Erratum: Outcomes of Extracorporeal Membrane Oxygenation in Children: An 11-Year Single-Center Experience in Korea

Kim, Hongsun; Yang, Ji-Hyuk; Cho, Yang Hyun; Jun, Tae-Gook; Sung, Kiick; Han, Woosik

doi:10.5090/jcs.16.123e1

Cited by 1 publication

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“…There is no clear definition of the timing of early EN. Some studies have suggested (36) that EN performed within 24-72 h after ICU admission is early stage. Buckvold et al ( 37) pointed out that it is safe to carry out EN within 24 to 36 h. ESPNIC recommends that EN should be performed as early as possible for full-term neonates, critically ill children and children after cardiac surgery who are hemodynamically stable with extracorporeal life support (ECLS) or dependent on drugs.…”

Section: Nutritional Support During Ecmo 41 Enteral Nutritionmentioning

confidence: 99%

Research progress on nutritional support in the neonatal and pediatric populations receiving extracorporeal membrane oxygenation

Zhang,

Zhao,

Jia

2024

Front. Nutr.

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Nutritional support is crucial for the prognosis of children supported by extracorporeal membrane oxygenation (ECMO). This article discusses the latest research progress and guideline recommendations for nutritional support during ECMO. We summarize the nutritional status and evaluation of ECMO patients, nutritional support methods and timing, trace elements, the impact of continuous renal replacement therapy (CRRT), and energy requirements and algorithms. The article shows that malnutrition is high in ECMO patients compared to other critically ill patients, with nearly one-third of patients experiencing a decrease in nutritional indicators. The timing of the initiation of nutrition is very important for the nutritional status of the child. Early enteral nutrition can improve patient prognosis, which is the most commonly used, with parenteral nutrition as a supplement. However, the proportion of enteral nutrition is relatively low, and a stepwise nutrition algorithm can determine when to initiate early enteral nutrition and parenteral nutrition. Malnourishment during critical illness have been associated with increased morbidity as well as increased mortality. Nutritional status should be evaluated at admission by screening tools. In addition, changes in the levels of several metabolites in vivo, such as blood lipids, carnitine, and thiamine, can also reflect the degree of nutritional deficiency in critically ill children. This article provides a reference for the implementation of nutrition of pediatric ECMO patients and further research on nutritional support.

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Section: Nutritional Support During Ecmo 41 Enteral Nutritionmentioning

confidence: 99%