儿科心脏重症监护中的营养与肠系膜问题
Nutrition and Mesenteric Issues in Pediatric Cardiac Critical Care.
作者信息
Floh Alejandro A, Slicker Julie, Schwartz Steven M
机构信息
1Department of Pediatrics, Section of Critical Care Medicine, University of Toronto, The Hospital for Sick Children, Toronto, ON, Canada. 2Quality, Outcomes and Research, Herma Heart Center, Children's Hospital of Wisconsin, Milwaukee, WI. 3Department of Pediatrics, Section of Critical Care Medicine and Cardiology, Section of Cardiac Critical Care Medicine, University of Toronto, The Hospital for Sick Children, Toronto, ON, Canada.
出版信息
Pediatr Crit Care Med. 2016 Aug;17(8 Suppl 1):S243-9. doi: 10.1097/PCC.0000000000000801.
OBJECTIVES
The objectives of this review are to discuss the challenges of delivering adequate nutrition to children with congenital heart disease, including pre- and postoperative factors and the role of enteral and parenteral nutrition, as well as the evidence supporting current practices.
DATA SOURCE
MEDLINE and PubMed.
CONCLUSION
Providing adequate nutritional support is paramount for critically ill infants with congenital heart disease, a population at particular risk for malnutrition. Improved nutritional support has been associated with increased survival and reduction in overall morbidity. Further gains can be achieved by creating a clinical culture that emphasizes optimal perioperative nutritional support. Additional research is required to identify the specific nutrient composition, optimal mode, and timing of delivery to maximize clinical benefit.
目的
本综述的目的是探讨为先天性心脏病患儿提供充足营养所面临的挑战，包括术前和术后因素以及肠内和肠外营养的作用，以及支持当前做法的证据。
数据来源
医学在线数据库（MEDLINE）和美国国立医学图书馆生物医学文献数据库（PubMed）。
结论
为患有先天性心脏病的危重症婴儿提供充足的营养支持至关重要，这一群体尤其有营养不良的风险。改善营养支持与提高生存率和降低总体发病率相关。通过营造强调围手术期最佳营养支持的临床文化，可以取得进一步的成效。需要进行更多研究，以确定特定的营养成分、最佳模式和输送时机，从而使临床效益最大化。
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