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Review
. 2023 Sep;50(3):557-573.
doi: 10.1016/j.clp.2023.04.004. Epub 2023 May 26.

Administering Parenteral Nutrition in the Neonatal Intensive Care Unit: Logistics, Existing Challenges, and a Few Conundrums

Anne L Smazal  1 , Imran M Ilahi  1 , Janice Raucci  2 , Daniel T Robinson  3
Affiliations
Review

Administering Parenteral Nutrition in the Neonatal Intensive Care Unit: Logistics, Existing Challenges, and a Few Conundrums

Anne L Smazal et al. Clin Perinatol. 2023 Sep.

Abstract

Use of parenteral nutrition (PN) in the neonatal intensive care unit (NICU) requires evaluating the need for central venous catheters, potential drug incompatibilities, unintentional exposures, and suboptimal energy and nutrient intake during the transition to full enteral nutrition. Risks of photooxidation reactions in PN components, refeeding syndrome, and excess early amino acid intake should prompt the reevaluation of routine practices. The goal of this paper is to review the practicalities, challenges, and conundrums of administering PN in the NICU.

Keywords: Drug compatibility; Infant; Neonatal nutrition; Parenteral nutrition; Preterm.

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