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Breakfast Habits among Schoolchildren in the City of Uruguaiana, Brazil
Published on: July 29, 2020
[The Latin-American survey on nutrition in Pediatric Intensive Care (ELAN-CIP)]
1Unidad de Cuidados Intensivos Pediátricos, Hospital de la Sociedad de Lucha contra el Cáncer, Quito, Ecuador. scampos@life.com.ec
Insights
Pediatric intensive care units (PICUs) in Latin America favor early enteral nutrition via gastric feeding for critically ill children. This approach aligns with general recommendations, though specific practices vary.
Area of Science:
- Critical Care Medicine
- Pediatric Nutrition
- Clinical Practice Surveys
Context:
- Artificial Nutrition Support (ANS) is crucial for critically ill children but implementation varies.
- Practices differ across centers and among healthcare professionals.
Purpose:
- To survey current practices in Artificial Nutrition Support (ANS) across pediatric intensive care units (PICUs).
- To identify preferred methods and timing of ANS in critically ill pediatric patients.
Summary:
- A cross-sectional survey of 24 PICUs in 14 countries revealed a preference for enteral nutrition via the gastric route.
- ANS was typically initiated within 72 hours of admission.
- Administration and monitoring techniques showed variability but generally followed global recommendations.
Impact:
- Highlights a consistent preference for early enteral nutrition in Latin American PICUs.
- Provides insights into current pediatric critical care nutrition practices.
- Informs potential standardization efforts for Artificial Nutrition Support.
Introduction:
Artificial Nutrition Support (ANS) is an important therapeutic technique in the care of the critically ill child that is not always implemented appropriately and correctly. There are also different ways of applying it which varies between the different centres and, even among the different health professionals.
Material Methods:
A cross-sectional multicentre survey.
Results:
A total of 24 PICUs took part in 14 countries, the majority multidisciplinary and belonging to public and university hospitals. The preferred ANS was enteral, administrated by the gastric route and started within the first 72h after admission. The administration techniques and monitoring of the ANS, enteral and parenteral, were variable but generally consistent with the world-wide accept recommendations.
Conclusions:
Latin-American PICUs prefer enteral ANS administered by gastric feed soon after admission.
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