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Commentary on "compatibility of rapid enteral feeding advances and noninvasive ventilation in preterm infants-an

Catherine O Buck1, Sarah N Taylor1

  • 1Department of Pediatrics, Yale School of Medicine, New Haven, Connecticut, USA.

Pediatric Pulmonology
|February 22, 2022
PubMed

Insights

Rapid enteral feeding advancement in extremely preterm infants is not harmful and may benefit outcomes. This approach may play a role in managing bronchopulmonary dysplasia (BPD) pathogenesis.

Area of Science:

  • Neonatology
  • Pediatric Nutrition
  • Respiratory Medicine

Background:

  • Nutritional support is critical for very preterm infants.
  • The role of nutrition in bronchopulmonary dysplasia (BPD) pathogenesis is not fully understood.
  • Limited research exists on nutrition's impact on BPD development.

Purpose of the Study:

  • To discuss the risks and benefits of accelerating enteral feeding in extremely preterm infants.
  • To explore the potential of rapid feeding advancement in managing BPD.
  • To highlight the importance of nutritional strategies in neonatal critical care.

Main Methods:

  • Commentary based on existing literature.
  • Review of studies on enteral feeding advancement in preterm neonates.
  • Analysis of potential benefits versus risks of faster feeding progression.

Main Results:

  • Accelerated enteral feeding has not demonstrated harm in extremely preterm infants.
  • Faster feeding advancement may offer potential benefits for infant outcomes.
  • Evidence suggests a possible link between nutrition and BPD development.

Conclusions:

  • Rapid enteral feeding advancement is a viable strategy in extremely preterm infants.
  • Further research is needed to elucidate nutrition's role in BPD pathogenesis.
  • Optimizing nutritional support is key in the critical care of preterm neonates.

Keywords:
enteral feedingextremely preterm infantfaster feeding advancement

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