Impact of a nurse-led feeding protocol in a pediatric intensive care unit

Ang, Bixia; Han, Wee Meng; Wong, Judith Ju‐Ming; Lee, Ang Noi; Chan, Yoke Hwee; Lee, Jan Hau

doi:10.1177/2010105815610139

Cited by 3 publications

(1 citation statement)

References 30 publications

(87 reference statements)

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“…Ainsi, la cible énergétique était plus rapidement atteinte et les complications gastro-intestinales étaient diminuées [63,65]. Une équipe multidisciplinaire, composée de réanimateurs, infirmiers et diététiciens, était fréquemment à l'origine de la rédaction du protocole et de sa mise en pratique sur le terrain [65,66].…”

Section: Optimiser Le Support Nutritionnel De L'enfant En Réanimationunclassified

Nutrition chez l'enfant : ce qui est important en réanimation pédiatrique

Moullet

Roux

Chaparro

et al. 2020

Méd. Intensive Réa.

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Section: Optimiser Le Support Nutritionnel De L'enfant En Réanimationunclassified

Nutrition chez l'enfant : ce qui est important en réanimation pédiatrique

Moullet

Roux

Chaparro

et al. 2020

Méd. Intensive Réa.

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show abstract

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

et al. 2020

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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 NeonatalIntensive 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.There is a lack of high-quality evidence to guide nutrition in paediatric critical illness. This position statement and clinical recommendations summarise the existing evidence around 15 of the most important clinical questions, and where no evidence is available, suggest good clinical practice.

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Physicians' perceptions about managing enteral nutrition and the implementation of tools to assist in nutritional decision-making in a paediatric intensive care unit

Moullet

Schmutz

Depeyre

et al. 2020

Australian Critical Care

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Background: For critically ill children hospitalised in paediatric intensive care units, adequate nutrition reduces their risk of morbidity and mortality. Barriers may impede optimal nutritional support in this population. Moreover, physicians are usually responsible for prescribing nutrition, although they are not experts. Therefore, tools may be used to assist in nutritional decision-making, such as nutrition protocols. Objectives: The objective of this two-stage qualitative study was to explore the perceptions of physicians about their management of enteral nutrition in a paediatric intensive care unit and the implementation of a nutrition protocol and computerised system. Methods: This study involved semistructured interviews with physicians at the Paediatric Intensive Care

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Impact of a nurse-led feeding protocol in a pediatric intensive care unit

Cited by 3 publications

References 30 publications

Nutrition chez l'enfant : ce qui est important en réanimation pédiatrique

Nutrition chez l'enfant : ce qui est important en réanimation pédiatrique

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

Physicians' perceptions about managing enteral nutrition and the implementation of tools to assist in nutritional decision-making in a paediatric intensive care unit

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