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Updated: Aug 15, 2026

Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
Early enteral feeding of a severely burned pediatric patient
1Saint Francis Regional Medical Center, Wichita, KS 67214.
Insights
Early duodenal feeding in pediatric burn patients ensures adequate nutrition. Despite intolerance risks, this approach supports nutritional stores and weight maintenance in severely injured children.
Area of Science:
- Pediatric critical care
- Nutritional support
- Burn management
Background:
- Severe burns and inhalation injuries in children present significant nutritional challenges.
- Early nutritional intervention is crucial for recovery in pediatric burn patients.
- Enteral feeding is preferred but can be limited by intolerance.
Abstract:
Early postburn duodenal feeding can provide adequate nutritional support despite increased risk of intolerance in a severely injured pediatric patient. A 3-year-old girl was admitted with 30% total body surface area thermal burns and sever inhalation injury. During admission, a pediatric feeding tube was placed into the duodenum, and enteral feeding was initiated within 12 hours after injury. Total enteral feeding provided full nutritional needs by postburn day 5 and continued to provide stable and adequate nutrition throughout administration. A full-strength isotonic formula with high concentration of dipeptides and tripeptides was used. Complications of enteral feeding did not prevent achievement of positive caloric and protein balance or repletion of nutritional stores with conscientious nutritional management. Maintenance of admission weight was achieved. This case report describes techniques in nutritional monitoring to assist in optimizing enteral nutrition management.
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