Hanyang Med Rev.  2009 Nov;29(4):306-314. 10.7599/hmr.2009.29.4.306.

Fluid Therapy and Nutrition in Micropremies

• Kim MJ

• KMID: 2053717
• DOI: http://doi.org/10.7599/hmr.2009.29.4.306

Abstract

As the number of survivors of extremely preterm infants increases, the study of their growth and development are now becoming a priority issue of neonatal intensive care. However, maintaining water and electrolyte balance and providing the optimal nutrition for growth and development in these infants are still challenging in modern neonatal intensive care. It is essential to define the risks and benefits of current fluid/electrolyte management and early parenteral and enteral nutrition in micropremies for better outcome. Neonatal clinicians should recognize the barriers and obstacles to the implementation of these recommendations.

Keyword

Fluid therapy; Nutrition; Micropremie; extrauterine growth restriction (EUGR)

MeSH Terms

Enteral Nutrition
Fluid Therapy
Growth and Development
Humans
Infant
Infant, Extremely Premature
Infant, Newborn
Intensive Care, Neonatal
Risk Assessment
Survivors
Water-Electrolyte Balance

Reference

1. Ziegler EE, Thureen PJ, Carlson SJ. Aggressive nutrition of the very low birthweight infant. Clin Perinatol. 2002; 29:225–244.

2. Thureen PJ, Hay WW Jr. Early aggressive nutrition in preterm infants. Semin Neonatol. 2001; 6:403–415.

3. Ehrenkranz RA. Early, aggressive nutritional management for very low birth weight infants: what is the evidence? Semin Perinatol. 2007; 31:48–55.

4. Baumgart S. What's new from this millennium in fluids and electrolyte management for VLBW and ELBW prematures. J Neonatal-Perinatal Med. 2009; 2:1–9.

5. Koletzko B, Goulet O, Hunt J, Krohn K, Shamir R. Parenteral Nutrition Guidelines Working Group. European Society for Clinical Nutrition and Metabolism. European Society of Paediatric Gastroenterology. Hepatology and Nutrition (ESPGHAN). European Society of Paediatric Research (ESPR). 1. Guidelines on Paediatric Parenteral Nutrition of the European Society of Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) and the European Society for Clinical Nutrition and Metabolism (ESPEN), Supported by the European Society of Paediatric Research (ESPR). J Pediatr Gastroenterol Nutr. 2005; 41:Suppl 2. S1–S87.

6. Nishida H, Kusuda S. MH Kim . Infants born under 1,000 g-New standard of care. 3rd ed. Japan: Medical View Co., LTD;2006.

7. Pauls J, Bauer K, Versmold H. Postnatal body weight curves for infants below 1000g birth weight receiving early enteral and parenteral nutrition. Eur J Pediatr. 1998; 157:416–421.

8. Carlson SJ, Ziegler EE. Nutrient intakes and growth of very low birth weight infants. J Perinatol. 1998; 18:252–258.

9. Wilson DC, Cairns P, Halliday HL, Reid M, McClure G, Dodge JA. Randomised controlled trial of an aggressive nutritional regimen in sick very low birthweight infants. Arch Dis Child Fetal Neonatal Ed. 1997; 77:F4–F11.

10. Baumgart S, Costarino AT. Water and electrolyte metabolism of the micropremie. Clin Perinatol. 2000; 27:131–146.

11. Seri I, Ramanathan R, Evass JR. Acid-base, fluid, and electrolyte management. In : Taeush HW, Ballard RA, Gleason CA, editors. Avery's Diseases of the Newborn. 8th ed. USA: Elsevier Saunders;2005. p. 410–426.

12. Wada M, Kusuda S, Takahashi N, Nishida H. Fluid and electrolyte balance in extremely preterm infants <24 weeks of gestation in the first week of life. Pediatr Int. 2008; 50:331–336.

13. Cloherty JP, Eichenwald EC, Stark AR. Manual of neonatal care. 6th ed. U.S.A.: Lippincot Williams & Wilkins;2008.

14. Pi SY. Manual of neonatal care. 2nd ed. Korea: Kwangmoon publishing Co.;2008.

15. Harpin VA, Rutter A. Humidification of incubators. Arch Dis Child. 1985; 60:219.

16. Kang MA, Kim SS, Kim MH, Chang YS, Kim MJ, Han HK, Park WS. Effect of fluid restriction through high humidification on the management of very low birth weight infant. J Korean Soc Neonatol. 2000; 7:1–10.

17. Gaylord MS, Wright K, Lorch K, Lorch V, Walker E. Improved fluid management utilizing humidified incubators in extremely low birth weight infants. J Perinatol. 2001; 21:438–443.

18. Sakurai M, Itabashi K, Sato Y, Hibino S, Mizuno K. Extrauterine growth restriction in preterm infants of gestational age < or =32 weeks. Pediatr Int. 2008; 50:70–75.

19. American Academy of Pediatrics Committee on Nutrition: Nutritional needs of low-birth weight infants. Pediatrics. 1985; 75:976–986.

20. American Academy of Pediatrics Committee on Nutrition. Nutritional needs of preterm infants. In : Kleinman RE, editor. Pediatric Nutrition Handbook. Elk Grove Village, U.S.A.: AAP;2004. p. 23–54.

21. Denne SC, Poindexter BB. Evidence supporting early nutritional support with parenteral amino acid infusion. Semin Perinatol. 2007; 31:56–60.

22. Thureen PJ, Melara D, Fennessey PV, Hay WW Jr. Effect of low versus high intravenous amino acid intake on very low birth weight infants in the early neonatal period. Pediatr Res. 2003; 53:24–32.

23. te Braake FWJ, van den Akker CHP, Riedijk MA, van Goudoever JB. Parenteral amino acid and energy administration to premature infants in early life. Semin Fetal Neonatal Med. 2007; 12:11–18.

24. Gutcher GR, Farrell PM. Intravenous infusion of lipid for prevention of essential fatty acid deficiency in premature infants. Am J Clin Nutr. 1991; 57:1024–1028.

25. Lee HY, Lee GY, Kim MJ, Jeon GW, Shim JW, Chang YS, Park WS. The effect of early enteral trophic feeding within 24 hours after birth in extremely low birth weight infants of 26 weeks and less, and birth weight below 1,000 g. J Korean Soc Neonatol. 2007; 14:59–65.

26. Kashyap S. Enteral intake for very low birth weight infants: What should the composition be? Semin Perinatol. 2007; 31:74–82.

27. Clark RH, Thomas P, Peabody J. Extrauterine growth restriction remains a serious problem in prematurely born neonates. Pediatrics. 2003; 111:986–990.

28. Ernst KD, Radmacher PG, Rafail ST, Adamkin DH. Postnatal malnutrition of extremely low birth-weight infants with catch-up growth postdischarge. J Perinatol. 2003; 23:477–482.

29. Singhal A, Kattenhorn M, Cole TJ, Deanfield J, Lucas A. Preterm birth, vascular function, and risk factors for artherosclerosis. Lancet. 2001; 358:1159–1160.