Nutritional Support of the Ventilated Infant
Respiratory distress is a leading cause of neonatal morbidity and mortality, and mechanical ventilation remains the most common therapeutic modality applied in neonatal intensive care units.
Aggressive nutritional strategies should minimize the interruption of growth as much as possible as the early fetus transitions to extrauterine life. These strategies promote the following:
Reducing postnatal weight loss
Earlier return to birth weight
Improved catch-up growth
The guiding principle for these strategies is that undernutrition is by definition, nonphysiologic and undesirable. Any measure that diminishes undernutrition is inherently good provided that safety is not compromised.
Improving nutritional status and growth will optimize neurodevelopmental outcome.
Considerable evidence suggests that early growth deficits have long lasting consequences including short stature and poor neurodevelopmental outcomes.
KeywordsPreterm Infant Human Milk Total Parenteral Nutrition Glucose Infusion Rate Choanal Atresia
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