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01-10-2006 | Pediatric Original

Transpyloric enteral nutrition in the critically ill child with renal failure

Authors: Jesús López-Herce, César Sánchez, Angel Carrillo, Santiago Mencía, Maria José Santiago, Amaya Bustinza, Dolores Vigil

Published in: Intensive Care Medicine | Issue 10/2006

Abstract

Objective

To study the efficacy and tolerance of transpyloric enteral nutrition (TEN) in the critically ill child with acute renal failure (ARF).

Design

Prospective observational study.

Setting

Paediatric intensive care unit.

Patients

Critically ill children with ARF who received TEN were included in the study. They were compared with the remaining 473 critically ill children receiving TEN in this period. Tolerance of nutrition and gastrointestinal complications were assessed.

Intervention

Transpyloric enteral nutrition.

Measurements and results

Fifty-three critically ill children with ARF aged between 3 days and 17 years received TEN. Children with ARF more frequently received parenteral nutrition before TEN (56.6%) than the other patients (17.5%). The incidence of shock, hepatic alterations and mortality was significantly higher in patients with ARF than in the remaining children. In children with ARF the mean duration of the TEN was 16.5 ± 27.3 days and the maximum caloric intake was 77 ± 26.7 kcal/kg/day. Thirteen patients (24.5%) presented gastrointestinal complications, 9 (17%) abdominal distension and/or excessive gastric residue, 5 (9.4%) diarrhoea, 1 necrotising enterocolitis and 1 duodenal perforation. The frequency of gastrointestinal complications was significantly higher in children with ARF. TEN was definitive suspended in five patients due to gastrointestinal complications. Four of these patients were treated with continuous renal replacement therapy. Thirty percent of patients died during TEN. In only one patient was the death related to complications of the nutrition.

Conclusions

Critically ill children with ARF tolerate TEN, although the incidence of gastrointestinal complications is higher than in other critically ill children.

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Title: Transpyloric enteral nutrition in the critically ill child with renal failure
Authors: Jesús López-Herce
César Sánchez
Angel Carrillo
Santiago Mencía
Maria José Santiago
Amaya Bustinza
Dolores Vigil
Publication date: 01-10-2006
Publisher: Springer-Verlag
Published in: Intensive Care Medicine / Issue 10/2006
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-006-0271-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Transpyloric enteral nutrition in the critically ill child with renal failure

Abstract

Objective

Design

Setting

Patients

Intervention

Measurements and results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Design

Setting

Patients

Intervention

Measurements and results

Conclusions

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