Critical Care Nutrition for Children - Where are we now?

被引:0
作者
Winderlich, Jacinta [1 ,2 ,3 ]
Brown, Georgia [4 ,5 ,6 ]
Udy, Andrew A. [1 ,7 ]
Ridley, Emma J. [1 ,8 ]
机构
[1] Monash Univ, Sch Publ Hlth & Prevent Med, Australian & New Zealand Intens Care Res Ctr, Melbourne, Vic, Australia
[2] Monash Childrens Hosp, Dept Nutr & Dietet, Melbourne, Vic, Australia
[3] Monash Childrens Hosp, Paediat Intens Care Unit, Melbourne, Vic, Australia
[4] Royal Childrens Hosp, Paediat Intens Care Unit, Melbourne, Vic, Australia
[5] Murdoch Childrens Res Inst, Melbourne, Vic, Australia
[6] Univ Melbourne, Dept Crit Care, Melbourne, Vic, Australia
[7] The Alfred, Dept Intens Care & Hyperbar Med, Melbourne, Vic, Australia
[8] Alfred Hlth, Dept Dietet & Nutr, Melbourne, Vic, Australia
关键词
Pediatric; Critical care; Nutrition; Dietitians; Nutritional support; Enteral nutrition; LATE PARENTERAL-NUTRITION; ILL CHILDREN; PROTEIN-INTAKE; PEDIATRIC ICU; SUPPORT; ENERGY; PICU; MULTICENTER; OUTCOMES; INFANTS;
D O I
10.1016/j.ccc.2024.11.003
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Pediatric critical care nutrition-focused clinicians and researchers eagerly await to see what directions current and future studies take and how PICU nutrition therapy may evolve over the next decade. Much is yet to be further understood regarding fundamentals including optimal energy and protein provision. Hypotheses related to nutrition in the PICU must be tested in well-designed trials. There are many exciting developments in areas including body composition monitoring via skeletal muscle ultrasound, tailoring nutrition provision to influence the microbiome, and combining nutrition and mobility interventions. Future studies must consider new frameworks, established consensus priorities and patient-reported outcomes with the shared ultimate goal of improving short- and long-term outcomes of critically ill children via nutrition interventions.
引用
收藏
页码:345 / 361
页数:17
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