Nutritional Care of Preterm Infants: Scientific Basis and Practical Guidelines. Edited by BKoletzko, BPoindexter, RUauy. Vol. 110 in the series World Review of Nutrition and Dietetics, by Berthold Koletzko (Ed.). Karger AS, Basel, CH, 2014, XII-314 pp., 3

2014 ◽  
Vol 104 (2) ◽  
pp. 213-215
Author(s):  
Samuli Rautava
Keyword(s):  
Preterm Infants ◽  
Scientific Basis ◽  
Nutritional Care ◽  
Practical Guidelines ◽  
Nutrition And Dietetics

scholarly journals Scientific Basis and Practical Application of Nutritional Care for Preterm Infants

2021 ◽  
pp. XIII-XIV
Author(s):  
Berthold Koletzko ◽  
Fook-Choe Cheah ◽  
Magnus Domellöf ◽  
Johannes B. van Goudoever ◽  
Brenda B. Poindexter ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Scientific Basis ◽  
Practical Application ◽  
Nutritional Care

scholarly journals Working group reports: evaluation of the evidence to support practice guidelines for nutritional care of preterm infants—the Pre-B Project1–4

2016 ◽  
Vol 103 (2) ◽  
pp. 648S-678S ◽  
Author(s):  
Daniel J Raiten ◽  
Alison L Steiber ◽  
Susan E Carlson ◽  
Ian Griffin ◽  
Diane Anderson ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Practice Guidelines ◽  
Working Group ◽  
Nutritional Care

scholarly journals Recommendations to promote breast milk feeding and enhance nutritional care for preterm infants in the Asia-Pacific region: highlights from a roundtable discussion of key opinion leaders

2021 ◽  
Vol 27 (2) ◽  
Author(s):  
Fook-Choe Cheah ◽  
◽  
Tian-Lee Tan ◽  
Ursula Herulah ◽  
Charisma Dilantika ◽  
...  
Keyword(s):  
Breast Milk ◽  
Preterm Infants ◽  
Maternity Leave ◽  
Opinion Leaders ◽  
Asia Pacific ◽  
Nutritional Deficiencies ◽  
Current Evidence ◽  
Nutritional Care ◽  
Key Opinion Leaders ◽  
Milk Feeding

Introduction: Preterm infants are vulnerable to nutritional deficiencies, thus optimal nutrition is crucial in promoting growth among these infants. However, socio-cultural complexities and limited resources in the Asia-Pacific demands a judicious approach in implementing nutritional care that is pragmatic to align with current evidence-based recommendations. Methods: A roundtable meeting was held in Jakarta in 2017 for key opinion leaders in neonatology from the AsiaPacific to discuss issues when delivering nutritional care in this region and the unique circumstances encountered. Results: Priority areas discussed include: (i) breast milk feeding, (ii) donor milk bank/sharing, (iii) human milk fortification, and (iv) nutrient-enriched breast milk substitutes. Socio-cultural practices impeding breastfeeding, insufficient maternity leave, the religious issue of milk kinship, and limited availability of specialty nutritional care products were among the most challenging factors. Conclusion: The group proposed recommendations to enhance breastfeeding uptake, accessibility to a complete portfolio of specialty nutritional care products, and encouraging more active collaborations to engage policy makers in addressing these contemporary issues.

scholarly journals Macronutrients in Enteral Nutrition for VLBW Preterm Infants: Systematic Reviews for an Evidence-Based Nutrition Guideline (P11-084-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Lisa Moloney ◽  
Mary Rozga ◽  
Tanis Fenton
Keyword(s):  
Preterm Infant ◽  
Preterm Infants ◽  
Systematic Reviews ◽  
Very Low Birth Weight ◽  
Infant Nutrition ◽  
Risk Of Bias ◽  
Evidence Based ◽  
Two Phase ◽  
Research Questions ◽  
Nutrition And Dietetics

Abstract Objectives Nutrition guidelines for preterm infants based on systematic reviews are lacking. To address this need, the National Institute of Health and the Academy of Nutrition and Dietetics (AND) initiated a two phase project. Phase I: Convene stakeholders to identify topic areas and questions for preterm infant nutrition care. Phase II: Conduct scoping and systematic reviews, and develop evidence- based guidelines. This abstract presents summarized results of conducted macronutrient systematic reviews for the Very Low Birth Weight (VLBW) Preterm Infant Guideline. Methods The workgroup conducted scoping and systematic reviews. Identified macronutrient intake articles were categorized into the following subtopics: protein amount, protein type, fat amount, fat type, energy, breastmilk fortification, formula enrichment, and pasteurization. Inclusion criteria was limited to preterm infants < 1500 gm in developed nations. The workgroup participated in development of research questions, quality assessment of included articles using the Academy's Quality Criteria Checklist and Cochrane's Risk of Bias tools, synthesis and summarization of evidence, and development and grading of conclusion statements. Results A total of 65 research questions were developed. Forty one studies published in 48 articles were included in the macronutrient subtopic; 47% were greater than 10 years old, and 32% greater than 20 years old. Thirteen studies had a low risk of bias (32%), 28 with selection bias (60%), 15 performance bias (32%), 13 attrition bias (28%), 3 reporting bias (6%), and 10 detection bias (21%). Approximately half of the studies (48%) demonstrated risk of bias in two or more Cochrane domains. The majority of conclusions statements (83%) were graded as limited due to quality, sample size, and wide confidence intervals; 7 conclusion statements graded as fair; and 4 graded as good. Conclusions The macronutrient systematic reviews highlight the wide variety of studied nutrition interventions for VLBW preterm infants. Heterogeneity between study interventions and reported outcomes increased difficulty in summarizing data and making strong, evidence-based recommendations. Funding Sources Academy of Nutrition and Dietetics.

Decision to extubate extremely preterm infants: art, science or gamble?

2021 ◽  
pp. fetalneonatal-2020-321282
Author(s):  
Wissam Shalish ◽  
Martin Keszler ◽  
Peter G Davis ◽  
Guilherme M Sant’Anna
Keyword(s):  
Mechanical Ventilation ◽  
Preterm Infants ◽  
Scientific Basis ◽  
Adverse Outcomes ◽  
Clinical Judgement ◽  
Evidence Based ◽  
Recent Advances ◽  
Extremely Preterm ◽  
Extremely Preterm Infants ◽  
Modern Era

In the modern era of neonatology, mechanical ventilation has been restricted to a smaller and more immature population of extremely preterm infants. Given the adverse outcomes associated with mechanical ventilation, every effort is made to extubate these infants as early as possible. However, the scientific basis for determining extubation readiness remains imprecise and primarily guided by clinical judgement, which is highly variable and subjective. In the absence of accurate tools to assess extubation readiness, many infants fail their extubation attempt and require reintubation, which also increases complications. Recent advances in the field have led to unravelling some of the complexities surrounding extubation in this population. This review aims to synthesise the available knowledge and provide a more evidence-based approach towards the reporting of extubation outcomes and assessment of extubation readiness in extremely preterm infants.

Sign in / Sign up

Export Citation Format

Share Document