Bedside to bench: The risk of bleeding with parenteral omega-3 lipid emulsion therapy.

Dicken, Bryan J; Bruce, Aisha; Samuel, Tarah M; Wales, Paul W; Nahirniak, Susan; Turner, Justine M · J Pediatr · 2014

case_report · Level V

Where this comes from

Abstract

Our clinical experience led us to reassess the effect of sole omega-3 lipid therapy on hemostasis. We compared thromboelastography platelet mapping in neonatal piglets given sole omega-3 lipid. We identified abnormalities in reaction time (P = .025) and the arachidonic acid pathway (P = .025). The potential for bleeding complications from parenteral omega-3 lipid emulsion therapy in high-risk infants with liver disease has been dismissed but, on the basis of this data, should be reconsidered.

Medical subject headings