Current status of parenteral feeding with fat emulsions. Clinical experience in children
Widhalm, K.
Infusionstherapie und Klinische Ernahrung 10(4): 225-228
1983
ISSN/ISBN: 0378-0791 PMID: 6618661 Document Number: 207590
Total parenteral nutrition with lipid emulsions is considered to be a standard regimen in Europe treating pediatric diseases since more than 10 years. Due to the high energy requirements during childhood only by administration of fat emulsions the adequate input of energy can be guaranteed. It should be emphasized that i.v. administration of lipid emulsion must be performed continuously (by means of a bypass or with mixed solutions) in a dosage up to 2 g/kg/day. In order to control the function of fat elimination from the vessel system the daily estimation of serum triglycerides, which should not exceed values higher than 150-200 mg/dl during the infusion regime is highly recommended. Parenteral nutrition with fat should be performed according to strict indications; contraindications against administration of fat are severe shock, severe coagulation disturbances and rare forms of lipid disorders (with inability to metabolize fats, such as the inborn Apolipoprotein-C-II-deficiency). Observing all rules including strict sterile cautions, parenteral nutrition with fat serves as a valuable well-experienced tool treating pediatric patients. Beside the known problems with the catheter no problems should be expected.