Feasibility of initiating early enteral nutrition after congenital heart surgery in neonates and infants

Kalra, Rajat; Vohra, Rohit; Negi, Malti; Aggarwal, Neeraj; Aggarwal, Mridul; Joshi, Raja

doi:10.1016/j.clnesp.2018.03.127

Cited by 28 publications

(23 citation statements)

References 6 publications

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“…14 The early establishment of total enteral nutrition is beneficial to their recovery. 15 Therefore, therapies aimed at modulating these stress-related changes in metabolism and immune response may improve patient prognosis. Schwalbe-Terilli and his team discussed the caloric intake from enteral nutrition after neonatal cardiac surgery.…”

Section: Discussionmentioning

confidence: 99%

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Effects of different feeding intervals on the feeding outcomes of infants who underwent surgical repair of ventricular septal defects

Liu

Xie

Lei

et al. 2021

Journal of Cardiac Surgery

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Objective The objective of the present study is to explore the effect of different feeding intervals on the feeding outcomes of infants who underwent ventricular septal defect (VSD) closure. Methods This study is a prospective, randomized controlled trial conducted by a provincial hospital in China. According to different feeding intervals, 78 eligible participants were randomly divided into Group A (2‐h interval, n = 39) and Group B (3‐h interval, n = 39). The basic clinical data, total feeding time, incidence of feeding intolerance, and nurse job satisfaction scores of the two groups were collected. Results The total feeding time in Group A was significantly longer than that in Group B (142.5 ± 15.4 vs. 132.0 ± 16.1 min/d, p = .020). The nurse job satisfaction scores in Group A were significantly lower than those in Group B (101.7 ± 9.8 vs. 108.8 ± 10.1, p = .005). There were no significant differences in the duration of mechanical ventilation (3.7 ± 1.1 vs. 3.9 ± 1.0 d, p = .272), length of ICU stay (4.5 ± 1.1 d vs. 4.7 ± 0.9 d, p = .451), or length of hospital stay (13.2 ± 1.4 vs. 13.3 ± 1.0 d, p = .642) between the two groups. Although the incidence of feeding intolerance in Group A was slightly lower than that in Group B, the difference was not statistically significant. Conclusion Feeding at an interval of 2 or 3 h has no significant effect on the feeding outcomes of infants, and feeding at intervals of 3 h can reduce nurses' workload and improve nursing job satisfaction.

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Section: Discussionmentioning

confidence: 99%

“…It is still a significant challenge to provide adequate nutritional support to these patients 14 . The early establishment of total enteral nutrition is beneficial to their recovery 15 . Therefore, therapies aimed at modulating these stress‐related changes in metabolism and immune response may improve patient prognosis.…”

Section: Discussionmentioning

confidence: 99%

Effects of different feeding intervals on the feeding outcomes of infants who underwent surgical repair of ventricular septal defects

Liu

Xie

Lei

et al. 2021

Journal of Cardiac Surgery

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“…After surgical repair, infants usually tolerate trophic feeds; moreover, trophic feeds appear to decrease the infection-related morbidity following surgery [ 68 ]. Furthermore, the early initiation of feeding helps to meet energy targets in a shorter period [ 69 ].…”

Section: Pre- and Post-operative Strategies And Recommendationsmentioning

confidence: 99%

Current Strategies to Optimize Nutrition and Growth in Newborns and Infants with Congenital Heart Disease: A Narrative Review

Salvatori

Rose

Massolo

et al. 2022

JCM

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(1) Objective: This review aims to identify the clinical and practical barriers to optimizing nutrition in newborn infants with congenital heart disease (CHD) and to describe updated evidence-based recommendations for clinical and nutritional management of these patients in a narrative review. (2) Research Methods and Procedures: We conducted a search of the relevant literature published from 2000 to December 2021. (3) Results: CHD patients undergo several nutritional challenges related to the underlying cardiac disease anomaly, the potential increased risk of NEC, and delayed enteral feeding, resulting in inadequate energy intake and sub-optimal growth, increased morbidity and mortality. (4) Conclusions: To optimize nutrition and growth in newborn infants with CHD, standardized protocols should be implemented. Regular nutritional and growth assessment with a multi-disciplinary team is essential. We propose a decisional algorithm that may represent a potentially useful tool to guide clinicians to optimize growth and nutrition.

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“…This even includes infants undergoing congenital heart surgery. 48 Recently, the ERAS Society published consensus guidelines for perioperative care in neonatal intestinal surgery, recommending starting enteral feeds within 24 to 48 h after surgery when possible and using human milk as the first choice for nutrition. 49…”

Section: Postoperative Management: When and How To Feed Enhanced Reco...mentioning

confidence: 99%

Nutrition considerations in pediatric surgical patients

Martins

Piper

2022

Nut in Clin Prac

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Children who require surgical interventions are subject to physiologic stress, necessitating a period of healing when nutrition needs may temporarily change. Providing appropriate nutrition to children before and after surgery is an important part of minimizing surgical morbidity. There is a clear link between poor nutrition and surgical outcomes, therefore providing good reason for ensuring an appropriate nutrition plan is in place for children requiring surgery. This review will address recent research investigating nutrition considerations for pediatric surgical patients with a focus on practical tools to guide decision making in the preoperative, intraoperative, and postoperative periods.

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Feasibility of initiating early enteral nutrition after congenital heart surgery in neonates and infants

Cited by 28 publications

References 6 publications

Effects of different feeding intervals on the feeding outcomes of infants who underwent surgical repair of ventricular septal defects

Effects of different feeding intervals on the feeding outcomes of infants who underwent surgical repair of ventricular septal defects

Current Strategies to Optimize Nutrition and Growth in Newborns and Infants with Congenital Heart Disease: A Narrative Review

Nutrition considerations in pediatric surgical patients

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