Publications by authors named "Katarina G Berry"

Objectives: Nutrition plays a vital role in the outcome of critical illness in children, particularly those with acute kidney injury. Currently, there are no established guidelines for children with acute kidney injury treated with continuous kidney replacement therapy. Our objective was to create clinical practice points for nutritional assessment and management in critically ill children with acute kidney injury receiving continuous kidney replacement therapy.

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Article Synopsis
  • Nutrition is crucial for critically ill children, especially those with acute kidney injury (AKI) undergoing continuous renal replacement therapy (CRRT), but there are no specific guidelines currently in place for their nutritional management.
  • A comprehensive literature review was conducted, and insights from a panel of experts in pediatric nephrology and nutrition were utilized to create clinical practice points specifically focused on nutritional assessment and management for these patients.
  • The final output includes 44 clinical practice points that address nutrition assessment, energy needs, and nutrient intake, developed through the modified Delphi method using existing research and expert consensus.
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Background: Current research highlights the positive impact of nutrition therapy, particularly enteral nutrition, in critical illness. However, little attention is given to the impact of nutrition on skin integrity during critical illness. Skin integrity is at risk in critically ill children owing to necessary clinical therapies and challenges of providing nutrition therapy.

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Nutrition status plays a critical role in pressure injury (PI) healing and yet the available literature, especially in pediatric patients, is limited. Critically ill pediatric patients are at an increased risk of skin integrity compromise and PI development. Adequate nutritional intake can often be challenging to achieve in this population and immobility and illness present additional obstacles to maintaining skin integrity in this vulnerable population.

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