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[Parenteral feeding schedule for premature newborn infants with severe cerebral pathology]

V N Shchigolev, A G Antonov

    Akusherstvo I Ginekologiia
    |November 1, 1990
    PubMed

    Insights

    Rational nutrition is key for preterm infants with severe cerebral conditions. This review covers parenteral nutrition (PN) indications, recommending hyperalimentation initially, followed by a "Scandinavian" regimen, with specific protocols for practical adoption.

    Area of Science:

    • Neonatalogy
    • Pediatric Nutrition
    • Clinical Management

    Background:

    • Severe cerebral conditions in preterm infants necessitate specialized nutritional support.
    • Effective management requires a rational approach to nutrition.
    • Parenteral nutrition (PN) plays a crucial role in these infants.

    Purpose of the Study:

    • To review the indications for initiating total or partial parenteral nutrition (PN) in preterm infants with severe cerebral conditions.
    • To provide guidance on the optimal timing and type of PN regimens.
    • To recommend a practical protocol for PN implementation.

    Main Methods:

    • Review of current literature and clinical guidelines on parenteral nutrition for preterm infants.
    • Analysis of indications for total and partial PN.
    • Evaluation of different PN regimens, including hyperalimentation and the "Scandinavian" regimen.

    Main Results:

    • Hyperalimentation is suitable for the initial 10-12 postnatal days.
    • The "Scandinavian" regimen is recommended for later stages.
    • PN regimen rates and duration should align with glucose infusion timing.

    Conclusions:

    • A structured approach to PN is essential for managing preterm infants with severe cerebral conditions.
    • Specific protocols for partial and total PN are recommended for clinical practice.
    • Timing and composition of PN are critical for optimal outcomes.

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