Nutrition and metabolic support in the critically ill child: a clinical guide

Authors

DOI:

https://doi.org/10.47464/MetroCiencia/vol32/3/2024/43-49

Keywords:

nutrition support, enteral nutrition, parenteral nutrition, malnutrition, energy and protein requirements

Abstract

Nutrition support is an important component on the management of the critically ill child. A good nutrition is associated with better clinical outcomes. We present a clinical guide on nutritional evaluation, diagnosis of nutritional risk, energy and protein requirements, and the provision of nutrition support.

Downloads

Download data is not yet available.

Author Biographies

  • Santiago Campos-Miño, Hospital Metropolitano

    Especialista en Pediatría y Cuidado Intensivo Pediátrico; Director, Unidad de Investigación Clínica; Hospital Metropolitano; Quito, Ecuador

  • Estefanía Carrión, Hospital Metropolitano

    Especialista en Pediatría y Gastroenterología, Hepatología y Nutrición Pediátrica, y Nutrición Clínica Avanzada; Hospital Metropolitano; Quito, Ecuador

  • Paúl Moscoso, Hospital Metropolitano

    Especialista en Pediatría y Nutrición Pediátrica; Hospital Metropolitano; Quito, Ecuador

References

Campos-Miño S, Fussell M. Meeting the demands of critical illness in children: the importance of nutrition in pediatric intensive care. Pediatr Crit Care Med 2014; 15(7): 667-8.

Mehta NM, Bechard LJ, Cahill N, et al. Nutritional practices and their relationship to clinical outcomes in critically ill children: an international multicenter cohort study. Crit Care Med 2012; 40: 2204-11.

Mehta NM, Bechard LJ, Zurakowski D, et al. Adequate enteral protein intake is inversely associated with 60-d mortality in critically ill children: a multicenter, prospective, cohort study. Am J Clin Nutr 2015; 102: 199-206.

Jotterand Chaparro C, Laure Depeyre J, Longchamp D, et al. How much protein and energy are needed to equilibrate nitrogen and energy balances in ventilated critically ill children? Clin Nutr 2016; 35: 460-467.

Bechard LJ, Staffa SJ, Zurakowski D, Mehta NM. Time to achieve delivery of nutrition targets is associated with clinical outcomes in critically ill children. Am J Clin Nutr 2021; 114: 1859-1867.

Campos-Miño S, López-Herce Cid J, Figueiredo Delgado A, Muñoz Benavides E, Coss-Bu JA; Nutrition Committee, Latin American Society of Pediatric Intensive Care (SLACIP). The Latin American and Spanish Survey on Nutrition in Pediatric Intensive Care (ELAN-CIP2). Pediatr Crit Care Med 2019; 20: e23-e29.

Campos Miño S. Gastrointestinal Complications in the PICU: Is Disease the Only Culprit? Pediatr Crit Care Med 2015; 16: 882-3.

Campos-Miño S, Velasco M, Moscoso P, et al. Perceived barriers to effective enteral and parenteral nutrition in pediatric intensive care units in Ecuador: a multicenter survey study. Metro Ciencia 2021; 29: 27–35.

Campos-Miño S, Santacruz Sandoval K, Yerovi Santos R, et al. Soporte nutricional y cumplimiento de objetivos nutricionales en la UCI Pediátrica del Hospital Metropolitano. MetroCiencia [Internet]. 29 de enero de 2021 [citado 3 de julio de 2024]; 29: 23-7.

Instituto Nacional de Estadísticas y Censos (INEC). Encuesta INDE. Disponible en: https://www.ecuadorencifras.gob.ec/encuesta_nacional_desnutricion_infantil/index.html

Campos-Miño S, Figueiredo-Delgado A, Zárate P, Zamberlan P, Muñoz-Benavides E, Coss-Bu JA; Nutrition Committee, Latin American Society of Pediatric Intensive Care (SLACIP). Malnutrition and Nutrition Support in Latin American PICUs: The Nutrition in PICU (NutriPIC) Study. Pediatr Crit Care Med 2023; 24: 1033-1042.

Texas Children´s Hospital, Pediatric Nutrition Reference Guide, 13th. edition. Houston, USA, 2022.

World Health Organization (WHO) Anthro software. Disponible en: https://www.who.int/tools/child-growth-standards/software

Chou JH, Roumiantsev S, Singh R: PediTools electronic growth chart calculators: Applications in clinical care, research, and quality improvement. J Med Internet Res 2020; 22: e16204

Organización Mundial de la Salud, estándares de perímetro braquial. Disponible en: https://www.who.int/tools/child-growth-standards/standards/arm-circumference-for-age

Stephens K, Escobar A, Jennison EN, et al. Evaluating mid-upper arm circumference z-score as a determinant of nutritional status. Nutr Clin Pract 2018; 33: 124-132.

de Onis M, Onyango AW, Borghi E, et al: Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ 2007; 85:660–667

Hatch-Stein JA, Zemel BS, Prasad D, et al. Body Composition and BMI Growth Charts in Children With Down Syndrome. Pediatrics 2016; 138: e20160541

Krick J, Murphy-Miller P, Zeger S, Wright E. Pattern of growth in children with cerebral palsy. J Am Diet Assoc 1996; 96: 680-5

Dos Santos CA, Ribeiro AQ, Rosa COB, et al. Nutritional risk in pediatrics by StrongKids: a systematic review. Eur J Clin Nutr 2019; 73: 1441-1449

Mehta NM, Skillman HE, Irving SY, et al. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition. JPEN J Parenter Enteral Nutr 2017; 41: 706-742

Tume LN, Valla FV, Joosten K, et al. Nutritional support for children during critical illness: European Society of Pediatric and Neonatal Intensive Care (ESPNIC) metabolism, endocrine and nutrition section position statement and clinical recommendations. Intensive Care Med 2020; 46: 411-425

Campos-Miño S, Moreno Castro M. Fluidoterapia y electrolitos parenterales en pediatría. MetroCiencia [Internet]. 29 de octubre de 2020 [citado 5 de julio de 2024];28(4):4-15.

Feld LG, Neuspiel DR, Foster BA, et al. SUBCOMMITTEE ON FLUID AND ELECTROLYTE THERAPY. Clinical Practice Guideline: Maintenance Intravenous Fluids in Children. Pediatrics 2018; 142: e20183083.

Bhutta ZA, Berkley JA, Bandsma RHJ, Kerac M, Trehan I, Briend A. Severe childhood malnutrition. Nat Rev Dis Primers. 2017 Sep 21;3:17067. doi: 10.1038/nrdp.2017.67. PMID: 28933421; PMCID: PMC7004825.

Published

2024-09-15

Issue

Section

Guías Clínicas

How to Cite

Nutrition and metabolic support in the critically ill child: a clinical guide. (2024). Metro Ciencia, 32(3), 43-49. https://doi.org/10.47464/MetroCiencia/vol32/3/2024/43-49

Similar Articles

1-10 of 110

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)

1 2 3 4 > >>