Table 1.
Summary of Parenteral Nutrition Guidelines Followed During Transition Phase in Study and Control Groups.
| Transition Guidelines | Study Group | Control Group |
|---|---|---|
| Age at initiation of trophic feeds, d | 1–2 | 1–2 |
| EN volume at start of PN weaning, mL/kg | 20 | 20 |
| PN order during transition | At EN volumes of 50 mL/kg, full kcal and protein orders concentrated in 100 mL/kg; run at adjusted rate to maintain 140 mL/kg/d | Written for 140 mL/kg (as if infant is NPO); run at adjusted rate to maintain 140 mL/kg/d |
| EN volume at discontinuation of PN, mL/kg | 80–120 | 80–120 |
| Guidelines if feeds held | Run PN at full volume; add 5% dextrose solution at 40 mL/kg to maintain 140 mL/kg/d | Run PN at full volume (140 mL/kg) |
| Preferred feeds | Unfortified EBM | Unfortified EBM |
| EBM alternate | Preterm infant formula 24 kcal/oz | Preterm infant formula 20 kcal/oz |
EBM, expressed breast milk; EN: enteral feeds; NPO, nil per os; PN, parenteral nutrition.