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charris
12th May 2009, 18:38
Do any European colleagues have information about the stability of Omegaven 10% in syringes? We have a 3 kg baby ordered about 30 mL/day and if we could subdivide a 100 mL bottle into 3 portions it would be much more cost effective. This baby will be on very long-term TPN having lost most of the bowel after gastrochisis repair, then necrotic bowel was resected.
Thanks, Connie Harris, Pharm.D, NICU - VGH, Victoria, Canada
sameera_reddy
26th May 2009, 09:36
I am an Asian colleague .We regularly use these preparations for our ELBWs. My senior colleagues have been using the following technique for atleast past 7-8 yrs. We secure a dedicated peripheral long line under strict aseptic conditions and connect to them by two different 3 way extensions both aminoacid and lipid preparations.We cover these extensions.Each bottle is usually 100ml.We run these solutions for total of three days in the required dosing.We never break the circuit during this time and after 3 days we discard all the circuits and solutions and start fresh again.We routinely send the left out solutions for cultures and we were lucky that we never encountered any growth in them.This procedure was published in the journal of Neonatology-from India,in 2004.Dr.P.Sameera,Consultant Neonatologist,Manipal Speciality Hospital,Bangalore,India
charris
1st June 2009, 18:15
Thanks so much for the reply Dr. Sameera,
sjbrott
9th June 2009, 06:23
Is this article available on the internet? I would love to read it.
sameera_reddy
9th June 2009, 13:36
The article is available on net for members and its reference is as below-Dr.Sameera
Journal of Neonatology
Year : 2004, Volume : 18, Issue : 1
Print ISSN : 0973-2179.
Experience with modified technique of parenteral nutrition in neonatal intensive care unit
JACK
9th June 2009, 17:53
The following is the link for the journal issue having this article
LINK (http://www.jnnfi.org/jnnfi.aspx?target=ijor:jn&volume=18&issue=1&type=toc)

Registration is free and takes a minute to finish after which you can download the article in pdf format
sjbrott
10th June 2009, 01:03
Wonderful! Thank you for the link and info.