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[Benefit of nutrition in children]
1UF anesthésie de l'enfant, pôle d'anesthésie-réanimation, hôpital Jeanne-de-Flandre, CHRU de Lille, Lille, France. bmarciniak@chru-lille.fr <bmarciniak@chru-lille.fr>
Insights
Surgery induces stress with metabolic catabolism. Postoperative nutrition support is generally not needed in the first week, except for neonates, with oral feeding preferred.
Area of Science:
- Metabolic responses to surgical stress
- Pediatric surgical nutrition
Context:
- Surgery is a significant physiological stressor.
- Metabolic responses to stress vary with age.
- Initial catabolism is a common response.
Purpose:
- To outline nutritional support strategies post-surgery.
- To highlight age-specific considerations in pediatric surgical patients.
Summary:
- Postoperative nutrition support is typically unnecessary in the first week after surgery, except for neonates.
- The oral route is the preferred method for nutritional intake.
- Parenteral nutrition, when required, should utilize specialized pediatric formulations and micronutrients.
Impact:
- Informs clinical practice regarding timely and appropriate nutrition management for surgical patients.
- Emphasizes the importance of age-appropriate nutritional interventions in pediatric surgery.
- Contributes to optimizing recovery and reducing complications through evidence-based nutritional guidance.
Abstract:
Surgery is a major cause of stress. Metabolic responses vary according to age but always include an initial catabolism. Postoperative nutrition support is not necessary during the first week except for the neonates. Oral route is the elective one. When parenteral nutrition is needed, specific paediatric nutriments and micronutriments should be preferred.
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