Next Article in Journal
Body Fat Distribution and Insulin Resistance
Next Article in Special Issue
The Need for Evidence Based Nutritional Guidelines for Pediatric Acute Lymphoblastic Leukemia Patients: Acute and Long-Term Following Treatment
Previous Article in Journal
Observation of Human Retinal Remodeling in Octogenarians with a Resveratrol Based Nutritional Supplement
Previous Article in Special Issue
Standardised Parenteral Nutrition
Nutrients 2013, 5(6), 2006-2018; doi:10.3390/nu5062006
Article

Developing and Implementing All-in-One Standard Paediatric Parenteral Nutrition

1,* , 2
, 3
, 4
, 3
 and 3
1 Department Gastroenterology, Great Ormond Street Hospital Foundation Trust, London, WC1N 3JH, UK 2 Hospital Pharmacy, University Hospital Basel, Basel 4031, Switzerland 3 Department Gastroenterology and Nutrition, University Children's Hospital Basel (UKBB), University of Basel, Basel 4056, Switzerland 4 Department Nutrition and Dietetics, University Hospital Basel, Basel 4031, Switzerland
* Author to whom correspondence should be addressed.
Received: 10 January 2013 / Revised: 7 February 2013 / Accepted: 6 May 2013 / Published: 5 June 2013
(This article belongs to the Special Issue Parenteral Nutrition)
View Full-Text   |   Download PDF [317 KB, uploaded 5 June 2013]   |   Browse Figures

Abstract

Parenteral nutrition (PN) is a feeding mode suitable for children that do not achieve requirements via the enteral route. For this intervention to be successful, healthcare professionals require: knowledge on nutrient requirements; access to an aseptic compounding facility; and a system that ensures adequate and safe delivery of PN. Previously, it was thought that individualised PN was the “gold standard” for delivering nutrients to children; however, studies have highlighted concerns regarding inadequate delivery of nutrients, prescribing and compounding errors. We, therefore, set out to develop and implement all-in-one (AIO) paediatric PN solutions. Through a systematic approach, four AIO PN solutions were developed: birth–two months of age (Ped 1); two months–10 kg (Ped 2); 11–15 kg (Ped 3); and 16–30 kg (Ped 4). We implemented them with the help of a teaching pack, over a one month time period, and reviewed usage at six months. At that time, five children initially received standard PN without electrolyte changes; but after a few days, electrolytes needed amendments, and three required individualised PN. A change to AIO PN is feasible and safe; however, some may require electrolyte changes, and there will always be those that will require individualised PN.
Keywords: parenteral nutrition; all-in-one parenteral nutrition; paediatrics; development; implementation parenteral nutrition; all-in-one parenteral nutrition; paediatrics; development; implementation
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Share & Cite This Article

Export to BibTeX |
EndNote


MDPI and ACS Style

Meyer, R.; Timmermann, M.; Schulzke, S.; Kiss, C.; Sidler, M.A.; Furlano, R.I. Developing and Implementing All-in-One Standard Paediatric Parenteral Nutrition. Nutrients 2013, 5, 2006-2018.

View more citation formats

Related Articles

Article Metrics

Comments

Citing Articles

[Return to top]
Nutrients EISSN 2072-6643 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert