Clinical Nutrition in Gastrointestinal Disease

Alan Buchman, MD, MSPH

Chapter 37: Pediatric Parenteral Nutrition (continued)

Adib Moukarzel, MD, FAAP, FACN, CNSP

Venous nutrition in pediatrics was first described nearly 50 years ago when, in 1944, Helfrick and Abelson reported the successful intravenous delivery of a complete diet to a 5-month-old male with severe marasmus.1 The regimen included alternate peripheral vein infusions of a mixture of 50% glucose and 10% casein hydroly-sate and a 10% olive oil-lecithin emulsion, providing 130 kcal/kg/day. After 5 days, the authors report, “The fat fads of the check had returned, the ribs were less prominent, and the general nutritional status was much improved.” Since then, parenteral…