Introduction of enteral feeding in neonates on extracorporeal membrane oxygenation after evaluation of intestinal permeability changes☆,☆☆
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Cited by (56)
Gastrointestinal protection and management during extracorporeal membrane oxygenation
2022, Cardiopulmonary Bypass: Advances in Extracorporeal Life SupportA Multicenter Study of Nutritional Adequacy in Neonatal and Pediatric Extracorporeal Life Support
2020, Journal of Surgical ResearchControversies of enteral nutrition in select critically-ill surgical patients: Traumatic brain injury, extracorporeal life support, and sepsis
2019, Seminars in Pediatric SurgeryCitation Excerpt :We chose to focus on patients admitted to the ICU for the management of traumatic brain injuries, those on extracorporeal life support (ECLS), and those receiving vasopressor therapy (i.e. sepsis), as these patients present unique nutritional challenges. They also represent patient populations that were once thought to be poor candidates for enteral nutrition either due to the risk of feeding intolerance, intestinal ischemia, or complications related to gut permeability and bacterial translocation.8 In response to traumatic brain injury (TBI), the metabolic demands of the body increase substantially, resulting in a requirement for additional nutrition to meet these demands.
Nutritional practices and adequacy in children supported on extracorporeal membrane oxygenation
2018, Clinical Nutrition ESPENCitation Excerpt :Despite advances in ECMO management, delivery of optimal nutrition in children supported on ECMO remains a clinical challenge. Concerns of necrotizing enterocolitis, intestinal ischemia and gut hemorrhage may delay initiation of enteral nutrition (EN) in these patients, especially with concomitant vasoactive drug use [2,3]. Parenteral nutrition (PN), while traditionally used, is associated with increased risk of line-associated infections [4].
Gastrointestinal mucosal development and injury in premature lambs supported by the artificial placenta
2018, Journal of Pediatric SurgeryCitation Excerpt :A study done by Piena et al. investigated this by looking at changes in the GI mucosa in critically ill infants on ECLS with TPN vs enteral nutrition. It was concluded that enteral feeds did not compromise the gut integrity and should therefore be continued during ECLS [26]. The AP utilizes ECLS and could therefore affect blood flow to the gut.
Infections during extracorporeal membrane oxygenation: epidemiology, risk factors, pathogenesis and prevention
2017, International Journal of Antimicrobial AgentsCitation Excerpt :Piena et al described similar findings in patients undergoing ECMO, proposing a role for pre-ECMO haemodynamic and respiratory conditions and for haemodilution subsequent to ECMO connection [39]. Functional alteration of the gut could be expression of anatomic damage [38–40], which leads to an increased risk of bacterial and fungal translocation [37,40]. This hypothesis could contribute to explain the high incidence of infections due to Enterobacteriaceae and Candida spp. among ECMO patients.
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This study was supported in part by Nutricia B.V., Zoetermeer.
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Presented at the 44th Annual International Congress of the British Association of Paediatric Surgeons, Istanbul, Turkey, July 22–25, 1997.