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 an Asian colleague .We regularly use these preparations for our ELBWs. My senior colleagues have been using the following technique for atleast past 7-8 yrs. We secure a dedicated peripheral long line under strict aseptic conditions and connect to them by two different 3 way extensions both aminoacid and lipid preparations.We cover these extensions.Each bottle is usually 100ml.We run these solutions for total of three days in the required dosing.We never break the circuit during this time and after 3 days we discard all the circuits and solutions and start fresh again.We routinely send the left out solutions for cultures and we were lucky that we never encountered any growth in them.This procedure was published in the journal of Neonatology-from India,in 2004.Dr.P.Sameera,Consultant Neonatologist,Manipal Speciality Hospital,Bangalore,India

Edited June 9, 200915 yr by sameera_reddy
Mistake in name of journal

Thanks so much for the reply Dr. Sameera,

Is this article available on the internet? I would love to read it.

The article is available on net for members and its reference is as below-Dr.Sameera

Journal of Neonatology

Year : 2004, Volume : 18, Issue : 1

Print ISSN : 0973-2179.

Experience with modified technique of parenteral nutrition in neonatal intensive care unit

The following is the link for the journal issue having this article

LINK

Registration is free and takes a minute to finish after which you can download the article in pdf format

Wonderful! Thank you for the link and info.