Safety and efficacy of uninterrupted perioperative enteral feeding in pediatric burn patients

Imeokparia, Folasade; Johnson, Morgan; Thakkar, Rajan K.; Giles, Sheila; Capello, Teresa; Fabia, Renata

doi:10.1016/j.burns.2017.07.019

Cited by 10 publications

(3 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In both cases half is given over the first 8 h and the remainder is given over the next 16 h. On the other hand, BET formula provides 220 ml/h/m 2 body burn surface area of human serum albumin with concentrations of 10, 7.5, 5, and 2.5% in lactated Ringer's (0-8, 8-16, 16-24, and 24-40 h post injury, respectively) [30]. Moreover, an early nutritional support has showed better outcomes in large TBSA patients [31].…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, burns are the third most common mechanism of accidental death in children between 5 and 9 years old [3] and about 84,000 children under 14 needed medical treatment due to burn injury in USA in 2017 [4]. Several papers have reported that pediatric burn admissions, morbidity, and mortality have decreased during the last years in both USA [5,6] and Australia [7]. An epidemiological study of mortality due to burn in 2018 in Spain assessed that the age-adjusted mortality rate (AMR) was 0.36 per 100,000 population in both genders, and particularly lower in people under 35 years old (AMR 0.10 per 100,000) [8].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Pediatric major burns: a monocentric retrospective review of etiology and outcomes (2008–2020)

et al. 2022

View full text Add to dashboard Cite

Background Burns are one of the most common causes of mortality and morbidity among children. This study aims to assess the epidemiology of pediatric major burns in a third level hospital in Spain to evaluate demographics, etiology, and outcomes. Methods A retrospective study was held by the Plastic, Reconstructive and Burn Surgery department of the hospital. We included 147 patients under 18 admitted to hospital between January 2008 and December 2020 who meet the inclusion criteria: partial thickness burns > 10% total body surface area (TBSA) in patients < 18 years old. Clinical data extracted included age, gender, date of admission, %TBSA, burn types, severity and sites of burn, length of stay, length of ventilator support, intensive care admission, blood transfusion, surgical interventions, and complications. Results Three groups of age were analyzed. The average %TBSA was 18.7 (SE 0.9). Scalds were the main mechanism of injury (70.1%) and upper extremity was the most frequent location affected (68%). The 28.6% of patients suffered some complication, but the mortality rate was low (0.7%). In our series, the group aged 13–18 showed significantly higher %TBSA, more number of surgeries and blood transfusions. Conclusions Scald burns are the most frequent mechanism of injury in pediatric burns. However, teenagers suffer more severe burns and complications, usually caused by flame. Despite the low mortality rates, more measures of prevention should be taken to increase children security. Level of evidence: Level IV, Risk/Prognostic.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Pediatric major burns: a monocentric retrospective review of etiology and outcomes (2008–2020)

et al. 2022

View full text Add to dashboard Cite

show abstract

“…The fed group vs the nonfed group received significantly more calories, that is, 98% to 70% respectively, and no incidences of intraoperative aspiration or regurgitation were reported . Imeokparia et al studied feeding intraoperative EN to pediatric burn patients and found that infusing uninterrupted postpyloric nutrition resulted in a surplus of 144.4 kcal/kg, an extra 1.7 days of meeting estimated energy needs, and was also safe with no documented aspiration episodes Delivering intraoperative gastric feeds in mechanically ventilated adult burn patients, Carmichael found that 85%–95% of nutrition goals could be met with no aspiration events …”

Section: Discussionmentioning

confidence: 99%

Safety and Tolerance of Intraoperative Enteral Nutrition Support in Pediatric Burn Patients

et al. 2019

View full text Add to dashboard Cite

Background Multiple surgical procedures required by patients with extensive thermal injuries impedes delivery of adequate nutrition support, leading to caloric deficits, weight loss, delayed wound healing, and increased length of stay. The standard practice at our institution for >20 years has been to continuously infuse postpyloric enteral nutrition (EN) during surgery. The purpose of this review was to examine the safety and efficacy of intraoperative EN support. Methods A retrospective chart review of pediatric patients with burn injuries >30% total body surface area provided a 20‐year (1995–2014) safety assessment associated with intraoperative feeding along with an evaluation of gastrointestinal tolerance and efficacy. Continuous variables were summarized by mean and SD, whereas categorical variables were summarized by counts and percentages. Results The 20‐year review confirmed the safety of intraoperative feeding, as the assessment of 434 patients revealed no incidence of aspiration. Patients were successfully fed during an average of 8.4 ± 6.5 surgical procedures and received EN support for a mean of 49.9 ± 31.7 days. Uninterrupted nutrition delivery was well tolerated with minimal gastrointestinal intolerance. Patients achieved an average nitrogen balance of 3.1 ± 2.8 and 70% maintained ±10% of their body weight at time of discharge. Conclusion EN has been safely provided with marginal intolerance during surgical procedures over the past 20 years. Continuous nutrition support with negligible interruption is integral to meet nutrient needs for wound healing, preservation of weight and nutrition parameters, and optimize length of stay in pediatric patients with extensive thermal injuries.

show abstract

Nutrition Considerations in Emergency Surgery

Douglas

Khurrum

Joseph

2022

The Acute Management of Surgical Disease

View full text Add to dashboard Cite

Safety and efficacy of uninterrupted perioperative enteral feeding in pediatric burn patients

Cited by 10 publications

References 23 publications

Pediatric major burns: a monocentric retrospective review of etiology and outcomes (2008–2020)

Pediatric major burns: a monocentric retrospective review of etiology and outcomes (2008–2020)

Safety and Tolerance of Intraoperative Enteral Nutrition Support in Pediatric Burn Patients

Nutrition Considerations in Emergency Surgery

Contact Info

Product

Resources

About