Nutrition in Pediatric Extracorporeal Membrane Oxygenation: A Narrative Review.

Front Nutr

Children's Intensive Care Unit, Department of Pediatric Subspecialties, KK Women's and Children's Hospital, Singapore, Singapore.

Published: August 2021

AI Article Synopsis

  • ECMO support is becoming more common in pediatric intensive care, but there's no agreed-upon method for providing nutrition to these critically ill children.
  • The review focuses on key issues like ensuring nutritional adequacy, the benefits and drawbacks of feeding strategies while on ECMO, and comparing enteral (through the digestive tract) versus parenteral (intravenous) nutrition.
  • It also outlines suggested guidelines and potential future research directions to improve nutritional support for pediatric ECMO patients.

Article Abstract

Extracorporeal membrane oxygenation (ECMO) support is increasingly utilized in quaternary pediatric intensive care units. Metabolic derangements and altered nutritional requirements are common in critically ill children supported on ECMO. However, there remains no consensus on the optimal approach to the prescription of nutrition in these patients. This narrative review aims to summarize the current medical literature on various aspects of nutrition support in pediatric patients on ECMO. These include: (1) nutritional adequacy, (2) pros and cons of feeding on ECMO, (3) enteral vs. parenteral nutrition, and (4) proposed recommendations and future directions for research in this area.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8365758PMC
http://dx.doi.org/10.3389/fnut.2021.666464DOI Listing

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