Hi, i have a 540g baby who i managed with ivf on day 1, then tpn(1 g each of pro and intralipid) and trophic feeds of expressed breast milk starting day2.baby lost 24% of birth wt in the succeeding days.I ended up giving the baby 350 ml/k/d to keep up with the diuresis that ensued. One of my neonatology friends says that in their unit , they are much more aggressive and their babies are managed with 2 g of pro and 1 g of intralipid from day1, then increasing to max 3g/k/d of pro and fat in the next 3 days, and they use only 180ml/k/day of tfr.
I am wondering if this practice is widespread.
BTW, the baby is doing well and is now almost on full feeds(day 14).