Multiprofessional Critical Care Review: Pediatric 2024 (MCCRCP24ON)-Nutritional Support

Video Transcription

Video Summary

In this video, the speaker discusses nutritional therapy in the pediatric critical care setting. They cover the metabolic stress response and its effects on the body, such as muscle protein breakdown and hyperglycemia. They also talk about the different methods for estimating energy expenditure and protein balance in the ICU. The importance of providing adequate nutrition to pediatric patients is emphasized, as inadequate intake can lead to malnutrition and negative consequences like delayed wound healing and immune dysfunction. The speaker also discusses the challenges and considerations for providing enteral nutrition, including the use of gastric versus post-pyloric feeding and the timing of parenteral nutrition. They highlight the need for individualized nutrition plans and an algorithmic approach based on each patient's needs. The speaker concludes by discussing the role of non-nutritional strategies in preserving lean muscle mass and the importance of a multidisciplinary team approach to nutritional therapy in the pediatric ICU.

Keywords

nutritional therapy

pediatric critical care

metabolic stress response

energy expenditure

protein balance

enteral nutrition

parenteral nutrition

multidisciplinary team approach

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