Abstract
During the last year, full parenteral nutrition has in our intensive care unit been given for shorter periods to 20 children. Out of these, 12 hare been newborn. Their tolerance to the program given has been studied during the simultaneous infusion of 18 amino acids, glucose, fat, minerals, electrolytes and vitamins. The detailed composition of the i.v. alimentation program will be presented. The tolerance has been studied by ion-exchange chromatography of plasma amino acids, triglycerides, FFA, ketone bodies, insulin of plasma, puruvate, lactate and glucose of blood, as well as routine water, electrolyte and acidbase balance. Serious intolerance to anino acids, glucose and fat was seen in 3/12 newborn infants, in 2 cases with homocystine appearing in plasma, corrected by vitamin B6 administration. Sepsis complicated the treatment in 3 of the newborn children. The indications and centra-indications will be commented. The need for qualified supervision of parenteral nutrition to newborn infants will be stressed, in view of our limited knowledge of requirements in this age-group, as well as in liver-kidnew-heart disease, respiratory insufficiency, trauma, infection and undernutrition, all conditions prevailing among the newborn infants requiring parenteral nutrition.
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Lindblad, B., Persson, B. & Settergren, G. NUTRITION OF THE NEWBORN: THE TOLERANCE OF NEWBORN INFANTS TO FULL PARENTERAL, NUTRITION. Pediatr Res 8, 137 (1974). https://doi.org/10.1203/00006450-197402000-00067
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DOI: https://doi.org/10.1203/00006450-197402000-00067