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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)
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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 (CC BY 3.0).

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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.

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