000			nab a22 7a 4500
999			_c16680 _d16680
003			PC16680
005			20211201122756.0
008			211201b xxu||||| |||| 00| 0 eng d
040			_cH12O
041			_aeng
100			_91852 _aGarcía Lara, Nadia Raquel _eNeonatología
100			_91856 _aEscuder Vieco, Diana _b _eNeonatología
100			_92393 _aAlonso Díaz, Clara _eNeonatología
100			_91427 _aVázquez Román, Sara _eNeonatología
100			_91783 _aCruz Bértolo, Javier de la _eEpidemiología Clínica
100			_91008 _aPallás Alonso, Carmen Rosa _eNeonatología
245		0	_aType of homogenization and fat loss during continuous infusion of human milk. _h[artículo]
260			_bJournal of human lactation : official journal of International Lactation Consultant Association, _c2014
300			_a30(4):436-41.
500			_aFormato Vancouver: García Lara NR, Escuder Vieco D, Alonso Díaz C, Vázquez Román S, De la Cruz Bértolo J, Pallás Alonso CR. Type of homogenization and fat loss during continuous infusion of human milk. J Hum Lact. 2014 Nov;30(4):436-41.
501			_aPMID: 25122692
504			_aContiene 23 referencias
520			_aBackground: Substantial fat loss may occur during continuous feeding of human milk (HM). A decrease of fat loss has been described following homogenization. Well-established methods of homogenization of HM for routine use in the neonatal intensive care unit (NICU) would be desirable. Objective: We compared the loss of fat based on the use of 3 different methods for homogenizing thawed HM during continuous feeding. Methods: Sixteen frozen donor HM samples were thawed, homogenized with ultrasound and separated into 3 aliquots ("baseline agitation," "hourly agitation," and "ultrasound"), and then frozen for 48 hours. Aliquots were thawed again and a baseline agitation was applied. Subsequently, aliquots baseline agitation and hourly agitation were drawn into a syringe, while ultrasound was applied to aliquot ultrasound before it was drawn into a syringe. The syringes were loaded into a pump (2 mL/h; 4 hours). At hourly intervals the hourly agitation infusion was stopped, the syringe was disconnected and gently shaken. During infusion, samples from the 3 groups were collected hourly for analysis of fat and caloric content. Results: The 3 groups of homogenization showed similar fat content at the beginning of the infusion. For fat, mean (SD) hourly changes of -0.03 (0.01), -0.09 (0.01), and -0.09 (0.01) g/dL were observed for the hourly agitation, baseline agitation, and ultrasound groups, respectively. The decrease was smaller for the hourly agitation group (P < .001). Conclusion: When thawed HM is continuously infused, a smaller fat loss is observed when syringes are agitated hourly versus when ultrasound or a baseline homogenization is used.
710			_9446 _aServicio de Pediatría-Neonatología
710			_9625 _aInstituto de Investigación imas12
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/1/pc16680.pdf _ySolicitar documento
942			_2ddc _cART _n0