Dr. Powell Replies

Our original design in planning this study was to assess three areas: (1)the efficacy of nasoduodenal tube feeding as a technique of providing adequate caloric intake to the very-low-birth-weight infant, (2) the efficiency of these calories in promoting weight gain, (3) the complication rate of this feeding method. To answer our first two questions, we chose the most rigorous control available to us, which was nasogastric continuous drip feeding, rather than the standard gavage,

Download Full-text

Influence of postnatal age, energy intake, and weight gain on energy metabolism in the very low-birth-weight infant

The Journal of Pediatrics ◽

10.1016/s0022-3476(81)80407-6 ◽

1981 ◽

Vol 99 (5) ◽

pp. 761-766 ◽

Cited By ~ 67

Author(s):

Philippe Chessex ◽

Brian L. Reichman ◽

Gaston J.E. Verellen ◽

Guy Putet ◽

John M. Smith ◽

...

Keyword(s):

Weight Gain ◽

Birth Weight ◽

Energy Metabolism ◽

Low Birth Weight ◽

Energy Intake ◽

Very Low Birth Weight ◽

Low Birth Weight Infant

Download Full-text

Association between Severe Retinopathy of Prematurity and Postnatal Weight Gain in Very-Low-Birth-Weight Infants at Chiang Mai University Hospital

10.1055/s-0039-1693251 ◽

2019 ◽

Author(s):

A. Wongnophirun ◽

W. Tantiprabha ◽

A. Wiwatwongwana ◽

V. Khuwuthyakorn

Keyword(s):

Weight Gain ◽

Birth Weight ◽

Low Birth Weight ◽

Retinopathy Of Prematurity ◽

Very Low Birth Weight ◽

University Hospital ◽

Chiang Mai ◽

Low Birth Weight Infants ◽

Postnatal Weight Gain

Download Full-text

Higher Caloric Refeeding Is Safe in Hospitalised Adolescent Patients with Restrictive Eating Disorders

Journal of Nutrition and Metabolism ◽

10.1155/2016/5168978 ◽

2016 ◽

Vol 2016 ◽

pp. 1-9 ◽

Cited By ~ 12

Author(s):

Elizabeth K. Parker ◽

Sahrish S. Faruquie ◽

Gail Anderson ◽

Linette Gomes ◽

Andrew Kennedy ◽

...

Keyword(s):

Eating Disorders ◽

Weight Gain ◽

Statistical Significance ◽

Caloric Intake ◽

Tube Feeding ◽

Retrospective Chart Review ◽

Refeeding Syndrome ◽

Restrictive Eating ◽

Weight Restoration ◽

The Mean

Introduction. This study examines weight gain and assesses complications associated with refeeding hospitalised adolescents with restrictive eating disorders (EDs) prescribed initial calories above current recommendations.Methods. Patients admitted to an adolescent ED structured “rapid refeeding” program for >48 hours and receiving ≥2400 kcal/day were included in a 3-year retrospective chart review.Results. The mean (SD) age of the 162 adolescents was 16.7 years (0.9), admission % median BMI was 80.1% (10.2), and discharge % median BMI was 93.1% (7.0). The mean (SD) starting caloric intake was 2611.7 kcal/day (261.5) equating to 58.4 kcal/kg (10.2). Most patients (92.6%) were treated with nasogastric tube feeding. The mean (SD) length of stay was 3.6 weeks (1.9), and average weekly weight gain was 2.1 kg (0.8). No patients developed cardiac signs of RFS or delirium; complications included 4% peripheral oedema, 1% hypophosphatemia (<0.75 mmol/L), 7% hypomagnesaemia (<0.70 mmol/L), and 2% hypokalaemia (<3.2 mmol/L). Caloric prescription on admission was associated with developing oedema (95% CI 1.001 to 1.047;p=0.039). No statistical significance was found between electrolytes and calories provided during refeeding.Conclusion. A rapid refeeding protocol with the inclusion of phosphate supplementation can safely achieve rapid weight restoration without increased complications associated with refeeding syndrome.

Download Full-text

Postnatally acquired CMV meningitis diagnosed via BioFire FilmArray: A case report

Journal of Neonatal-Perinatal Medicine ◽

10.3233/npm-200524 ◽

2020 ◽

pp. 1-6

Author(s):

A. Stark ◽

J. Peterson ◽

K. Weimer ◽

C. Hornik

Keyword(s):

Case Report ◽

Birth Weight ◽

Breast Milk ◽

Premature Infants ◽

Gold Standard ◽

Very Low Birth Weight ◽

Definitive Treatment ◽

Cmv Infection ◽

Term Infants ◽

Low Birth Weight Infant

Postnatally acquired cytomegalovirus (CMV) is commonly acquired via breast milk, with premature infants more frequently developing symptoms of CMV infection in comparison to term infants. Meningitis is a rare clinical manifestation of CMV infection. The diagnosis of meningitis is difficult to make in infants, particularly those who are preterm. Consequentially, broad-spectrum empiric antimicrobial coverage is often administered for several days while waiting for current gold standard CSF testing to result. The BioFire FilmArray (BFA) simultaneously tests for 14 different pathogens, including CMV, allowing for quicker diagnosis and shorter time to definitive treatment. Here, we report a very low birth weight infant with postnatally acquired CMV meningitis, the first to our knowledge to be diagnosed using the BioFire FilmArray.

Download Full-text