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Parenteral Nutrition

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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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Author information

Authors and Affiliations

  1. Department of Neonatology, University of Liège, CHR de la Citadelle, Liège, Belgium

    Jacques Rigo & Thibault Senterre

Authors
  1. Jacques Rigo
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  2. Thibault Senterre
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Editor information

Editors and Affiliations

  1. Department of Pediatrics Obstetrics and Reproductive Medicine, University of Siena, Siena, Italy

    Giuseppe Buonocore

  2. Department of Pediatrics Obstetrics and Reproductive Medicine, University of Siena, Siena, Italy

    Rodolfo Bracci

  3. Liverpool Women’s Hospital Neonatal Unit, Liverpool, UK

    Michael Weindling

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Rigo, J., Senterre, T. (2018). Parenteral Nutrition. In: Buonocore, G., Bracci, R., Weindling, M. (eds) Neonatology. Springer, Cham. https://doi.org/10.1007/978-3-319-29489-6_188

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  • DOI: https://doi.org/10.1007/978-3-319-29489-6_188

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-29487-2

  • Online ISBN: 978-3-319-29489-6

  • eBook Packages: MedicineReference Module Medicine

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