Feasibility of initiating early enteral nutrition after congenital heart surgery in neonates and infants

Clinical Nutrition ESPEN
Rajat KalraRaja Joshi

Abstract

To assess the feasibility of initiating enteral nutrition support with first 24 h of congenital heart repairs in neonates and Infants and its impact on outcomes following surgery. It is a prospective randomized control single blind study. It is a single centre prospective study carried out in a tertiary care centre at Pediatric cardiac intensive care unit. All patients with the cyanotic congenital heart disease with increase pulmonary blood flow, weighing less than 5 kg and undergoing congenital heart repair during the study period were included in the study. Patients with single ventricle status, those undergoing palliative procedures (PA band), open chest, requiring ECMO before leaving operating room, having any other contraindication for starting enteral feeding or those who refuse for consent were excluded from study. The patients were randomized into two groups. Group 1 received trophic feeds (10-20 ml/kg/day) starting 4-6 h after surgery while feeds children in group 2 were kept NPO and received feeds after 48 h after surgery. 15 children enrolled in both the groups. Both pre-operative and intraoperative variables were comparable in both the groups. There was no complication (vomiting, diarrhea, NEC, bowel necrosis) noted...Continue Reading

Citations

Jan 25, 2020·Journal of Pediatric Gastroenterology and Nutrition·Darla R ShoresWilliam Padula
Jul 4, 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·Lyvonne N Tume, Frederic V Valla

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