One Formula of ‘Total Nutrient
Admixture’ for the Peripheral Venous Nutrition in Newborn, Infants and
Children
Li M-J, Zhang C, Zhang S-C, Ge Y-P
Dept
.of Pediatric Surgery, Children's Hospital，Zhejiang University, Hangzhou, China
Objective: To introduce a formula of TNA (Total nutrient admixture) that
can be used in newborn, infants and children for peripheral venous nutrition.
Methods:
TNA consist of glucose, compound 17-amino acid and 20% Intralipid etc. The
total caloric intake was 65kca (271kJ) /100ml. Nonprotein caloric intake of
lipid was 45%. The requirement of TNA calculated according to the daily
requirement of water in terms of weight. The character and stability of TNA
were studied. Each 10 cases of newborn, infants aged 1~12 months and children
aged 1~7 years received TNA per peripheral venous postoperative for 7 days.
Patients in control group (n=30) received 4:1 sol infusion.
Results:
pH, Osmotic pressure and The diameter of particle of TNA were no change
when it was put in 22℃ for 24hours. Clinic application showed: 2 cases (2/30) had mild
vasculitis and 1 case (1/30) had mild increase of triglyceride, no other
side effects were found. Prealbumin in plasma was improved in TNA group.
Conclusions: This simplified formula of TNA can be safely used in newborn,
infants and children for short term total or partial peripheral parenteral nutrition.