Nutrition & Feeding

Hello, we are reorganizing our unit protocol TPN. We currently use lipids in form of LCT (Intralipid 20%) Preparations might warrant change to lipids in form LCT/MCT (Lipofundina) ? Thank you Javier Casanovas MD Sevilla Spain

Do you ever draw feeding syringes for multiple children from a single bottle of donated breast milk or are all donated bottles assigned to one specific child? If they are assigned, are the bottles received for a specific child (assigned at reception/prior to reception) or are they received into a general pool of milk and then assigned to a child at a later time? Are there ever situations in which a child is not allowed to receive donor milk? How common is the use of donated breast milk?

hi all I would like to know which maximal concentration (%)of aminoplasmal or AA in peripheral line,in case of premature for ex 2000 g. Thank.

I am in the process of updating our present policy on orogastric and nasogastric tube feeding and am looking at the size of tube in relation to the size of the infant. A few different opinions I have come across are that infants under 800, 1000 or 1200 grams should use a size 5Fr and over 800, 1000, or 1200 grams should use a 6Fr., however, I cannot find any research to justify if any of these weights are correct. What standards does your unit use and do you have research to justify your reasoning? Thank you.

Do any European colleagues have information about the stability of Omegaven 10% in syringes? We have a 3 kg baby ordered about 30 mL/day and if we could subdivide a 100 mL bottle into 3 portions it would be much more cost effective. This baby will be on very long-term TPN having lost most of the bowel after gastrochisis repair, then necrotic bowel was resected. Thanks, Connie Harris, Pharm.D, NICU - VGH, Victoria, Canada

I am writing a new guideline for nasogastric feeding, to include confirming placement of an ng tube. I would like to dictate the use of a 10ml syringe for aspiration because of the lower pressure but I cannot find the evidence base related to this. There are many other guidelines stating the use of 10ml syringes, but again they do not include any evidence base. Can anyone point me in the right direction please?

I woulg like to know the opinion and experience of others in method of tube feeding in nicu. 1 . Tube feeding oro-gastric, tube is removed every time after feed. 2. onasogastric feeds, tube remains ther. 3. orogastiric, tube is passed from mouth ,is fixed on face and intermittent feeds are givem by nursing staff. Ihave seen some units are very comfortable with this method ,but fear is of displacing the tube with some activity. thanks

What cutoff range of osmolarity do institutions out there use when switching from central route to peripheral route? (What is the maximum osmolarity allowed for peripheral infusion of TPN in a neonate?).

Dear all, Many hospitals now are going to be Baby Friendly as per Baby Friendly Hospital Initiative (BFHI) and WHO protocols. I strongly suggest to make our favorite website 99nicu.org a Baby Friendly Website. What do you think? Regards

Hello group, This is my third try at posting a message. Here in Victoria, west coast of Canada, we've developed a teaching DVD, 9 minutes long, to encourage mothers of breastfed infants to give their babies Vit. D. We made it in-house using staff moms and babies, and also mothers from the Native Friendship Centre, to try to give it a multi-ethnic flavour. It's posted on Google videos at the above link so you can have a look although the quality on google is not so good. If anyone would like to order a copy our audio-visual dept will sell them for about $22 CDN, including postage etc.to anywhere. It was made as part of a hospital pharmacy residency research project. We …