BIOMAT Database Logo BIOMAT Database Logo

Reduction in parenteral nutrition related complications in the newborn. 1991

U V Vaidya, and V M Hegde, and S A Bhave, and A N Pandit
Department of Pediatrics, KEM Hospital, Rasta Peth, Pune.

A comparison of total parenteral nutrition (TPN) related complication in newborns was made between two study periods, namely, 1986 (Study A) and 1989-90 (Study B). A significant reduction was seen in all complications in Study B. Local complications (thrombophlebitis, gangrene, abscess) reduced from 80.0 to 29.4%, septicemia from 52.0 to 11.7% and metabolic complications from a computed mean of 1.6 episode per baby to 0.88 episode per baby. The reduction in these complications has been attributed to the following additional inputs in the recent study (i) Additional staff (research officers, nurses, biochemist); (ii) Better training of resident staff; (iii) Use of a laminar flow system for mixing solutions; (iv) Specially designed locally manufactured intravenous sets and accessories; and (v) Use of well balanced nutrient solutions. Outstanding problems perceived are--high incidence of TPN-related cholestasis (14.7%), azotemia (26.4%), central catheter-related sepsis (75.0%) and the falling, but yet high cost of the technique (Rs. 650 per day).

UI MeSH Term Description Entries
D007194 India A country in southern Asia, bordering the Arabian Sea and the Bay of Bengal, between Burma and Pakistan. The capitol is New Delhi. Republic of India
D007227 Infant Nutritional Physiological Phenomena Nutritional physiology of children from birth to 2 years of age. Infant Nutrition Physiology,Nutrition Physiology, Infant,Complementary Feeding,Infant Nutritional Physiological Phenomenon,Infant Nutritional Physiology,Supplementary Feeding,Complementary Feedings,Feeding, Complementary,Feeding, Supplementary,Feedings, Complementary,Feedings, Supplementary,Nutritional Physiology, Infant,Physiology, Infant Nutrition,Physiology, Infant Nutritional,Supplementary Feedings
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D007262 Infusions, Intravenous The long-term (minutes to hours) administration of a fluid into the vein through venipuncture, either by letting the fluid flow by gravity or by pumping it. Drip Infusions,Intravenous Drip,Intravenous Infusions,Drip Infusion,Drip, Intravenous,Infusion, Drip,Infusion, Intravenous,Infusions, Drip,Intravenous Infusion
D007363 Intensive Care Units, Neonatal Hospital units providing continuing surveillance and care to acutely ill newborn infants. Neonatal Intensive Care Unit,Neonatal Intensive Care Units,Newborn Intensive Care Unit,Newborn Intensive Care Units,ICU, Neonatal,Neonatal ICU,Newborn ICU,Newborn Intensive Care Units (NICU),ICU, Newborn,ICUs, Neonatal,ICUs, Newborn,Neonatal ICUs,Newborn ICUs
D010288 Parenteral Nutrition The administering of nutrients for assimilation and utilization by a patient who cannot maintain adequate nutrition by enteral feeding alone. Nutrients are administered by a route other than the alimentary canal (e.g., intravenously, subcutaneously). Intravenous Feeding,Nutrition, Parenteral,Parenteral Feeding,Feeding, Intravenous,Feeding, Parenteral,Feedings, Intravenous,Feedings, Parenteral,Intravenous Feedings,Parenteral Feedings
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012867 Skin The outer covering of the body that protects it from the environment. It is composed of the DERMIS and the EPIDERMIS.
D012874 Skin Diseases, Infectious Skin diseases caused by bacteria, fungi, parasites, or viruses. Infectious Skin Diseases,Disease, Infectious Skin,Diseases, Infectious Skin,Infectious Skin Disease,Skin Disease, Infectious
D013924 Thrombophlebitis Inflammation of a vein associated with a blood clot (THROMBUS). Phlegmasia Alba Dolens,Dolens, Phlegmasia Alba,Thrombophlebitides

Related Publications

U V Vaidya, and V M Hegde, and S A Bhave, and A N Pandit
Total parenteral nutrition-related gastroenterological complications.
September 2006, Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver,
U V Vaidya, and V M Hegde, and S A Bhave, and A N Pandit
Parenteral nutrition in the newborn.
November 1980, Lancet (London, England),
U V Vaidya, and V M Hegde, and S A Bhave, and A N Pandit
Parenteral nutrition in the newborn.
September 1977, British journal of hospital medicine,
U V Vaidya, and V M Hegde, and S A Bhave, and A N Pandit
Parenteral nutrition complications.
December 1992, American journal of diseases of children (1960),
U V Vaidya, and V M Hegde, and S A Bhave, and A N Pandit
Consultative total parenteral nutrition teams: the effect on the incidence of total parenteral nutrition-related complications.
January 1984, JPEN. Journal of parenteral and enteral nutrition,
U V Vaidya, and V M Hegde, and S A Bhave, and A N Pandit
Long-term parenteral nutrition. II. Catheter-related complications.
January 1981, Scandinavian journal of gastroenterology,
U V Vaidya, and V M Hegde, and S A Bhave, and A N Pandit
Home Parenteral Nutrition: Vascular Access and Related Complications.
December 2017, Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition,
U V Vaidya, and V M Hegde, and S A Bhave, and A N Pandit
Catheter-related complications of total parenteral nutrition in infants.
August 1976, Pediatric radiology,
U V Vaidya, and V M Hegde, and S A Bhave, and A N Pandit
Catheter-related complications in patients receiving home parenteral nutrition.
November 1980, Annals of surgery,
U V Vaidya, and V M Hegde, and S A Bhave, and A N Pandit
Complications of parenteral nutrition.
July 1986, American journal of surgery,
Copied contents to your clipboard!