Parenteral Nutrition in the Neonatal Intensive Care Unit: Intravenous Lipid Emulsions

Clin Perinatol. 2023 Sep;50(3):575-589. doi: 10.1016/j.clp.2023.04.012. Epub 2023 Jun 1.

Abstract

Intravenous lipid emulsions (ILEs) are a source of nonprotein calories and fatty acids and help promote growth in preterm infants and infants with intestinal failure. An ILE dose and oil source determines its fatty acid, phytosterol, and vitamin E delivery. These factors play a role in the infant's risk for essential fatty acid deficiency and cholestasis, and help modulate inflammation, immunity, and organ development. This article reviews different ILEs and their constituents and their relationship with neonatal health.

Keywords: Fatty acids; Intestinal failure–associated liver disease; Lipids; Neonates; Parenteral nutrition; Premature.

Publication types

  • Review

MeSH terms

  • Cholestasis*
  • Fat Emulsions, Intravenous* / therapeutic use
  • Fish Oils
  • Humans
  • Infant
  • Infant, Newborn
  • Infant, Premature
  • Intensive Care Units, Neonatal
  • Parenteral Nutrition
  • Soybean Oil

Substances

  • Fat Emulsions, Intravenous
  • Fish Oils
  • Soybean Oil