008) Glutamine supplementation to prevent morbidity and mortality in preterm infants. Cochrane Database Syst Rev 23: CD001457

    Google Scholar 

  • Tyson JE, Kennedy KA (2000) Minimal enteral nutrition for promoting feeding tolerance and preventing morbidity in parenterally fed infants. Cochrane Database Syst Rev 2: CD000504

    PubMed  Google Scholar 

  • van den Berg A, van Elburg RM, Westerbeek EA, Twisk JW, Fetter WP (2005) Glutamine-enriched enteral nutrition in very-low-birth-weight infants and effects on feeding tolerance and infectious morbidity: a randomized controlled trial. Am J Clin Nutr 81: 1397–1404

    PubMed  CAS  Google Scholar 

  • Wilson DC, Cairns P, Halliday HL, Reid M, McClure G, Dodge JA (1997) Randomised controlled trial of an aggressive nutritional regimen in sick very low birthweight infants. Arch Dis Child Fetal Neonatal Ed 77: F4–11

    Article  PubMed  CAS  Google Scholar 

  • Wilson DC, Fox GF, Ohlsson A (1998) Meta-analysis of effects of early or late introduction of intravenous lipids to preterm infants on mortality and chronic lung disease (abstract). J Pediatr Gastroenterol Nutr 26: 599

    Google Scholar 

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Jochum, F. (2013). (Teil)parenterale Ernährung[(T)PN]. In: Jochum, F. (eds) Ernährungsmedizin Pädiatrie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-29817-2_18

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  • DOI: https://doi.org/10.1007/978-3-642-29817-2_18

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  • Publisher Name: Springer, Berlin, Heidelberg

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