PMID: 9443119Jan 27, 1998Paper

Transpyloric enteral feeding in critically ill children

Journal of Pediatric Gastroenterology and Nutrition
E PanaderoL Sancho

Abstract

Nutrition is important in childhood because the child has a lower energy reserve than the adult and a higher demand for calories because of ongoing growth. In this study, the utility of transpyloric enteral feeding (TEF) in critically ill children was evaluated. A prospective, descriptive study was made in a pediatric intensive care unit of a tertiary pediatric center of 41 critically ill children, 30 after surgical procedures and 11 with nonsurgical illness, aged 8 days to 12 years, who received transpyloric enteral feeding with 8- or 10-Fr weighted feeding tubes. Analysis was made of tolerance and complications (vomiting, abdominal distension, excessive gastric residual, diarrhea, and pulmonary aspiration) of TEF. The mean duration of TEF was 19.5 +/- 26.8 days (range, 1-120 days). The administration of sedative agents or inotropic drugs did not alter toleration of TEF. Eight of 12 patients treated with continuous infusion of vecuronium tolerated TEF without complications. Eleven gastrointestinal complications occurred in 10 patients, abdominal distension and excessive gastric residual in 7 (17%), and diarrhea in 4 (9.7%). In 7 patients gastrointestinal complications improved, with decreasing use or transitory interruption of...Continue Reading

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Citations

Jul 11, 2006·Intensive Care Medicine·Jesús López-HerceDolores Vigil
Jul 10, 2009·The British Journal of Nutrition·César SánchezJosé María Bellón
Mar 4, 2000·Journal of Pediatric Gastroenterology and Nutrition·C de LucasA Carrillo
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Jun 12, 2003·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·G C BriassoulisT D Hatzis MD
Dec 26, 2006·Nutrition·César SánchezDolores Vigil
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Jun 14, 2006·Journal of Pediatric Surgery·César SánchezDolores Vigil
Apr 1, 2017·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Margaret GoggansDai Kimura
Jun 2, 2009·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Nilesh M Mehta
Apr 27, 2007·Journal of Pediatric Gastroenterology and Nutrition·Christopher Babbitt
Jan 29, 2020·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Ashley D TurnerEnid E Martinez
Aug 24, 1999·Current Opinion in Clinical Nutrition and Metabolic Care·L D Varella, R J Young
Jul 13, 2004·Clinical Pediatrics·Michael CrocettiScott Krugman
Mar 22, 2007·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Simone Brasil de Oliveira IglesiasWerther Brunow de Carvalho

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