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Published on: October 24, 2018
Nutrition Support During Pediatric Extracorporeal Membrane Oxygenation
Bethany J Farr1,2, Samuel E Rice-Townsend1,2, Nilesh M Mehta2,3,4
1Department of Surgery, Boston Children's Hospital, Boston, Massachusetts, USA.
Adequate nutrition is crucial for critically ill children on extracorporeal membrane oxygenation (ECMO). This review outlines current evidence and guidelines for optimal nutrition delivery and identifies research gaps in ECMO patient care.
Area of Science:
- Pediatric Critical Care Medicine
- Nutritional Support
- Extracorporeal Membrane Oxygenation (ECMO)
Background:
- Adequate nutrition is vital for improving outcomes in critically ill pediatric patients.
- Pediatric patients undergoing extracorporeal membrane oxygenation (ECMO) are at high risk for nutritional deficits.
- Challenges exist in assessing nutritional needs and delivering optimal nutrition to pediatric ECMO patients.
Purpose of the Study:
- To review current evidence and guidelines for nutrition prescription and delivery in pediatric ECMO patients.
- To discuss nutrient delivery considerations for survivors of ECMO therapy.
- To identify areas requiring further research in pediatric ECMO nutrition.
Main Methods:
- Comprehensive literature review of existing studies and guidelines.
- Analysis of evidence regarding nutritional requirements and delivery methods.
- Synthesis of information on post-ECMO nutritional management.
Main Results:
- Current evidence and guidelines for optimal nutrition in pediatric ECMO patients were presented.
- Challenges in nutritional assessment and delivery were highlighted.
- Considerations for nutrient delivery in ECMO survivors were discussed.
Conclusions:
- Optimal nutrition is critical for pediatric ECMO patients, but current practices face challenges.
- Evidence-based guidelines are needed for nutrition prescription and delivery in this vulnerable population.
- Further research is essential to address knowledge gaps and improve nutritional outcomes for ECMO survivors.
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