Toh Theresa S W, Ong Chengsi, Mok Yee Hui, Mallory Palen, Cheifetz Ira M, Lee Jan Hau
Department of Pediatric Medicine, KK Women's and Children's Hospital, Singapore, Singapore.
Department of Nutrition and Dietetics, KK Women's and Children's Hospital, Singapore, Singapore.
Front Nutr. 2021 Aug 2;8:666464. doi: 10.3389/fnut.2021.666464. eCollection 2021.
Extracorporeal membrane oxygenation (ECMO) support is increasingly utilized in quaternary pediatric intensive care units. Metabolic derangements and altered nutritional requirements are common in critically ill children supported on ECMO. However, there remains no consensus on the optimal approach to the prescription of nutrition in these patients. This narrative review aims to summarize the current medical literature on various aspects of nutrition support in pediatric patients on ECMO. These include: (1) nutritional adequacy, (2) pros and cons of feeding on ECMO, (3) enteral vs. parenteral nutrition, and (4) proposed recommendations and future directions for research in this area.
体外膜肺氧合（ECMO）支持在四级儿科重症监护病房中越来越多地被使用。在接受ECMO支持的危重症儿童中，代谢紊乱和营养需求改变很常见。然而，对于这些患者营养处方的最佳方法仍未达成共识。本叙述性综述旨在总结当前关于接受ECMO治疗的儿科患者营养支持各方面的医学文献。这些方面包括：（1）营养充足性，（2）在ECMO期间喂养的利弊，（3）肠内营养与肠外营养，以及（4）该领域研究的建议和未来方向。
