Nutritional therapy in paediatric intensive care units: a consensus statement of the Section of Paediatric Anaesthesia and Intensive Therapy the Polish Society of Anaesthesiology and Intensive Therapy, Polish Society of Neonatology and Polish Society for.

Providing nutritional therapy via the gastrointestinal tract in patients in paediatric intensive care units (PICUs) is an effective method for delivering energy and other nutrients. In the event of contraindications to using this method, it is necessary to commence parenteral nutrition. In the present study, methods for nutritional treatments in critically ill children are presented, depending on the clinical situation.

Neurogenic stunned myocardium - do we consider this diagnosis in patients with acute central nervous system injury and acute heart failure?

Neurogenic stunned myocardium (NSM) is defined as myocardial injury and dysfunction of a sudden onset, occurring after various types of acute brain injury as a result of an imbalance in the autonomic nervous system. The typical spectrum of clinically observed abnormalities includes acute left ventricular failure, not uncommonly progressing to cardiogenic shock with hypotension that requires inotropic agents, pulmonary oedema and various arrhythmias. Commonly-seen electrocardiographic changes include: prolonged QT interval, ST segment changes, T-wave inversion, a new Q-wave or U-wave.

Tolerance of, and metabolic effects of, preoperative oral carbohydrate administration in children - a preliminary report.

Background: The need for long preoperative fasting has been questioned. Recent data shows that intake of an oral carbohydrate-containing clear fluid prior to anaesthesia is safe and may have a positive impact on recovery and metabolic status and could improve glucose tolerance. Such solutions are routinely used in adults but not children.

[CHANGES IN BODY MASS AND BLOOD LIPID LEVELS IN PATIENTS UNDERGOING CALORIC RESTRICTION].

Introduction: Caloric restriction is the only well-documented nutritional intervention prolonging the life of mammals. This method modifies the lipid levels in blood, controlling obesity and delaying the onset of many medical conditions associated with metabolic disorders. The aim of the study was to carry out a comparative analysis of lipid profile in patients on Mediterranean or CRON (Caloric Restriction with Optimal Nutrition) diets, before and after six weeks of dieting.

[MOLECULAR MECHANISM OF A CALORIC RESTRICTION DIET].

The use of caloric restriction modulates the activity of FoxO proteins. FoxO is a key regulator of changes in the metabolism of carbohydrates. Under the influence of limited access to food FoxO proteins are activated.

Immunologic properties differ in preterm infants fed olive oil vs soy-based lipid emulsions during parenteral nutrition.

Background: In the first period of life, premature infants need parenteral nutrition. Lipid emulsions (LEs), which are a part of parenteral nutrition, are known as potent immunological modulators and may therefore influence the immune status of parenterally fed infants. The aim of the study was to compare tumor necrosis factor (TNF)-alpha, interleukin (IL)-6, and IL-10 production in the peripheral blood mononuclear cells (PBMCs) of premature infants parenterally fed with 2 LEs: olive oil (OO) and soybean oil (SO).

[Prevention of osteopenia in premature infants].

Proposition of recommendations for prevention of osteopenia in premature infants is presented in this article. In parenteral nutrition in premature infants calcium and phosphorus should be supplemented early in a dose of 80-100 mg/kg/24 h (2-2.5 mmol/kg/24 h) and 43-63 mg/kg/24 h (1.

[Treatment of gastro-esophageal reflux in children and premature infants].

Gastroesophageal reflux is a common problem in the paediatric population, which affects especially infants, neonates and preterm infants. Usually the course is benign, but it can also be a cause of severe complications and acute life threatening events. In this paper diagnostic methods are presented and a systematic literature review of treatment options is given.

[Tolerance of two lipid emulsions used in parenterally-fed premature infants - a comparative study].

Introduction: Parenteral nutrition is essential for premature infants during their first days of extrauterine life, when enteral feeding is not tolerated. Lipid emulsions are an integral part of parenteral nutrition. The aim of the study was to compare the effects of two lipid emulsions, based on olive-oil and soybean oil, used in parenteral nutrition of premature infants on: plasma lipid concentrations and hyperbilirubinemia based on plasma bilirubin levels and phototherapy times.

[Congenital jejunoileal and colonic atresia].

Jejunoileal and colonic atresias are a common cause of neonatal intestinal obstruction. Authors present the aetiology, types of atresias, clinical symptoms, diagnostics, surgical treatment, problems of postoperative management and prognosis in the newborns with congenital intestinal atresia. In the years 1992-2000, in the Department of Paediatric Surgery and in the Department of Pathology and Intensive Care of Newborn at the National Research Institute of Mother and Child in Warsaw, 539 newborns were surgically treated (congenital anomalies of gastrointestinal tract, genito-urinary system, central nervous system, defects of abdominal wall and diaphragm).

Extensive and partial protein hydrolysate preterm formulas: the effect on growth rate, protein metabolism indices, and plasma amino acid concentrations.

Background: The use of protein hydrolysate preterm formulas is restricted because data on their nutritional adequacy are scarce. The authors evaluated the rate of growth and indices of protein metabolism in low-birth weight infants fed extensive and partial protein hydrolysate preterm formula followed for 12 weeks.

Methods: A total of 61 low-birth weight infants were assigned randomly to receive extensive protein hydrolysate preterm formula (EH: n = 16), partial protein hydrolysate preterm formula (PH: n = 15), and standard preterm formula (SF; n = 15), or were fed their own mother's fortified breast milk (FBM; n = 15).

[Trophic feeding of very low birth weight infants].

The author presents current views on early trophic feeding of very low birth weight infants. Trophic feeding does not increase the risk of necrotizing enterocolitis, but sustains structural intestinal integrity, promotes maturation of gastrointestinal tract and decreases the complications of parenteral nutrition. Principles of initiating enteral feeding, contraindications and the most common problems accompanying enteral feeding were presented.

Passage of thyroid hormone into milk in rabbits.

In lactating rabbits of New-Zealand breed the passage of iodothyronines from blood to milk was studied. The iodothyronines from the milk were extracted with different solvent systems and then separated either with the aid of paper chromatography in butanol-ethanol-ammonia system or on a Sephadex G-25 fine columns with the use of alkalized ethanol. At 4 h after the administration of labelled compounds the milk/serum ratio for thyroxine (T4) was 0.