WASHINGTON UNIVERSITY IN ST. LOUIS SCHOOL OF MEDICINE PEDIATRICS GI PARENTERAL NUTRITION TPN
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Gastroenterology & Nutrition | Parenteral Nutrition

TPN feedback to: Robert J. Rothbaum, M.D.


Introduction

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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