000002888 001__ 2888
000002888 005__ 20251030124433.0
000002888 0247_ $$2DOI$$a10.6083/M44F1PGG
000002888 037__ $$aETD
000002888 245__ $$aUse of fortified skimmed breast milk to feed infants with postoperative chylothorax
000002888 260__ $$bOregon Health and Science University
000002888 269__ $$a2015
000002888 336__ $$aThesis
000002888 502__ $$bM.S.
000002888 520__ $$aBreast milk is the  best source  of nutrition  for the  infant  but  infants  suffering  from post-surgical  chylothorax  cannot  consume  breastmilk due to its  high  fat content.  There  is an interest  among health  care providers and mothers  of  infants  with  chylothorax  to use skimmed, supplemented  breast milk instead of  specialized infant  formulas.   Objective:  The  purpose of this study  was to assess the nutritional  intake, tolerance  and growth  of infants  fed fortified skimmed breast milk compared to  infants  fed specialized infant  formulas  for  the treatment  of chylothorax  following  cardiothoracic surgery. Study  design: Expressed  breast milk was skimmed by allowing  it to sit  undisturbed  for at least 24 hours  in the  refrigerator to separate the  fat and non-fat  fractions.  Skimmed breast milk contained  inadequate  energy  for infants  after  cardiothoracic surgery  so the  skimmed breast milk was fortified with  MCT  ProCal™ (Vitaflo USA, Alexandria, VA) or Monogen™ (Nutricia North America,  Gaithersburg,  MD),   medium-chain  triglyceride  containing  supplements,  to reach ~22 kcal/oz  before feeding to the  infant.  Infant  intake of total energy  and protein, incidence of emesis and diarrhea and  daily weights  were recorded during  the  inpatient  stay.  Weight was recorded at follow  up outpatient  visits when  infants  were also assessed for reoccurrence  of chylothorax.
000002888 540__ $$fCC BY
000002888 542__ $$fIn copyright - single owner
000002888 650__ $$aChylothorax$$016723
000002888 650__ $$aMilk, Human$$022322
000002888 650__ $$aInfant$$020774
000002888 650__ $$aInfant Formula$$035144
000002888 691__ $$aSchool of Medicine$$041369
000002888 692__ $$aGraduate Programs in Human Nutrition$$041470
000002888 7001_ $$aLopez, Guadaljupe$$uOregon Health and Science University$$041354
000002888 7201_ $$aGillingham, Melanie$$uOregon Health and Science University$$041354$$7Personal$$eAdvisor
000002888 8564_ $$9f7bda81e-1ca6-4020-8efe-8b8463b8ede5$$s1593774$$uhttps://digitalcollections.ohsu.edu/record/2888/files/3658_etd.pdf$$ePublic$$27c776ddd4b290cd079a5ef0ff0dcafd3$$31
000002888 905__ $$a/rest/prod/zg/64/tm/11/zg64tm11g
000002888 909CO $$ooai:digitalcollections.ohsu.edu:2888$$pstudent-work
000002888 980__ $$aTheses and Dissertations