Wichtige Aspekte der enteralen Ernährung von sehr kleinen Frühgeborenen

Pohlandt, Frank; Mihatsch, Walter

doi:10.1007/s001120170007

Cited by 5 publications

(2 citation statements)

References 14 publications

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“…Depending on the specific diagnosis, the subspecialty of the main physician will vary as well as the subspecialty of the therapists involved. The preparatory team has several responsibilities: (1) to define goals and ensure the quality and quantity and duration of the recommended enteral nutrition [32][33][34][35][36][37][38][39][40][41] ; (2) to maintain awareness of the developmental aspects, including safe swallowing; (3) to exclude all remedial causes of poor feeding, including food allergies and causes of painful swallowing such as by gastroesophageal reflux disease (GERD), and rule out diseases that lead to dysphagia and anorexia; and (4) to estimate the impact of interactive aspects, including assessment of the caregivers. Without goals, prolonged tube feeding is to be expected and might postpone the decision to initiate primary or complementary oral feeding, thus leading even more likely to tube dependency.…”

Section: Pretube Stagingmentioning

confidence: 99%

Prevention and Treatment of Tube Dependency in Infancy and Early Childhood

Dunitz-Scheer

Levine

Roth

et al. 2009

ICAN: Infant, Child, & Adolescent Nutrition

107

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Tube dependency is recognized as an unintended result of longterm tube feeding in infants and young children. The condition involves disturbing side effects such as vomiting, gagging, and active food refusal. It prevents infants from making the transition from tube to oral feeding and from starting to learn to eat in the absence of any medical indication for continuation of enteral feeding. Tube dependency can have a destructive impact on the child's development, even in cases when the nutritional influence might be beneficial. The authors set up recommendations for the prevention of tube dependency and suggest guidelines for weaning tube-dependent children based on the results of the Graz program and satellite programs using a similar model. A sample of 221 tubedependent patients aged 4 months to 15 years of age provided the clinical study group on which this article is based. Begun in 1987, a comprehensive tubeweaning program was developed on the basis of clinical experience and encounters with more than 430 tube-dependent children in 20 years, resulting in a success rate of 78/81 (96% for 2007) and 79/84 (94% for 2008). Placement must be preceded by clear criteria and a decision as to the indicated nutritional goal and time of use. The placement of a temporary tube must generate a plan covering maintenance issues, including time, method, and team for weaning. Aspects of tube feeding that go beyond purely medical and nutritional issues need to be considered to minimize the frequency and severity of unintended tube dependency in early childhood.

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Section: Pretube Stagingmentioning

confidence: 99%

Prevention and Treatment of Tube Dependency in Infancy and Early Childhood

Dunitz-Scheer

Levine

Roth

et al. 2009

ICAN: Infant, Child, & Adolescent Nutrition

107

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“… Physiological rate of protein synthesis subject to age: According to data by Pohlandt et al [ 63 ]and Micheli [ 64 ] premature infants, who are physiologically in approx. week 30 of pregnancy, have a maximum rate of protein synthesis with protein requirements of approx.…”

Section: Energy and Nutrient Requirementsmentioning

confidence: 99%

Neonatology/Paediatrics – Guidelines on Parenteral Nutrition, Chapter 13

Fusch

Bauer²,

Böhles³

et al. 2009

GMS German Medical Science; 7:Doc15; ISSN 1612-3174

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Enterale Ernährung von Frühgeborenen

Mihatsch¹,

Pohlandt²

2013

Pädiatrische Gastroenterologie, Hepatologie Und Ernährung

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Unmittelbar postnatal ist bei Frühgeborenen der rasche Beginn einer vollständigen parenteralen Ernährung zur Fortsetzung des physiologischen intrauterinen umbilikalen Nährstofftransports notwendig, da die Energiereserven gering sind, Katabolismus verhindert werden soll und die Entwicklung des Gehirns nicht beeinträchtigt werden darf (Huppi 2008). Bei einem 1000 g schweren Frühgeborenen beträgt die zirkulierende Glukosemenge ca. 0,15 g und ist nach ca. 8 min verbraucht; der Glykogenspeicher beträgt 5 g und reicht etwa 5 h.

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Wichtige Aspekte der enteralen Ernährung von sehr kleinen Frühgeborenen

Cited by 5 publications

References 14 publications

Prevention and Treatment of Tube Dependency in Infancy and Early Childhood

Prevention and Treatment of Tube Dependency in Infancy and Early Childhood

Neonatology/Paediatrics – Guidelines on Parenteral Nutrition, Chapter 13

Enterale Ernährung von Frühgeborenen

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