安全性和有效性早产28早期氨基酸ppt课件.ppt

Clube de Revista;;Seguran?a e eficácia do uso precoce de aminoácidos em pré-termos 28 semanas de gesta??o: compara??o prospectiva observacional(Safety and efficacy of early amino acids in preterm 28 weeksgestation: prospective observational comparison)J Perinatol 2006;749-754;Introdu??o;Introdu??o;Introdu??o;Objetivo;Material e Métodos;Material e Métodos;Material e Métodos;Material e Métodos;Material e Métodos;Coleta de Dados: Realiza??o de exames de sangue com 24 hrs de vida para análise de gasometria,bases, uréia, creatinina; Peso, estatura e PC avaliados 28, 32 e 36 semanas de IGC, uso de medica??es, número de dias para alcan?ar a nutri??o enteral máxima, necessidade de suporte ventilatório, presen?a de PCA, sepse, doen?a pulmonar, enterocolite, osteopenia da prematuridade, hiperglicemia( 8mmol/l com glicosúria), acidose metabólica (bicarbonato 18 ou BE 6. ;Material e Métodos;Resultados;;Resultados;;Resultados;;;Discuss?o;Discuss?o;Discuss?o;Referências do artigo:;Berry MA, Abrahamowicz M, Usher RH. Factors associated with growth of extremely premature infants during initial hospitalization. Pediatrics 1997; 100: 640–646.?|?Article?|?PubMed?|?ChemPort?| Hay Jr WW, Lucas A, Heird WC, Ziegler E, Levin E, Grave GD et al. Workshop summary: nutrition of the extremely low birth weight infant. Pediatrics 1999; 104: 1360–1368.?|?Article?|?PubMed?| Cooke RJ, Ford A, Werkman S, Conner C, Watson D. Postnatal growth in infants born between 700 And 1500 G. J Pediatr Gastroenterol Nutr 1993; 16: 130–135.?|?PubMed?|?ChemPort?| Adamkin DH. Pragmatic approach to in-hospital nutrition in high-risk neonates. J Perinatol 2005; 25(Suppl 2): S7–S11.?|?Article?|?PubMed?| Heird WC, Dell RB, Driscoll Jr JM, Grebin B, Winters RW. Metabolic acidosis resulting from intravenous alimentation mixtures containing synthetic amino acids. N Engl J Med 1972; 287: 943–948.?|?PubMed?|?ChemPort?| Johnson JD, Albritton WL, Sunshine P. Hyperammonemia accompanying parenteral nutrition in newbor