Pediatric enteral nutrition therapy for burn victims: when should it be
            initiated?

Valentini, Mariéle; Seganfredo, Fernanda Braga; Fernandes, Sabrina Alves

doi:10.5935/0103-507x.20190062

Cited by 8 publications

(3 citation statements)

References 30 publications

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“…The albumin level significantly increased from 2.68 ± 0.67 to 3.66 ± 0.33 g/dl during this period. A meta-analysis and systemic review study reported that early enteral nutrition provided within 24 h after injury showed benefits of a reduced duration of hospital stay and low caloric deficit and weight loss but a high incidence of diarrhea and vomiting in pediatric burn patients (30). Hypoalbuminemia in burn patients is strongly associated with burn severity and high mortality rate (31,32).…”

Section: Discussionmentioning

confidence: 99%

Therapeutic Efficacy of Nasoenteric Tube Feeding in Children Needing Enteral Nutrition

et al. 2021

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Background: There is limited information on therapeutic benefits and tube-related complications of pediatric nasoenteric (NE) tube feeding. We viewed, from different clinical aspects, NE tube feeding in children who are under intolerable conditions.Methods: A 10-years retrospective study enrolled 77 pediatric patients who underwent an endoscopic-guided placement of the NE tube for enteral nutrition. The evaluated data, including growth parameters, feeding volume, parenteral nutrition (PN) dependence, and nutritional markers [serum hemoglobin (Hb) and albumin] before and after NE tube feeding were compared. Tube-related complications and major adverse events were also recorded.Results: A total of 77 patients (including 50 males) underwent 176 endoscopic-guided placements of the NE tube with an average duration of 133.7 (6.0–1,847.3) days. The gastroesophageal reflux disease-related symptoms (vomiting, desaturations, and aspiration pneumonia) improved in 71.4% of patients. Feeding volume increased significantly after intervention, especially in patients with delayed gastric emptying, from 144.8 ± 28.5 to 1,103.1 ± 524.7 ml/days (p < 0.001). Weaning from PN was successfully achieved in 84.3% of patients with an average of 9.33 ± 7.30 days. About 16 patients (20.8%) were subsequently highly compatible with oral feeding after NE tube placement for an average of 24.7 ± 14.1 days. Patients either without neurologic dysfunction or with no ventilator-dependent status had a higher chance of shifting to oral feeding. Weight-for-age z-scores increased by 0.15 ± 1.33 after NE tube intervention. One NE tube-related adverse event, which caused bowel perforation at 6 days post-insertion, was recorded. No direct tube-related mortality was observed.Conclusions: Endoscopic-guided NE tube placement is a relatively safe, non-invasive procedure for pediatric patients who require enteral nutrition. Feeding via NE tube showed beneficial effects such as improvement in symptoms, PN weaning, and maintenance of body growth without major tube-related complications.

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Section: Discussionmentioning

confidence: 99%

Therapeutic Efficacy of Nasoenteric Tube Feeding in Children Needing Enteral Nutrition

et al. 2021

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“…As crianças encontram-se numa situação de maior vulnerabilidade ao óbito em relação aos adultos, por conta dos sistemas musculoesquelético e imunológico ainda imaturos. Da mesma maneira, devido a pele mais sensível, suas queimaduras podem evoluir para níveis mais profundos com consequente queda do estado geral [1][2][3][4] .…”

Section: Introductionunclassified

“…Na regulação da temperatura, é necessário atentarse às crianças, que são mais propensas a hipotermia 7 . Há também maior concentração dos hormônios contrarreguladores, o que faz com que seja de suma importância o suporte de nutrição enteral precoce, evidenciado em estudo que pode propiciar menor tempo de internação hospitalar, diminuir a ocorrência de translocação bacteriana e a possibilidade de complicações infecciosas, tendo em vista que o grande índice de mortalidade infantil nas queimaduras deve-se a infecção, síndrome da resposta inflamatória sistêmica e sepse 1,3,9,11 .…”

Section: Introductionunclassified