Nutritional management of surgical newborns and infants in the acute phase and during follow up

Mosca, Fabio

doi:10.4081/pmc.2018.197

Cited by 2 publications

(2 citation statements)

References 32 publications

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“…Adequate protein intake is essential for preventing catabolism and promoting growth, then PN should provide adequate protein to maintain a positive nitrogen balance, improve weight gain, and to allow repair of injured tissue [ 54 ].…”

Section: After Surgerymentioning

confidence: 99%

Providing the Best Parenteral Nutrition before and after Surgery for NEC: Macro and Micronutrients Intakes

et al. 2022

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Necrotizing enterocolitis (NEC) is the main gastrointestinal emergency of preterm infants for whom bowel rest and parenteral nutrition (PN) is essential. Despite the improvements in neonatal care, the incidence of NEC remains high (11% in preterm newborns with a birth weight <1500 g) and up to 20–50% of cases still require surgery. In this narrative review, we report how to optimize PN in severe NEC requiring surgery. PN should begin as soon as possible in the acute phase: Close fluid monitoring is advocated to maintain volemia, however fluid overload and electrolytes abnormalities should be prevented. Macronutrients intake (protein, glucose, and lipids) should be adequately guaranteed and is essential in each phase of the disease. Composite lipid emulsion should be the first choice to reduce the risk of parenteral nutrition associated liver disease (PNALD). Vitamin and trace elements deficiency or overload are frequent in long-term PN, therefore careful monitoring should be planned starting from the recovery phase to adjust their parenteral intake. Neonatologists must be aware of the role of nutrition especially in patients requiring long-term PN to sustain growth, limiting possible adverse effects and long-term deficiencies.

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Section: After Surgerymentioning

confidence: 99%

Providing the Best Parenteral Nutrition before and after Surgery for NEC: Macro and Micronutrients Intakes

et al. 2022

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“…Nutritional management specifically for infants recovering from corrective surgery of major congenital anomalies is not well defined, and recommendations for energy and macronutrients intake are needed [ 18 , 19 , 20 ]. Surgical neonates may need extra energy supply to reduce fat oxidation and facilitate lipogenesis, considering that increased protein synthesis for tissues repair in postsurgical period is a high energy-requiring process [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

Evolution of Resting Energy Expenditure, Respiratory Quotient, and Adiposity in Infants Recovering from Corrective Surgery of Major Congenital Gastrointestinal Tract Anomalies: A Cohort Study

Pereira‐da‐Silva

Barradas²,

Moreira³

et al. 2020

Nutrients

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This cohort study describes the evolution of resting energy expenditure (REE), respiratory quotient (RQ), and adiposity in infants recovering from corrective surgery of major congenital gastrointestinal tract anomalies. Energy and macronutrient intakes were assessed. The REE and RQ were assessed by indirect calorimetry, and fat mass index (FMI) was assessed by air displacement plethysmography. Longitudinal variations over time are described. Explanatory models for REE, RQ, and adiposity were obtained by multiple linear regression analysis. Twenty-nine infants were included, 15 born preterm and 14 at term, with median gestational age of 35.3 and 38.1 weeks and birth weight of 2304 g and 2935 g, respectively. In preterm infants, median REE varied between 55.7 and 67.4 Kcal/kg/d and median RQ increased from 0.70 to 0.86–0.92. In term infants, median REE varied between 57.3 and 67.9 Kcal/kg/d and median RQ increased from 0.63 to 0.84–0.88. Weight gain velocity was slower in term than preterm infants. FMI, assessed in a subset of 15 infants, varied between a median of 1.7 and 1.8 kg/m2 at term age. This low adiposity may be related to poor energy balance, low fat intakes, and low RQ¸ that were frequently recorded in several follow-up periods.

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Nutritional management of surgical newborns and infants in the acute phase and during follow up

Cited by 2 publications

References 32 publications

Providing the Best Parenteral Nutrition before and after Surgery for NEC: Macro and Micronutrients Intakes

Providing the Best Parenteral Nutrition before and after Surgery for NEC: Macro and Micronutrients Intakes

Evolution of Resting Energy Expenditure, Respiratory Quotient, and Adiposity in Infants Recovering from Corrective Surgery of Major Congenital Gastrointestinal Tract Anomalies: A Cohort Study

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