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Neonatology/Paediatrics – Guidelines on Parenteral Nutrition, Chapter 13

Author(s): Fusch, C. | Bauer, K. | Böhles, H. J. | Jochum, F. | Koletzko, B. | Krawinkel, M. | Krohn, K. | Mühlebach, S. | Working group for developing the guidelines for parenteral nutrition of The German Society for Nutritional Medicine

Journal: GMS German Medical Science
ISSN 1612-3174

Volume: 7;
Start page: Doc15;
Date: 2009;
Original page

Keywords: premature infant | low birth weight infant | newborn infant | monitoring | childhood

There are special challenges in implementing parenteral nutrition (PN) in paediatric patients, which arises from the wide range of patients, ranging from extremely premature infants up to teenagers weighing up to and over 100 kg, and their varying substrate requirements. Age and maturity-related changes of the metabolism and fluid and nutrient requirements must be taken into consideration along with the clinical situation during which PN is applied. The indication, the procedure as well as the intake of fluid and substrates are very different to that known in PN-practice in adult patients, e.g. the fluid, nutrient and energy needs of premature infants and newborns per kg body weight are markedly higher than of older paediatric and adult patients. Premature infants
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