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Multiprofessional Critical Care Review: Pediatric ...
Nutritional Support
Nutritional Support
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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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