Neonatal idiopathic aneurysm of the common iliac artery.

Arterial aneurysms are very rare in children, with iliac aneurysms being even more uncommon. We report the case of a 61-day-old girl with a right common iliac artery aneurysm that was an incidental finding on the third day of life. The aneurysm was treated by direct aneurysm puncture and endovascular coil embolization. The patient was discharged with no complications, and complete exclusion of the aneurysm was confirmed on the 3-month follow-up examination.

Nutritional therapy in paediatric intensive care units: a consensus statement of the Section of Paediatric Anaesthesia and Intensive Therapy the Polish Society of Anaesthesiology and Intensive Therapy, Polish Society of Neonatology and Polish Society for.

Providing nutritional therapy via the gastrointestinal tract in patients in paediatric intensive care units (PICUs) is an effective method for delivering energy and other nutrients. In the event of contraindications to using this method, it is necessary to commence parenteral nutrition. In the present study, methods for nutritional treatments in critically ill children are presented, depending on the clinical situation.

[Nutrition in infants with BPD after hospital discharged]. / Zywienie dzieci z dysplazja oskrzelowo-plucna po wypisie ze szpitala.

The paper describes current proposals for feeding infants with BPD discharged from neonatal units. Weight and growth as well as tissue composition of infants with BPD are different from infants with similar birth weight. Currently there are no findings as to the advantages of either method of feeding of LBW and ELBW infants after discharge. No research has been done showing the advantage of preterm formula over breast milk. Postdischarge formulas with the content of nutrients more beneficial than breast milk, containing less protein and energy than preterm formulas and more vitamin, minerals and microelements than breast milk, are currently not available in Poland. Considering respiratory and digestion disorders as well as problems with coordination of sucking and swallowing in infants with BPD, the basic rules for BPD infants' feeding should include: 1. increased demand for energy and nutrients; 2. preventing osteopaenia; 3. the necessity for fluid restriction; 4. administration of nutrients necessary for proper development and healing of lungs, such as vit. A and E, LC PUFA, vit C, ferrum, selenium, glutamine, cysteine, metionine, microelements; 5. paying close attention to problems of sucking and swallowing as well as the presence of gastroesophaegal reflux.

[Effects of glutamine supplemented parenteral nutrition on the incidence of necrotizing enterocolitis, nosocomial sepsis and length of hospital stay in very low birth weight infants]. / Ocena wplywu suplementacji glutamina zywienia pozajelitowego na czestosc wystepowania martwiczego zapalenia jelit, szpitalnej sepsy oraz czas leczenia w szpitalu u noworodków z bardzo mala urodzeniowa masa ciala.

INTRODUCTION: Parenteral feeding is the basic way of nutrition in the first day of life in infants with very low birth weight. Due to its instability glutamine is not included in aminoacid solutions used for parenteral nutrition. Meanwhile glutamine is an important aminoacid, which plays a major role in the maturation of the gastrointestinal tract as well as the immunological system. AIM OF THE STUDY: The aim of our study was to estimate if glutamine supplementation of parenteral nutrition in neonates with the very low birth weight can decrease the incidence of necrotizing enterocolitis -- NEC (> 1 degree according to the Bell criteria), nosocomial sepsis, and shorten the total length of hospitalization. MATERIAL AND METHODS: Prospective, randomized study included 55 neonates born between 26 and 32 weeks of gestation, with birth weight range of 580 g to 1250 g. On the third day of life patients were randomized into 2 groups. Each group was fed with a different aminoacid solution. Group 1 consisted of patients who received a standard aminoacid solution with an addition of glutamine dipeptide (20% of total amount of aminoacids). Group 2 (acknowledged as the control group) including 30 patients received a standard aminoacid solution. Glutamine and glutaminic acid levels were checked in the cord blood, and on the 3rd and 14th day of life. Venous samples were taken at 8 a.m. and were estimated using HPLC. The Ethics Committee of the Warsaw Medical University had approved the research. RESULTS: In group 1 nosocomial sepsis had occurred in 7/25 neonates, and in the control group in 11/30; NEC was diagnosed in none of the 25 neonates in group 1 and in 5/30 of the control group; the total length of hospitalization in group 1 was 75 days (median 70) versus 73 in the control group (median 70). The lowest glutamine concentration was noted in cord blood samples, and increased on the third day of life in both groups. There were a statistically significant difference among the levels of glutamine concentration between the cord sample and the sample on the day three (p<0.01). On the 14th day of life glutamine concentration increased in both groups, but it was about 30% higher in group 1. This was statistically significant. CONCLUSIONS: Glutamine supplemented parenteral nutrition from day 4 to day 14 among neonates with very low birth weight, decreased the incidence of necrotizing enterocolitis, but it did not influence the incidence of hospital acquired sepsis, as well as the length of stay in the intensive care unit, and the total time of hospitalization. Further research is needed to estimate the role of glutamine in preventing gastrointestinal complications observed during sepsis.