Gastroenterology & Nutrition | Parenteral Nutrition
TPN feedback to: Robert J. Rothbaum, M.D.
Parenteral nutrition (PN) is a method of supplying nourishment
to children unable to eat. The implementation of PN requires
decisions about route of infusion, composition of infusate, and
the possibility of unusual nutritional needs. The potential
benefits and risks for each patient weigh in these decisions.
Considered variables or parameters include:
- child's illness
- obstacle to enteral feeding: absolute or partial? Temporary or indefinite duration?
- pre-existing and anticipated nutritional needs
- quality of life issues: continuous versus cyclic infusion?
This resource provides a framework for the design of PN regimens.
These recommendations represent a synthesis of
published guidelines,
literature review, and clinical experience. The TPN menu (at the
begining and end of each section of TPN content) delineates
covered topics. Multiple links provide access to more detailed
and thorough background information.
Disclaimer: Thorough patient evaluation and individualized clinical judgement
are required in the design of a nutritional regimen. This website is not intended
to replace those efforts. Washington University and the Division of Pediatric
Gastroenterology assume no responsibility for decisions made on the basis of
information provided by this program.
TPN feedback to: Robert J. Rothbaum, M.D.
Dr. Rothbaum answers e-mail once weekly and is designed to facilitate professional
communication between you and our consultant specialists, to provide feedback
to us on various matters, and to request more information on subjects within
Pediatric Gastroenterology.
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