Document Detail

Early feeding strategies in preterm and critically ill neonates.
MedLine Citation:
PMID:  12144209     Owner:  NLM     Status:  MEDLINE    
This two-part article presents feeding strategies for the NICU population over the first several weeks of life. It focuses primarily on the theory and approach to feeding extremely low birth weight (ELBW) infants, but also addresses some issues pertinent to larger, ill infants. The premise for these recommendations is that avoiding early malnutrition in ELBW and ill infants has both short- and long-term benefits. Many practitioners may consider our approach to be somewhat aggressive. In this strategy, total parenteral nutrition (TPN) is initiated in the first hours after birth and is given together with initially small, and then increasing, enteral feedings beginning on the first or second day of life. The role of the TPN is to provide rapid, maximal nutrition and that of the early enteral feedings is to "prime" the gut and stimulate normal gastrointestinal tract activity.
R A Evans; P Thureen
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Neonatal network : NN     Volume:  20     ISSN:  0730-0832     ISO Abbreviation:  Neonatal Netw     Publication Date:  2001 Oct 
Date Detail:
Created Date:  2002-07-29     Completed Date:  2002-08-15     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8503921     Medline TA:  Neonatal Netw     Country:  United States    
Other Details:
Languages:  eng     Pagination:  7-18     Citation Subset:  N    
University of Colorado Health Science Center Denver, USA.
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MeSH Terms
Age Factors
Critical Illness / nursing*
Enteral Nutrition / methods*,  nursing,  standards
Gestational Age
Infant, Newborn
Infant, Premature, Diseases / nursing*
Infant, Very Low Birth Weight*
Intensive Care, Neonatal / methods*
Neonatal Nursing / methods*
Nutritional Requirements
Parenteral Nutrition, Total / methods*,  nursing,  standards
Practice Guidelines as Topic

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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