SCCM Resource Library-Food for Thought: The Nuts and Bolts of Nutrition for Pediatric Critical Illness

Video Transcription

Video Summary

The speakers discussed the importance of nutrition in pediatric critical illness and the impact of early initiation of enteral nutrition (EN). Dr. Vijay Srinivasan highlighted the benefits of early EN, including improved feeding tolerance, immune function, and organ function. He presented evidence from studies showing that early EN is associated with lower mortality and better outcomes in critically ill children. He also discussed the optimal timing for initiation of EN, which is within 24 to 48 hours of admission. Dr. Anne-Marie Brown spoke about the comparison between bolus and continuous gastric feeding in pediatric critical care. She presented evidence suggesting that bolus feeding is more physiologic and may have advantages over continuous feeding, such as improved gastric motility and decreased interruptions in feeding. She also discussed the potential impact of bolus feeding on gallbladder function and protein anabolic action. Dr. Sharon Irving focused on nutrition status in critically ill children and its impact on illness outcomes. She emphasized the importance of measuring nutrition status using anthropometrics and serum biomarkers. She highlighted the risks associated with malnutrition, including increased hospital-acquired infections, longer duration of mechanical ventilation, and higher mortality rates. She also discussed the challenges in determining nutrition status and the need for standardized assessment methodologies. Overall, the speakers highlighted the importance of early initiation of EN, the potential benefits of bolus feeding, and the impact of nutrition status on outcomes in critically ill children.

Asset Subtitle

Pediatrics, GI and Nutrition, 2021

Asset Caption

The Society of Critical Care Medicine's Critical Care Congress features internationally renowned faculty and content sessions highlighting the most up-to-date, evidence-based developments in critical care medicine. This is a presentation from the 2021 Critical Care Congress held virtually from January 31-February 12, 2021.

Learning Objectives Discuss the impact of pre-illness nutrition status on outcomes of pediatric sepsis Examine the evidence for pre-nutrition assessment and clinical pathway guidelines to optimize nutrition support in critically ill children Discuss the impact of timing and intensity of nutrition therapy on outcomes in critically ill children Review gastric physiology and evidence for bolus and continuous feeding in critically ill children

In Gut We Trust: Feed Early and Feed Well Vijay Srinivasan

Feeding the Stomach in Critically Ill Children: Is Bolus Better Than Continuous? Ann-Marie Brown

Pre-Illness Nutrition Status and a Pathway to Nutrition in Critically Ill Children Sharon Y. Irving

Meta Tag

Content Type Presentation

Knowledge Area Pediatrics

Knowledge Area GI and Nutrition

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Select

Tag Enteral Nutrition

Year 2021

Keywords

nutrition

pediatric critical illness

enteral nutrition

early initiation

feeding tolerance

immune function

organ function

bolus feeding

nutrition status

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