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

Video Transcription

Video Summary

This lecture covers nutritional therapy for pediatric critical illness, focusing on research and practical guidelines. Key points include understanding the metabolic stress response versus starvation, estimating energy expenditure using indirect calorimetry, and appropriate energy and protein intake. Emphasis is placed on achieving two-thirds of the prescribed energy by the first week in the PICU.<br /><br />Protein balance and malnutrition are highlighted, noting differences between enteral and parenteral nutrition. Recommendations discourage the use of early parenteral nutrition, favoring early enteral feeds. Practical advice includes following guidelines to optimize macronutrient delivery and addressing issues like feeding intolerance.<br /><br />Preoperative fasting and the debated gastric vs. post-pyloric feeding approaches are also discussed. The Goldilocks principle underscores the need for a balance in nutrient provision to avoid overfeeding and underfeeding. This comprehensive review is designed to prepare for board exam questions and improve clinical outcomes.

Keywords

pediatric critical illness

nutritional therapy

energy expenditure

enteral nutrition

protein balance

feeding intolerance

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