TOTAL INTRAVENOUS NUTRITION BY PERIPHERAL VEIN IN NEONATAL SURGICAL PATIENTS

[摘要] A solution for intravenous nutrition which contains amino acids, glucose, electrolytes, and vitamins was infused during long periods through peripheral veins in five neonatal surgical patients. Weight gain and tissue healing were obtained while this solution represented the sole source of nutrition for as long as 51 days. The need for long-term central venous catheterization and its attendant risks were eliminated by the infusion of large volumes (200 to 250 ml/kg/24 hr) of a solution whose solute concentration (total solute 500 to 850 mOsm/kg of water) was significantly lower than that of conventional "hyperalimentation" solutions.The large fluid volumes were well tolerated and the infants maintained normal serum osmolalities, serum electrolytes, and acid-base status.

[学科分类] 儿科学