The use of fat-free human milk in infants with chylous pleural effusion

Chan, Gary M.; Lechtenberg, E.

doi:10.1038/sj.jp.7211768

Cited by 44 publications

(32 citation statements)

References 17 publications

(14 reference statements)

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“…used to treat chylothorax with similar efficacy to low-fat formula; it requires both MCT and caloric supplementation but allows the patient to receive the immunologic benefits of breast milk [31,32].…”

Section: Key Pointsmentioning

confidence: 99%

Chylothorax after surgery for congenital heart disease

Zuluaga

2012

Current Opinion in Pediatrics

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Chylothorax is commonly seen in children after surgery for congenital heart disease. The multiple and serious complications associated with chylous effusions are well known. Conservative therapy with diet modification and octreotide remain the standard initial approach. Thoracic duct ligation has been reported as a highly successful treatment but has considerable risk. Thus, this procedure should be reserved for patients nonresponsive to conservative therapy.

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Section: Key Pointsmentioning

confidence: 99%

Chylothorax after surgery for congenital heart disease

Zuluaga

2012

Current Opinion in Pediatrics

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“…5 Each batch of milk requires 15 minutes to centrifuge, followed by separation of skim portion, measuring the creamatocrit, and fortification. The SME was also interested in expanding the use of donor human milk (DHM) as a standard of care for neonates, and as this policy was developed, we proposed that central ordering, dispensing, and accurate preparation and fortification of DHM was a task that could be completed by the MMT.…”

Section: Subject Matter Expert Work Groupmentioning

confidence: 99%

Mother’s Milk Technicians

Barbas

2013

J Hum Lact

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When an infant is medically compromised or requires surgery shortly after birth, traditional breastfeeding is interrupted. In the United States, mothers of these medically complex infants often spend many hours using a breast pump to express their breast milk and store it for their baby to receive via a feeding tube or bottle until breastfeeding can be introduced. Often, additional calories, minerals, or modifications are made to mother's milk to meet the infant's needs. Many acute care pediatric facilities and neonatal intensive care units lack appropriate physical space for the preparation of fortified breast milk feedings, and the preparation of these feedings by nursing staff requires a significant investment of time. At Boston Children's Hospital, the innovative role of a mother's milk technician was created to provide preparation of breast milk utilizing standardized measurement of fortifiers by weight, prepared using an aseptic technique with standard operating procedures. The creative use of a "mobile" milk cart was implemented due to limited space allocated for formula lab and nutrition rooms. The development of this essential role has ensured optimal quality control of the storage and preparation of expressed human milk. Nursing compliance with breast milk identification procedures increases when time required for feeding preparation is minimized, preventing breast milk administration errors and reallocating valuable nursing time back to the patient.

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“…Ayrıca yağdan fakir anne sütünün orta zincirli yağ asitleri takviyesi yapabildiği gösterilmiştir. Ek olarak anne sütünün immünolojik faydalarının da olduğu bilinmektedir (25,26).…”

Section: Tedaviunclassified

Konjenital kalp cerrahisi sonrası şilotoraks tanı ve tedavisine güncel yaklaşım

Işık¹,

Akyüz²,

Ayık³

et al. 2016

Ege Tıp Dergisi

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ÖzŞilotoraks, torasik duktusun hasarına bağlı olarak plevral boşlukta şilöz olarak bilinen sütümsü bir sıvı birikimi olup, çocuklarda plevral efüzyonun nispeten nadir bir nedenidir. Çocukluk çağındaki postoperatif şilotoraks ciddi bir komplikasyon olup, yönetimi zorludur. Görülme sıklığı düşük olmasına rağmen enfeksiyon, malnütrisyon, immünsupresyona sebep olabilmesinden dolayı ciddi bir komplikasyon olarak karşımıza çıkabilmektedir. Şilotoraks gelişmesi sonrasında sıvı dengesinin de bozulması postoperatif dönemde hasta yönetimini daha da komplike hale sokabilir. Bu bağlamda pediyatrik kalp cerrahisi sonrası gelişen şilotoraks daha yüksek morbidite ve mortaliteye neden olabilir. Bu yazımızın amacı pediyatrik kalp cerrahisi sonrası gelişen şilotoraks kapsamında kalarak anatomi, etiyoloji, tanı, insidans, patofizyoloji ve güncel yaklaşıma değinmektir.Anahtar Sözcükler: Şilotoraks, konjenital kalp hastalığı, oktreotit. Abstract Chylothorax, the accumulation of a milky fluid known as chyle in the pleural space due to damage to the thoracic duct, is a relatively rare cause of pleural effusion in children. Postoperative chylothorax in childhood is a potentially serious complication of any thoracic surgical procedure and its management represents a serious challenge. It has a low prevalence but it can lead to serious complications, such as infection

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The use of fat-free human milk in infants with chylous pleural effusion

Cited by 44 publications

References 17 publications

Chylothorax after surgery for congenital heart disease

Chylothorax after surgery for congenital heart disease

Mother’s Milk Technicians

Konjenital kalp cerrahisi sonrası şilotoraks tanı ve tedavisine güncel yaklaşım

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