Standardised versus Individualised Parenteral Nutrition. Further Food for Thought

Hdl Handle:
http://hdl.handle.net/10147/620619
Title:
Standardised versus Individualised Parenteral Nutrition. Further Food for Thought
Authors:
McCarthy, R; Segurado, R; Crealey, M; Twomey, A
Publisher:
Irish Medical Journal
Journal:
Irish Medical Journal
Issue Date:
Apr-2016
URI:
http://hdl.handle.net/10147/620619
Additional Links:
http://www.imj.ie
Abstract:
Parenteral Nutrition may be prescribed as a standard PN (SPN) formulation or as an individualised PN (IPN) formulation. SPN may have advantages in terms of rapid availability, less prescription errors, decreased risk of infection and cost savings but IPN, specifically tailored to an infant’s needs, may achieve better outcomes in terms of nutrient intake and weight gain. The aim of our study was to determine if VLBW infants in our NICU benefited from receiving IPN over currently available SPN solutions. Our findings were that VLBW infants prescribed IPN received significantly more amino acid (28%), glucose (6%), energy (11%) and calcium (8%) from the aqueous phase of PN than had they received a similar volume of SPN. The benefits were seen over all the days for which PN was administered. In conclusion, IPN was found to offer significant benefits to our VLBW infants. Modifications to currently available SPN would result in better SPN formulations. Our study also supported the recent recommendation to reduce the calcium:phosphate ratio in PN solutions to avoid early hypophosphataemia
Item Type:
Article
Language:
en
Keywords:
PREGNANCY

Full metadata record

DC FieldValue Language
dc.contributor.authorMcCarthy, Ren
dc.contributor.authorSegurado, Ren
dc.contributor.authorCrealey, Men
dc.contributor.authorTwomey, Aen
dc.date.accessioned2016-09-22T14:24:38Z-
dc.date.available2016-09-22T14:24:38Z-
dc.date.issued2016-04-
dc.identifier.urihttp://hdl.handle.net/10147/620619-
dc.description.abstractParenteral Nutrition may be prescribed as a standard PN (SPN) formulation or as an individualised PN (IPN) formulation. SPN may have advantages in terms of rapid availability, less prescription errors, decreased risk of infection and cost savings but IPN, specifically tailored to an infant’s needs, may achieve better outcomes in terms of nutrient intake and weight gain. The aim of our study was to determine if VLBW infants in our NICU benefited from receiving IPN over currently available SPN solutions. Our findings were that VLBW infants prescribed IPN received significantly more amino acid (28%), glucose (6%), energy (11%) and calcium (8%) from the aqueous phase of PN than had they received a similar volume of SPN. The benefits were seen over all the days for which PN was administered. In conclusion, IPN was found to offer significant benefits to our VLBW infants. Modifications to currently available SPN would result in better SPN formulations. Our study also supported the recent recommendation to reduce the calcium:phosphate ratio in PN solutions to avoid early hypophosphataemiaen
dc.language.isoenen
dc.publisherIrish Medical Journalen
dc.relation.urlhttp://www.imj.ieen
dc.subjectPREGNANCYen
dc.titleStandardised versus Individualised Parenteral Nutrition. Further Food for Thoughten
dc.typeArticleen
dc.identifier.journalIrish Medical Journalen
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen
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