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Neonatology pp 605-617 | Cite as

Parenteral Nutrition

  • Jacques Rigo
  • Thibault Senterre
Reference work entry

Abstract

Modern perinatal medicine has resulted in a dramatic decrease of mortality in premature infants, especially in very low birth weight (VLBW, <1500 g) infants. Nutrition has become one of the most debated issues in the care of low-birth-weight infants. Nutrition of VLBW infants may be divided into two subsequent periods: the immediate adaptive or “transitional” period after birth and a stable “growing” period up to discharge from the NICU. VLBW infants need parenteral nutrition from the first days of life to promote early positive nitrogen retention and growth. Parenteral nutrition may be required or prolonged during the stable “growing” period due to feeding intolerance, gastrointestinal disorders, or surgery. Parenteral nutrition can be prescribed using tailored or standard solution; the former is formulated specifically to meet the daily nutritional requirements of the individual patient, whereas the latter is designed to provide a formulation that meets most of the nutritional needs of the stable biochemical and metabolic parameters. Very recently, it was suggested that the use of unique standard parenteral solution may contribute to a significant improvement of nutritional support for both extremely and very preterm infants.

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Jacques Rigo
    • 1
  • Thibault Senterre
    • 1
  1. 1.Department of NeonatologyUniversity of Liège, CHR de la CitadelleLiègeBelgium

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