Nutritional support for children during critical illness: European Society of Pediatric and Neonatal Intensive Care (ESPNIC) metabolism, endocrine and nutrition section position statement and clinical recommendations
Lyvonne N Tume,Frédéric V. Valla,Koen F.M. Joosten,Corinne Jotterand Chaparro,Corinne Jotterand Chaparro,Lynne Latten,Luise V. Marino,Isobel Macleod,C. Moullet,C. Moullet,Nazima Pathan,Shancy Rooze,Joost van Rosmalen,Sascha Verbruggen +13 more
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TLDR
This work aimed to summarize the available literature and provide practical guidance for the paediatric critical care clinicians around important clinical questions many of which are not covered by previous guidelines.Abstract:
Background: Nutritional support is considered essential for the outcome of paediatric critical illness. There is a lack of methodologically sound trials to provide evidence-based guidelines leading to diverse practices in PICUs worldwide. Acknowledging these limitations, we aimed to summarize the available literature and provide practical guidance for the paediatric critical care clinicians around important clinical questions many of which are not covered by previous guidelines. Objective: To provide an ESPNIC position statement and make clinical recommendations for the assessment and nutritional support in critically ill infants and children. Design: The metabolism, endocrine and nutrition (MEN) section of the European Society of Pediatric and Neonatal Intensive Care (ESPNIC) generated 15 clinical questions regarding different aspects of nutrition in critically ill children. After a systematic literature search, the Scottish Intercollegiate Guidelines Network (SIGN) grading system was applied to assess the quality of the evidence, conducting meta-analyses where possible, to generate statements and clinical recommendations, which were then voted on electronically. Strong consensus (> 95% agreement) and consensus (> 75% agreement) on these statements and recommendations was measured through modified Delphi voting rounds. Results: The final 15 clinical questions generated a total of 7261 abstracts, of which 142 publications were identified relevant to develop 32 recommendations. A strong consensus was reached in 21 (66%) and consensus was reached in 11 (34%) of the recommendations. Only 11 meta-analyses could be performed on 5 questions. Conclusions: We present a position statement and clinical practice recommendations. The general level of evidence of the available literature was low. We have summarised this and provided a practical guidance for the paediatric critical care clinicians around important clinical questions.read more
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Caring for Critically Ill Children With Suspected or Proven Coronavirus Disease 2019 Infection: Recommendations by the Scientific Sections' Collaborative of the European Society of Pediatric and Neonatal Intensive Care.
Peter C. Rimensberger,Martin C. J. Kneyber,Akash Deep,Mehak Bansal,Aparna Hoskote,Etienne Javouhey,G. Jourdain,Lynne Latten,Graeme MacLaren,Luc Morin,Martí Pons-Òdena,Zaccaria Ricci,Yogen Singh,Luregn J. Schlapbach,Luregn J. Schlapbach,Barnaby R. Scholefield,Barnaby R. Scholefield,Ulrich Terheggen,Pierre Tissières,Lyvonne N Tume,Sascha Verbruggen,Joe Brierley +21 more
TL;DR: The current clinical knowledge of coronavirus disease 2019 disease in critically ill children is reviewed and some specific treatment concepts based mainly on expert opinion based on limited experience and the lack of any completed controlled trials in children are discussed.
Journal ArticleDOI
Recommendations for hemodynamic monitoring for critically ill children—expert consensus statement issued by the cardiovascular dynamics section of the European Society of Paediatric and Neonatal Intensive Care (ESPNIC)
Yogen Singh,Javier Urbano Villaescusa,Eduardo da Cruz,Shane M. Tibby,Gabriella Bottari,Rohit Saxena,Marga Guillén,Jesus Lopez Herce,Matteo Di Nardo,Corrado Cecchetti,Joe Brierley,Willem P. de Boode,Joris Lemson +12 more
TL;DR: These expert consensus-based recommendations may be used to guide clinical practice for hemodynamic monitoring in critically ill children, and they may serve as a basis for highlighting gaps in the knowledge base to guide further research in hemodynamics monitoring.
Journal ArticleDOI
Gastrointestinal involvement in paediatric COVID-19 - from pathogenesis to clinical management: A comprehensive review.
Carmelina Calitri,Ilaria Fumi,Maria Giovanna Ignaccolo,Elena Banino,Stefania Benetti,Maria Maddalena Lupica,Francesca Fantone,Mariella Pace,Franco Garofalo +8 more
TL;DR: In this paper, a review of the effects of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on the gastrointestinal system at a paediatric age is presented.
Journal ArticleDOI
Nutritional Management of the Critically Ill Neonate: A Position Paper of the ESPGHAN Committee on Nutrition.
Sissel J. Moltu,Jiri Bronsky,Nicholas D. Embleton,Konstantinos Gerasimidis,Flavia Indrio,Jutta Köglmeier,Barbara A. E. de Koning,Alexandre Lapillonne,Lorenzo Norsa,Elvira Verduci,Magnus Domellöf +10 more
TL;DR: In this article, the ESPGHAN Committee on Nutrition (ESPGHAN-CoN) conducted a systematic literature search on nutritional support in critically ill term neonates and preterm infants, including studies on basic metabolism.
Journal ArticleDOI
Enteral Nutrition in Term Infants with Congenital Heart Disease: Knowledge Gaps and Future Directions to Improve Clinical Practice
Silvia Martini,Isadora Beghetti,Mariarosaria Annunziata,Arianna Aceti,Silvia Galletti,Luca Ragni,Andrea Donti,Luigi Corvaglia +7 more
TL;DR: In this article, a review of the available literature on enteral feeding in term infants with CHD is presented, focusing on the potential risk of complications related to enteral feedings.
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