Justice Lindsey, Buckley Jason R, Floh Alejandro, Horsley Megan, Alten Jeffrey, Anand Vijay, Schwartz Steven M
1 The Heart Institute, Cincinnati Children's Hospital, Cincinnati, OH, USA.
2 Medical University of South Carolina, Charleston, SC, USA.
World J Pediatr Congenit Heart Surg. 2018 May;9(3):333-343. doi: 10.1177/2150135118765881.
Adequate caloric intake plays a vital role in the course of illness and the recovery of critically ill patients. Nutritional status and nutrient delivery during critical illness have been linked to clinical outcomes such as mortality, incidence of infection, and length of stay. However, feeding practices with critically ill pediatric patients after cardiac surgery are variable. The Pediatric Cardiac Intensive Care Society sought to provide an expert review on provision of nutrition to pediatric cardiac intensive care patients, including caloric requirements, practical considerations for providing nutrition, safety of enteral nutrition in controversial populations, feeding considerations with chylothorax, and the benefits of feeding beyond nutrition. This article addresses these areas of concern and controversy.
充足的热量摄入在危重症患者的病程及康复过程中起着至关重要的作用。危重症期间的营养状况和营养供给与诸如死亡率、感染发生率及住院时间等临床结局相关。然而，心脏手术后危重症儿科患者的喂养方式各不相同。小儿心脏重症监护学会试图对小儿心脏重症监护患者的营养供给提供专家综述，内容包括热量需求、营养供给的实际考量、有争议人群肠内营养的安全性、乳糜胸的喂养考量以及营养之外的喂养益处。本文探讨了这些令人关注和存在争议的领域。
