2022, Number 3
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Acta Pediatr Mex 2022; 43 (3)
Standarized parenteral nutrition in the NICU: Case Report and composition analysis of the three chamber bag
Osegueda-Mayen JR, Sarmiento-Aguilar A
Language: Spanish
References: 25
Page: 167-173
PDF size: 197.91 Kb.
ABSTRACT
Introduction: A premature birth represents a nutritional emergency. An immediately
available or standardized parenteral nutrition is an essential tool to offer an adequate
nutritional input of macro and micronutrients to this group of patients. In this article
we resume and compare the nutritional components of standardized and personalized
parenteral nutrition, and we report a clinical case where we successfully used the
standardized parenteral nutrition within the first two hours of life.
Case presentation: A 30.5 gestational weeks premature female entered the neonatal
intensive care unit. We initiated standardized parenteral nutrition within the first 2
hours of life through an umbilical venous catheter. She had an adequate nutritional
evolution until week 42 of corrected age, where she presented weight localized in 10th
percentile according to Integrowth-21. The present work aims to review the usefulness
of standardized parenteral nutrition in premature newborns. Its arrival in Mexico
is recent, the case of a patient in which it was used with positive results is reported.
Conclusions: Every neonatal unit should consider a premature birth as a nutritional
emergency, where a prompt start of parenteral nutrition is crucial for maintaining an
optimal nutrition and growth. Standardized parenteral nutrition is until now the best
way for the premature newborn to receive the required nutritional requirement early
after birth.
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