Campos Miño S, Sasbón J S
Unidad de Cuidados Intensivos Pediátricos, Hospital de la Sociedad de Lucha contra el Cáncer, Quito, Ecuador.
An Pediatr (Barc). 2009 Jul;71(1):5-12. doi: 10.1016/j.anpedi.2009.03.008. Epub 2009 May 14.
Artificial Nutrition Support (ANS) is an important therapeutic technique in the care of the critically ill child that is not always implemented appropriately and correctly. There are also different ways of applying it which varies between the different centres and, even among the different health professionals.
A cross-sectional multicentre survey.
A total of 24 PICUs took part in 14 countries, the majority multidisciplinary and belonging to public and university hospitals. The preferred ANS was enteral, administrated by the gastric route and started within the first 72h after admission. The administration techniques and monitoring of the ANS, enteral and parenteral, were variable but generally consistent with the world-wide accept recommendations.
Latin-American PICUs prefer enteral ANS administered by gastric feed soon after admission.
人工营养支持(ANS)是危重症患儿护理中的一项重要治疗技术,但并非总是得到恰当和正确的实施。其应用方式也多种多样,不同中心之间存在差异,甚至不同卫生专业人员之间也有所不同。
一项横断面多中心调查。
共有来自14个国家的24个儿科重症监护病房(PICU)参与,大多数为多学科科室,隶属于公立和大学医院。首选的ANS是肠内营养,通过胃途径给药,并在入院后72小时内开始。肠内和肠外ANS的给药技术及监测存在差异,但总体上与全球公认的建议一致。
拉丁美洲的儿科重症监护病房更喜欢在入院后不久通过胃饲给予肠内ANS。