Metabolic complications of parenteral nutritional support in post-surgical newborns admitted to the Neonatal Intensive Care Unit of the Hospital Pediatrico Dr. Hugo Mendoza
DOI:
https://doi.org/10.14306/renhyd.26.S2.1303Keywords:
Nutritional Support, Infant, Newborn, Postoperative Period, Intensive Care Units, Neonatal, Parenteral NutritionAbstract
Introduction: Newborns have a limited nutritional reserve that makes them extremely vulnerable, which is why adequate nutritional support is necessary. Neonatal patients with surgical procedures are frequently admitted to the neonatal intensive care unit (NICU). The objective of the study was to analyze the frequency and characteristics of metabolic complications in postoperative newborns who received parenteral nutritional support in the intensive care unit at the Dr. Hugo Mendoza Pediatric Hospital in the Dominican Republic.
Material and methods: Descriptive and retrospective study.
Results: The most frequent complications were hyperglycemia for 33.3%, followed by thrombocytopenia for 21% and hyponatremia (18%).
Conclusions: There is no evidence of a relationship between the days of PN administration and the incidence of complications, nor is there a relationship between the number of days of parenteral nutrition and days of hospitalization.
References
(1) Morena M, González A, Contreras J, De la Peña J. Afecciones quirúrgicas en el recién nacido. Nuestras estadísticas. 2002-2003. Rev. cienc. méd. Pinar Río [Internet] 2004 mayo [consultado 2020 Dic 15]; 8 (2): 28-34. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-31942004000200004
(2) Pérez-Navero J, Martínez-Romillo P, López-Herce Cid J, Ibarra de la Rosa I, Pujol Jover M. Hermana Tezanos M, Et Al. Nutrición artificial en las unidades de cuidados intensivos pediátricos. An Pediatr [Internet] 2005 Feb [Consultado 2021 may 09]; 6 (2): 105-112. Disponible en: https://doi.org/10.1157/1307130
(3) Galeano S, Castañeda A , Guzmán E ,Montoya M , Jaimes F. Deuda calórica en una cohorte de pacientes hospitalizados en unidades de cuidado intensivo. Rev Chil Nutr [Internet] 2019 [consultado 2021 Apr 30]; 46(5): 535-544. Disponible en: http://dx.doi.org/10.4067/S0717-75182019000500535
(4) Arango M, Uribe F, Garcés F, Hoyos F, Jiménez M. Cirugía Pediátrica. Primera edición. Medellín, Colombia: Editorial universidad de Antioquia; 2016.
(5) Saure D, Almeyra B , Caminiti C, Izzo M, Althabe M, Krynski M, et al. Soporte nutricional en la primera semana postoperatoria en niños menores de 3 meses que requieren cirugía cardiovascular. Med. infant [Internet] 2016 Sept [consultado 2020 Dic 3]; 23(3): 199-205. Disponible en: https://www.medicinainfantil.org.ar/images/stories/volumen/2016/xxiii_3_199.pdf
(6) Polin R, Poindexter B, Jeu J. Gastroenterology and Nutrition. Tercera edición. Filadelfia: Elsevier; 2019.
(7) Gomis M, Martinez C, Moreno V. Documento de consenso SENPEN/SEGHNP/SEFH/sobre nutrición parenteral pediátrica. Nutr Hosp [Internet] 2007 [consultado 2020 Dic 8]; 22(6): 710-9. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-16112007000800010
(8) Savoie K, Bachier-Rodriguez M, Jones T, Jeffreys K; Papraniku D, Sevilla W, Et al. Standardization of Feeding Advancement After Neonatal Gastrointestinal Surgery: Does It Improve Outcomes? Nutr Clin Pract [Internet] 2016 Dic [cited 2021 Apr 29] 31(6):810-818. Available from: DOI: 10.1177/0884533616658766
(9) Torres S, Neri M, Retana R. Complicaciones de la nutrición parenteral total en neonatos. Rev. Mex. de Pediatría [Internet] 2000 Mayo- Junio [consultado 2020 Dic 13] 67 (3): 107-110. Disponible en: https://www.medigraphic.com/pdfs/pediat/sp-2000/sp003c.pdf
(10) Lopez-Sandoval JJ, Alfaro-Castellanos DE, Valle-Delgado E. Incidencia de complicaciones metabólicas asociadas a la nutrición parenteral en recién nacidos de la Unidad de Cuidados Intensivos Neonatales. Rev. Med. MD [Internet] 2016 mayo-julio [Consultado 2020 Dic 13]; 7 (4): 229-234. Disponible en: https://www.medigraphic.com/pdfs/revmed/md-2016/md164e.pdf
(11) Zurita J, Furzan J, Garcia Benavides, J. Predicción de mortalidad en una unidad de cuidado intensivo neonatal: Un modelo de análisis discriminatorio. Arch. Venezuela. pueric. pediatr; 51(3/4): 129-37, jul.-dic. 1988.
(12) Márquez-González, H, Muñoz-Ramírez C, Ramírez-García M, Pineda-Frutos M, Hernández-Ramírez C, Villa-Romero A, Et al. La hiperglucemia como factor predictor de mortalidad en neonatos críticamente enfermos. Rev Med Inst Mex Seguro Soc [Internet] 2014 [consultado 2020 Dic 12]; 52 Supl 2:S104-9. Disponible en: https://www.medigraphic.com/pdfs/imss/im-2014/ims142s.pdf
(13) Tume L, Valla F, Joosten K, Jotterand C, Latten L, Marino L, Et al. Nutritional support for children during critical illness: European Society of Pediatric and Neonatal Intensive Care (ESPNIC) metabolism, endocrine and nutrition section position statement and clinical recommendations. Intens Care Med [Internet] 2020 [cited 2021 Apr 29]; 46:411–425. Available from:https://doi.org/10.1007/s00134-019-05922-5
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Copyright (c) 2020 Yun Zyong Kim, Anny Pamela Mirabal, Yomaira Tejeda, Anabel Encarnación, Josvane Japa Rodríguez, Massiel Méndez Jorge
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