Guidelines for Neonatal Parenteral Nutrition: 2019 Update by the Portuguese Neonatal Society. Part II. Micronutrients, Ready-to-use Solutions and Particular Conditions

Date of submission: 12-12-2018 | Date of acceptance: 02-04-2019 | Published: 15-07-2019

Authors

  • Luís Pereira-da-Silva Committee on Nutrition of the Portuguese Neonatal Society | Neonatal Intensive Care Unit, Hospital Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal | Faculdade de Ciências Médicas, NOVA Medical School, Universidade NOVA de Lisboa, Lisbon, Portugal
  • Susana Pissarra Committee on Nutrition of the Portuguese Neonatal Society | Neonatal Intensive Care Unit, Centro Hospitalar Universitário de São João, Porto, Portugal
  • Ana Margarida Alexandrino Neonatal Intensive Care Unit, Centro Materno-Infantil do Norte, Centro Hospitalar Universitário do Porto, Porto, Portugal
  • Luísa Malheiro Neonatal Intensive Care Unit, Hospital da Senhora da Oliveira, Guimarães, Portugal
  • Israel Macedo Faculdade de Ciências Médicas, NOVA Medical School, Universidade NOVA de Lisboa, Lisbon, Portugal | Neonatal Intensive Care Unit, Maternidade Dr. Alfredo da Costa, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal
  • Manuela Cardoso Nutrition Unit, Maternidade Dr. Alfredo da Costa, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal
  • Pedro Vieira da Silva Neonatal Intensive Care Unit, Maternidade Dr. Alfredo da Costa, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal | Unidade de Neonatologia, Hospital Lusíadas, Lisbon, Portugal
  • Simão Pedro Frutuoso Neonatal Intensive Care Unit, Centro Materno-Infantil do Norte, Centro Hospitalar Universitário do Porto, Porto, Portugal
  • Helga Lau Pharmaceutical Services, Hospital Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal
  • Teresa Soares Pharmaceutical Services, Centro Hospitalar Universitário de São João, Porto, Portugal

DOI:

https://doi.org/10.25754/pjp.2019.16027

Abstract

This update of guidelines for neonatal PN prescription is divided in two parts:
- Part I, included in the same issue of the journal, in which general aspects and criteria for fluids, energy, and macronutrients prescriptions, particularly for very and extremely preterm infants, are reviewed.
- Part II, herein included, in which criteria for micronutrients prescription, recommendations either using individualized prescription with hospital pharmacy compounding or commercial ready-to-use solutions, and PN recommendations in particular clinical conditions are reviewed.
Levels of evidence (LoE) and recommendation grades (RG) used in the updated guidelines of ESPGHAN/ESPEN/ESPR/CSPEN 1 are adopted in this document and shown in the Appendix 1.
The Appendix 2 provides a table for rapid consulting of complete PN prescription in preterm infants.

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Author Biography

Luís Pereira-da-Silva, Committee on Nutrition of the Portuguese Neonatal Society | Neonatal Intensive Care Unit, Hospital Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal | Faculdade de Ciências Médicas, NOVA Medical School, Universidade NOVA de Lisboa, Lisbon, Portugal

Pediatra e Neonatologista no Hospital de Dona Estefânia, Centro Hospitalar de Lisboa Central, EPE

Professor Auxiliar Convidado de Pediatria na Faculdade de Ciências Médicas

Professor Adjunto Convidado da Licenciatura de Dietética e Nutrição, Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa

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Published

2019-07-15

Issue

Vol. 50 No. 3 (2019)

Section

Guidelines

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