Fluid, electrolytes, and nutrition: minutes matter.
Historically, in very low-birth-weight infant care, nutritional support was delayed during the first postnatal days because of fear of toxicity and harm with immature metabolic systems and intestinal function. Recent evidence demonstrates that early nutritional support is not only safe but likely necessary to optimize infant growth and neurodevelopment. In fact, nutrition management is a critical factor in very low-birth-weight infant golden hour support. Contemporary studies in protein and lipid intravenous support and early feeds as minimal enteral nutrition exhibit safety and some efficacy. We will present analysis of this evidence and development of potential better practices on the basis of these data as well as a review of golden hour fluid and glucose management. In addition, we provide several outcomes following our adoption of potentially better golden hour nutrition practices.
Taylor
Sarah N
SN
Department of Pediatrics, Medical University of South Carolina Children's Hospital, Charleston, SC 29425, USA.
Kiger
James
J
Finch
Carolyn
C
Bizal
Darrin
D
D001834:Body Water / Q000502:physiology*; D045604:Extracellular Fluid / Q000502:physiology; D005217:Fat Emulsions, Intravenous / Q000627:therapeutic use; D005440:Fluid Therapy; D006801:Humans; D007003:Hypoglycemia / Q000517:prevention & control* / Q000628:therapy; D007227:Infant Nutritional Physiological Phenomena; D007231:Infant, Newborn; D007234:Infant, Premature / Q000254:growth & development / Q000502:physiology*; D007235:Infant, Premature, Diseases / Q000517:prevention & control* / Q000628:therapy; D019102:Infant, Very Low Birth Weight / Q000254:growth & development / Q000502:physiology*; D007424:Intracellular Fluid / Q000502:physiology; D009422:Nervous System Diseases / Q000517:prevention & control* / Q000628:therapy; D018529:Nutritional Support; D011488:Protein Deficiency / Q000517:prevention & control* / Q000628:therapy; D013997:Time Factors; D014882:Water-Electrolyte Balance / Q000502:physiology*
D005217:Fat Emulsions, Intravenous