Nutrition & Feeding

Dear collegues, In our NICU we find hyperlicemia in many premies. We find it in almost all the babies <25 weeks, but also in many >27-28 weeks. Our TPN protocol consists (in first day of life) in 6 mg/kg/min of glucose, 1g/kg of Intralipid 20% and 1 g/kg of AA. It's, more or less, similar of others TPN protocols. Do you resolve hyperglicemia reducing glucose administration before, or dou you start insuline immediately? Best regards Marcello De Filippo, MD Subintensive care unit University of Siena, Italy

Dear NICU colleagues, I want to know whether the use of in line filters during administration of TPN fluids is standard practice in all NICUs? I also want to know what brand of Filter do you all use ? I would also like to find out how your experience has been with the filters that you use ? (pros and cons) Furthermore i am keen to find out whther you 'piggyback' the intralipid to the Dex/AA solution ( that is connect the intralipid to the same line as Dex/AA solution) or give the intralipid seperately? As for our centre, we do use in line filters during administration of all TPN fluids. The only filter that is available to us from the hospital management is BAXA sy…

while feeding the baby is it worth keeping the nasogastric tube continuously or intermittently that is insertion only during the feed Srinivas

Hi, does anyone use carnitine supply in which preterm newborns can not take breastmilk.

בס"ד Is any one aware of clinical trials of gut priming with TPN for ELBW infants? Regards Yoram Bental M.D. Neonatology Laniado Hospital Israel

Does any of your units still use the red similac nipples for feeding? If so do you stop using them a certain time before discharge? Our neos want to stop using them but I need some evidence based info. Thanks! Christy Baggarly RN Patient Care Coordinator, NICU Carolina Medical Center- NorthEast Concord, NC

Do you routinely cover TPN solution? How?

Hi , all Is anybody using corn oil in stable prem babies , if so how much ,how frequently . regards

Here is a question to everyone , in china there is a habit in clinics, when we prepare to feed a pretern infant first time, we usually use 5% glucose 2 times before milk, how do you think about it? is there any evidence? thank you !

What is your opinion about intermittant OG feeding in preterms to prevent GO reflux ( replacement of tube before every feeding period and then remove tube) ? How is your practice? If the baby needs to feed with tube, my practice is to keep tube and to change every 2-3 days in preterms.