Neonatal Extracorporeal Life Support: A Review of Nutrition Considerations

Murphy, Heidi J; Finch, Carolyn; Taylor, Sarah N.

doi:10.1002/ncp.10111

Cited by 4 publications

(2 citation statements)

References 52 publications

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“…Early (in the first 24–48 hours of an ICU admission) EN is preferred, when feasible (4). ASPEN has also established nutrition guidelines for neonates on ECMO support (5,6). According to these guidelines, EN should be started when the patient is clinically stable (6).…”

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confidence: 99%

Vasopressors and Enteral Nutrition in the Survival Rate of Children During Extracorporeal Membrane Oxygenation

Alexander

Absah

Steien

et al. 2022

Journal of Pediatric Gastroenterology &Amp; Nutrition

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Objectives: Nutrition support is essential in improving outcome and survival in children on extra corporal membranous support (ECMO). We aim to evaluate the association between the timing of enteral nutrition (EN) initiation and its impact on outcome. Methods: We retrospectively reviewed the electronic health records of children (≤18 years) from November 2014 to November 2019 who were on veno-arterial ECMO for ≥48 hours. Abstracted data included demographics, ECMO indication and duration, timing of EN initiation, change in weight-for-age z score (WAZ), and survival rate. The vasoactive-inotropic score (VIS) was calculated to assess illness acuity. Results: We identified 76 children with median age (interquartile range [IQR]) of 0.3 years (0-2.6), 46 of which were infants (59%) who required ECMO for a median (IQR) of 10 days (6-22). Thirty-six (47%) survived to hospital discharge. EN was initiated in 55 (72%) of patients while on ECMO. EN initiation by day 3 of ECMO was positively associated with survival (P = 0.0438). VIS at the time of EN initiation was lower in surviving infants (P = 0.022). Children who achieved enteral autonomy were more likely to survive (P = 0.0024). Survivors had greater WAZs at ECMO completion (P = 0.0004). Conclusions: Initiation of EN by day 3 of ECMO and at a lower VIS is associated with greater likelihood of survival.

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mentioning

confidence: 99%

Vasopressors and Enteral Nutrition in the Survival Rate of Children During Extracorporeal Membrane Oxygenation

Alexander

Absah

Steien

et al. 2022

Journal of Pediatric Gastroenterology &Amp; Nutrition

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“…However, the literature on the nutrition required for ECMO combined with CRRT therapy is limited. CRRT depletes certain intravenous nutrients, and lead to macro- and micronutrient loss, especially protein loss ( 54 , 55 ). Other CRRT-mediated losses may occur, including the loss of trace minerals, key nutrients, and water-soluble vitamins.…”

Section: Nutritional Support During Ecmomentioning

confidence: 99%

Research progress on nutritional support in the neonatal and pediatric populations receiving extracorporeal membrane oxygenation

Zhang,

Zhao,

Jia

2024

Front. Nutr.

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Nutritional support is crucial for the prognosis of children supported by extracorporeal membrane oxygenation (ECMO). This article discusses the latest research progress and guideline recommendations for nutritional support during ECMO. We summarize the nutritional status and evaluation of ECMO patients, nutritional support methods and timing, trace elements, the impact of continuous renal replacement therapy (CRRT), and energy requirements and algorithms. The article shows that malnutrition is high in ECMO patients compared to other critically ill patients, with nearly one-third of patients experiencing a decrease in nutritional indicators. The timing of the initiation of nutrition is very important for the nutritional status of the child. Early enteral nutrition can improve patient prognosis, which is the most commonly used, with parenteral nutrition as a supplement. However, the proportion of enteral nutrition is relatively low, and a stepwise nutrition algorithm can determine when to initiate early enteral nutrition and parenteral nutrition. Malnourishment during critical illness have been associated with increased morbidity as well as increased mortality. Nutritional status should be evaluated at admission by screening tools. In addition, changes in the levels of several metabolites in vivo, such as blood lipids, carnitine, and thiamine, can also reflect the degree of nutritional deficiency in critically ill children. This article provides a reference for the implementation of nutrition of pediatric ECMO patients and further research on nutritional support.

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Exploring new perspectives on congenital diaphragmatic hernia: A comprehensive review

Renik-Jankowska,

Buczyńska,

Sidorkiewicz

et al. 2024

Biochimica et Biophysica Acta (BBA) - Molecular Basis of Diseas

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Neonatal Extracorporeal Life Support: A Review of Nutrition Considerations

Cited by 4 publications

References 52 publications

Vasopressors and Enteral Nutrition in the Survival Rate of Children During Extracorporeal Membrane Oxygenation

Vasopressors and Enteral Nutrition in the Survival Rate of Children During Extracorporeal Membrane Oxygenation

Research progress on nutritional support in the neonatal and pediatric populations receiving extracorporeal membrane oxygenation

Exploring new perspectives on congenital diaphragmatic hernia: A comprehensive review

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