Multiprofessional Critical Care Review: Pediatric 2024 (MCCRCP24ON)-30

30_Nutritional Support

Pdf Summary

The document discusses nutritional therapy in pediatric critical care settings, presented by Dr. Katri Typpo. It covers various topics such as metabolic stress responses, estimating energy expenditure, protein balance, and malnutrition. The slides outline the differences between starvation and metabolic stress, emphasizing factors such as energy expenditure and protein breakdown. Indirect calorimetry is highlighted as a method to measure metabolic parameters. The document also delves into the importance of protein balance for preserving lean body mass and key considerations for optimal nutrient delivery at the bedside. Furthermore, it touches on the impact of nutritional practices on clinical outcomes.<br /><br />The presentation underscores the challenges in predicting resting energy expenditure accurately and the complexity of protein catabolism after major stress or surgery. Factors influencing optimal protein delivery in the pediatric intensive care unit are discussed, along with the significance of achieving positive protein balance. The guidelines stress the importance of individualized nutrition plans, early initiation of enteral nutrition, monitoring for intolerance, and implementing an algorithmic approach for nutrition management. Additionally, the document mentions the importance of micronutrient management and the need for further research in this area. Overall, the guidelines aim to optimize nutritional support for critically ill pediatric patients to improve outcomes and reduce complications.

Keywords

nutritional therapy

pediatric critical care

metabolic stress

energy expenditure

protein balance

malnutrition

indirect calorimetry

enteral nutrition

micronutrient management

clinical outcomes

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