Nutrients 2013, 5(6), 2006-2018; doi:10.3390/nu5062006
Article

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

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Received: 10 January 2013; in revised form: 7 February 2013 / Accepted: 6 May 2013 / Published: 5 June 2013
(This article belongs to the Special Issue Parenteral Nutrition)
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.
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
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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.

AMA Style

Meyer R, Timmermann M, Schulzke S, Kiss C, Sidler MA, Furlano RI. Developing and Implementing All-in-One Standard Paediatric Parenteral Nutrition. Nutrients. 2013; 5(6):2006-2018.

Chicago/Turabian Style

Meyer, Rosan; Timmermann, Meike; Schulzke, Sven; Kiss, Caroline; Sidler, Marc A.; Furlano, Raoul I. 2013. "Developing and Implementing All-in-One Standard Paediatric Parenteral Nutrition." Nutrients 5, no. 6: 2006-2018.


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