Department of Surgery, Boston Children's Hospital, Boston, Massachusetts, USA.
Harvard Medical School, Boston, Massachusetts, USA.
Nutr Clin Pract. 2018 Dec;33(6):747-753. doi: 10.1002/ncp.10212. Epub 2018 Oct 16.
Providing adequate nutrition to critically ill pediatric patients is essential and positively impacts outcomes. Critically ill infants and children receiving extracorporeal membrane oxygenation (ECMO) therapy are nutritionally vulnerable, yet there are challenges to reliable assessment of nutrition requirements and to the delivery of optimal nutrition in this cohort. In this review of the relevant literature, we present the current evidence and guidelines for the optimal prescription and delivery of nutrition for pediatric patients receiving ECMO. We also discuss nutrient delivery considerations in ECMO survivors and identify areas where further study is needed.
为危重症儿科患者提供充足的营养至关重要，并能对治疗结果产生积极影响。接受体外膜肺氧合（ECMO）治疗的危重症婴儿和儿童存在营养风险，然而，在这一人群中，准确评估营养需求和提供最佳营养支持存在挑战。在对相关文献进行综述的过程中，我们阐述了目前针对接受 ECMO 治疗的儿科患者的最佳营养处方和供给的证据和指南。我们还讨论了 ECMO 幸存者的营养供给注意事项，并确定了需要进一步研究的领域。
