Mo7 Posted May 6 Share Posted May 6 I'm seeking advice and insights from others on the following issue: How do you manage a four-week-old premature baby with evolving or established chronic lung disease (CLD) who is still on invasive ventilation or non-invasive ventilation (NIV) and requires a significant amount of FiO2 (>40%)? The baby's weight gain has been poor, necessitating an increase in the total fluid intake (TFI) up to 180ml/kg/day of Mom Own Milk (MOM) and fortifiers, as well as the use of diuretics. In my experience, and based on most cases of CLD, these infants benefit from fluid restriction (<150ml/kg/day), which typically leads to a reduction in oxygen requirements. I usually supplement nutrition by adding preterm formula or high-energy formula to the TFI. However, I'm wondering if there are other ways to increase the nutritional value of (MOM+F) without using formula milk. adding Proteins? Thanks, Mo7 1 Link to comment Share on other sites More sharing options...
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