Related Experiment Videos

Pragmatic approach to in-hospital nutrition in high-risk neonates

David H Adamkin1

  • 1Division of Neonatal Medicine, University of Louisville, KY 40202, USA.

Journal of Perinatology : Official Journal of the California Perinatal Association
|April 30, 2005
PubMed

Insights

Early nutrition for extremely low birth weight infants with respiratory issues is crucial. Intravenous amino acids and early enteral feeding improve growth and neurodevelopmental outcomes.

Area of Science:

  • Neonatology
  • Pediatric Nutrition
  • Critical Care Medicine

Background:

  • Extremely low birth weight (ELBW) infants often face undernutrition during respiratory distress.
  • This can lead to significant growth deficits and long-term neurodevelopmental issues.
  • Nutrient intake interruption is a major challenge in premature infants.

Purpose of the Study:

  • To evaluate the impact of early nutritional interventions on ELBW infants.
  • To assess the effectiveness of intravenous amino acids and enteral feeding.
  • To determine the influence on growth and neurodevelopmental outcomes.

Main Methods:

  • Implementation of early postnatal intravenous amino-acid administration.
  • Initiation of early enteral feeding strategies.
  • Monitoring of nutritional status, weight changes, and growth parameters.

Main Results:

  • Minimized interruption of nutrient intake in premature infants.
  • Prevention of intracellular energy failure.
  • Enhanced overall nutritional health, evidenced by reduced postnatal weight loss and earlier return to birth weight.
  • Improved overall postnatal growth and outcomes.

Conclusions:

  • Early intravenous amino acids and enteral feeding are vital for ELBW infants.
  • These strategies mitigate growth deficits and improve neurodevelopmental outcomes.
  • Optimized nutrition supports better growth and overall health in critically ill premature infants.

Related Concept Videos

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...
Enteral Nutrition I: Orogastric and Nasogastric Feeding01:26

Enteral Nutrition I: Orogastric and Nasogastric Feeding

Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

Parentral Nutrition: Centeral and Peripheral Parental Nutrition

Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
Pneumonia V: Nursing management and Prevention01:30

Pneumonia V: Nursing management and Prevention

Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.
Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy01:30

Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy

Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the colonic...