Related Experiment Video

Updated: Mar 18, 2026

Assessment of the Efficacy of An Osteopathic Treatment in Infants with Biomechanical Impairments to Suckling
07:11

Assessment of the Efficacy of An Osteopathic Treatment in Infants with Biomechanical Impairments to Suckling

Published on: February 5, 2019

9.8K

Comparison of Feeding Strategies for Infants With Hypoplastic Left Heart Syndrome: A Randomized Controlled Trial

Nicole T Spillane1, Sudha Kashyap2, David Bateman2

  • 1Department of Pediatrics, Hackensack UMC, Rutgers University New Jersey Medical School, Hackensack, NJ, USA nspillane@hackensackumc.org.

World Journal for Pediatric & Congenital Heart Surgery
|July 1, 2016
PubMed

Insights

Continuous enteral feedings did not significantly improve weight gain in infants with hypoplastic left heart syndrome after stage 1 procedures. Growth failure remains a concern, necessitating further research into improved feeding strategies for these infants.

Area of Science:

  • Pediatric Cardiology
  • Neonatal Nutrition
  • Congenital Heart Disease

Background:

  • Infants with hypoplastic left heart syndrome (HLHS) often experience growth failure post-stage 1 palliation.
  • The impact of continuous enteral nutrition on weight gain in these infants is not well-established.

Purpose of the Study:

  • To investigate the effect of continuous enteral feedings versus intermittent feedings on weight gain and nutritional status in infants with HLHS after stage 1 procedures.

Main Methods:

  • A randomized controlled trial compared continuous and intermittent feeding regimens with exclusive intermittent feeding.
  • Anthropometric measures and nutritional markers were assessed until hospital discharge.
  • Twenty-six infants with HLHS and single ventricle variants were included.

Main Results:

  • No significant differences in weight gain (24.3 vs 23.6 g/d) or weight-for-age Z scores (-1.37 vs -1.2) were observed between the feeding groups.
  • Both groups achieved target daily weight gain after initiating full enteral feeds.

Conclusions:

  • Continuous enteral feeding strategies did not show a significant advantage over intermittent feedings for weight gain in HLHS infants post-stage 1 palliation.
  • Despite achieving target weight gain, overall growth failure persists.
  • Novel strategies are required to enhance growth during initial hospitalization for infants with HLHS.
Abstract

Keywords:
Norwood procedurehypoplastic left heart syndromeinfantnutritionpalliation

More Related Videos

Author Spotlight: Implications of Non-Nutritive Sucking on Speech Emergence and Infant Development06:19

Author Spotlight: Implications of Non-Nutritive Sucking on Speech Emergence and Infant Development

Published on: April 19, 2024

1.5K
Implantation of Left Ventricular Assist Device (LVAD) in Juvenile Landrace Swine: A LVAD Implantation Model of Pediatric Heart Failure05:18

Implantation of Left Ventricular Assist Device (LVAD) in Juvenile Landrace Swine: A LVAD Implantation Model of Pediatric Heart Failure

Published on: January 16, 2026

130

Related Concept Videos

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
1.5K
Enteral Nutrition I: Orogastric and Nasogastric Feeding01:26

Enteral Nutrition I: Orogastric and Nasogastric Feeding

Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
2.2K
Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
511
Drug Dosing: Infants and Children01:29

Drug Dosing: Infants and Children

Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...
693
Mitral Regurgitation IV: Nursing Management01:28

Mitral Regurgitation IV: Nursing Management

Mitral regurgitation (MR) is a condition where the mitral valve does not close properly, leading to the backward flow of blood from the left ventricle into the left atrium during systole. This condition can arise from various causes, including rheumatic fever, infective endocarditis, or degenerative valve disease. Effective nursing management is crucial to optimizing patient outcomes and involves comprehensive assessment and targeted interventions.Comprehensive Patient AssessmentA detailed...
485