Evaluating the Impact of a Feeding Protocol in Neonates before and after Biventricular Cardiac Surgery

Pediatric Quality & Safety
Jamie Furlong-DillardClaudia Delgado-Corcoran

Abstract

Feeding difficulties and malnutrition are important challenges when caring for newborns with critical congenital heart disease (CCHD) without clear available guidelines for providers. This study describes the utilization of a feeding protocol with the focus on standardization, feeding modality, and total parenteral nutrition (TPN) utilization postoperatively. Patients included neonates with CCHD undergoing complex biventricular repair using cardiopulmonary bypass. Data were collected in 2013 preintervention and from 2015 to 2017 postintervention. The feeding protocol outlined guidelines for and postoperative use of TPN. Adverse outcomes data included rates of central line-associated bloodstream infections, necrotizing enterocolitis, chylothorax, and vocal cord dysfunction. Balance outcomes measured were weight for age Z-score at discharge, number of abdominal radiographs obtained, readmission within 90 days, and central venous line utilization. We included a total of 121 neonates: 49 in the preintervention group and 72 in the postintervention group. The protocol standardized feeding practices in CCHD neonates undergoing surgery with improved compliance from 70% early in the study period to 90% at the end of the study. Infants w...Continue Reading

References

Jul 11, 2006·Pediatric Cardiology·Ashish B MadhokD Chowdhury
Feb 8, 2007·The American Journal of Clinical Nutrition·Josef Neu
Jan 12, 2008·Life Sciences·Peter J GiannoneLoren E Wold
Jan 1, 2009·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Courtney R Schwalbe-TerilliChitra Ravishankar
Mar 27, 2009·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Joyce L Owens, Ndidiamaka Musa
Mar 8, 2011·JPEN. Journal of Parenteral and Enteral Nutrition·Naomi E CahillDaren K Heyland
Jul 7, 2011·Cardiology in the Young·Sharon Sables-BausEduardo M da Cruz
Apr 14, 2012·Journal of Pediatric Nursing·Patty Coker-BoltPaige Merrill
Aug 16, 2012·Congenital Heart Disease·Julie SlickerUNKNOWN Feeding Work Group of the National Pediatric Cardiology Quality Improvement Collaborative
Dec 9, 2014·American Journal of Perinatology·Kristian C BeckerRobert W Lenfestey
Jul 17, 2015·World Journal for Pediatric & Congenital Heart Surgery·Judith J M WongJan Hau Lee
Mar 16, 2016·The New England Journal of Medicine·Tom FivezGreet Van den Berghe
Sep 14, 2016·Journal of Thoracic Disease·Piyagarnt VichayavilasJon Kaufman
Nov 20, 2016·Congenital Heart Disease·Janet M SimsicMark Galantowicz
Dec 30, 2016·World Journal for Pediatric & Congenital Heart Surgery·Carly J ScahillSinai C Zyblewski
Jan 9, 2017·Journal of Pediatric Nursing·Jennifer Newcombe, Eileen Fry-Bowers

❮ Previous
Next ❯

Citations

Apr 29, 2020·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Ying GuJos M Latour
Dec 29, 2020·The Journal of Pediatrics·Amy Jo LisantiSharon Y Irving
Aug 14, 2019·The Journal of Pediatrics·Lindsey Gakenheimer-SmithThomas Miller

❮ Previous
Next ❯

Software Mentioned

SPSS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.