Chinese guidelines for the assessment and provision of nutrition support therapy in critically ill children

Abstract

Overall, the pediatric critically ill population is heterogeneous, and an individualized nutrition support with the aim of improving clinical outcomes is necessary and important.

Is monitoring of gastric residual volume for critically ill patients with enteral nutrition necessary? A meta‐analysis and systematic review

“…The monitoring method of gastric residual volume is not standardized, and the clinical status is inconsistent with the recommendations of the guidelines (Mehta et al, 2017; Zhu et al, 2018). There are many methods for monitoring gastric residual volume, including syringe suction, ultrasound monitoring, gastric dynamic impedance monitoring and so forth.…”

“…Gastric residual volume monitoring can be affected by the diameter of the gastric tube, the size of the syringe, the patient's position and the operation of the medical staff (Ohashi et al, 2018). Previous study (Uysal & Mete, 2017) The monitoring method of gastric residual volume is not standardized, and the clinical status is inconsistent with the recommendations of the guidelines (Mehta et al, 2017;Zhu et al, 2018). There are many methods for monitoring gastric residual volume, including syringe suction, ultrasound monitoring, gastric dynamic impedance monitoring and so forth.…”

Pediatric clinical practice guidelines in China: still a long way to go

“…The evidence-based clinical guidelines are specific to clinical problems and are developed through systematic reviewing to help clinicians and patients make appropriate decisions. Chen et al revealed several limitations in adoption and adaptation of Chinese Guidelines including (1) rarely using systematic review to support recommendations, (2) lacking information in conflict of interest, and (3) low adherence rate of clinicians to guidelines [1]. The overall quality of China's clinical guidelines still needs improvement compared with the European and American guidelines.…”

“…In the current issue of World Journal of Pediatrics, we published English version of three pediatric clinical practice guidelines in China including assessment and provision of nutrition support therapy in critically ill children [2], management of acute infectious diarrhea in Chinese children [3], and diagnosis and treatment of hand, foot and mouth disease [4].…”

“…The guidelines emphasized the importance of nutritional assessment, particularly the detection of malnourished patients. The target population of the guidelines is critically ill patients aged from 1 month to 18 years and length of stay greater than 2 or 3 days in a PICU [2].…”