1 / 5

Neonatal TPN - messages

NCEPOD Enquiry into the care of hospital patients receiving parenteral nutrition- the neonatal perspective Dr Janet Rennie, on behalf of the British Association of Perinatal Medicine. Neonatal TPN - messages. Essential for the survival of the smallest and sickest babies

daniel_millan
Télécharger la présentation

Neonatal TPN - messages

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. NCEPOD Enquiry into the care of hospital patients receiving parenteral nutrition- the neonatal perspectiveDr Janet Rennie, on behalf of the British Association of Perinatal Medicine

  2. Neonatal TPN - messages • Essential for the survival of the smallest and sickest babies • Mostly <3 weeks “bridging the gap” until full enteral feeds • Often delayed • Sometimes inadequate • Metabolic complications frequent • Line complications common

  3. Does it matter? • Low phosphate/sodium/glucose common in this group hence monitoring is vital and correction essential • Too little amino acid/lipid – important to monitor tolerance and consider the enteral input • What about the babies who should have got TPN but did not? Only 23% care represented “good practice” and 4.5% was “less than satisfactory”

  4. What was missing? • Quality control of the manufacturing process • Information about enteral feeds • Assessment of prescribing practice • Use of antifungal prophylaxis

  5. Messages • National standards on PN constituents and prescribing • National standards re PN monitoring • National standards for “clean” manufacture • Better documentation and management of long lines • Advice on catheter use, and antifungal prophylaxis • Coupled with advice on enteral feed institution – a nutritional package

More Related