Table 1.
International recommendations for parenteral nutrition in preterm infants
| Tsang et al (2005)9 | ESPEN/ESPGHAN/ESPR guidelines, 20058 | |
|---|---|---|
| Amino acids | ||
| Initiation, g/kg/day | Day of birth | Day of birth |
| Initial dose | 2 | ≥1.5 |
| Target dose | 3.5–4 (ELBW) 3.2–3.8 (VLBW) |
Maximum 4 |
| Glucose | ||
| Initiation, g/kg/day | Day of birth | Day of birth |
| Initial dose | 7 | 5.8–11.5 |
| Target dose | 13–17 (ELBW) 9.7–15 (VLBW) |
– |
| Lipids | ||
| Initiation, g/kg/day | Day of birth (VLBW) Cautious support for ELBW |
No later than 3rd day |
| Initial dose | ≥1 | Linoleic acid >0.25 mg/kg/day |
| Target dose | 3–4 | 3–4 |
| Energy | ||
| Caloric target, g/kg/day | 105–115 (ELBW) 90–100 (VLBW) |
110–120 |
VLBW, very-low-birth-weight infants; ELBW, extremely-low-birth-weight infants; —, no recommendation provided; ESPEN/ESPGHAN/ESPR, European Society for Clinical Nutrition and Metabolism/European Society of Paediatric Gastroenterology, Hepatology and Nutrition/European Society of Paediatric Research.