Parenteral Nutrition

Sharon Groh-Wargo; Stephanie Merlino Barr

doi:10.1016/j.clp.2022.02.002

Parenteral Nutrition

Clin Perinatol. 2022 Jun;49(2):355-379. doi: 10.1016/j.clp.2022.02.002.

Authors

Sharon Groh-Wargo¹, Stephanie Merlino Barr²

Affiliations

¹ Nutrition and Pediatrics, Case Western Reserve University at MetroHealth Medical Center, 2500 MetroHealth Drive, C.G72, Cleveland, OH 44109-1998, USA.
² Neonatal Dietitian, Department of Pediatrics, MetroHealth Medical Center, 2500 MetroHealth Drive, C.G72, Cleveland, OH 44109-1998, USA. Electronic address: smerlino@metrohealth.org.

PMID: 35659091
DOI: 10.1016/j.clp.2022.02.002

Abstract

Prematurity and other complications at birth are nutritional emergencies. Parenteral nutrition is a bridge to enteral nutrition for a few days or months, and sometimes the sole source of nutrition for life. Parenteral nutrition regimens are constructed to provide adequate and balanced energy, macronutrients, and micronutrients to support growth and prevent deficiencies. Neonatal parenteral nutrition regimens are complicated by periodic shortages of essential products, compatibility challenges, and contaminants. Newborns benefit from serial growth assessments, monitoring of biochemical status, nutrition-focused physical examinations, and management by a multidisciplinary team to ensure adequacy of parenteral nutrition and promote best outcomes.

Keywords: Calcium; Energy; Fat; Micronutrients; Neonatal; Parenteral nutrition; Phosphorus; Protein.

Publication types

Review

MeSH terms

Enteral Nutrition
Humans
Infant, Newborn
Infant, Premature, Diseases*
Micronutrients
Parenteral Nutrition*
Parenteral Nutrition, Total

Substances

Micronutrients