Article
Medicine, General & Internal
Roma Herman, Paulina Dumnicka, Stanislaw Pieczarkowski, Krzysztof Fyderek
Summary: Mucosal healing is the main treatment goal of Crohn's disease, and the Mucosal Inflammation Noninvasive Index (MINI) shows promise in distinguishing mucosal healing from inflammation. This study evaluated MINI in monitoring remissions induced by exclusive enteral nutrition in pediatric CD patients, and found that MINI is superior to fecal calprotectin in predicting disease relapse.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Nutrition & Dietetics
Montserrat Sierra-Colomina, Nagam Anna Yehia, Farhan Mahmood, Christopher Parshuram, Haifa Mtaweh
Summary: The utilization of noninvasive ventilation (NIV) in pediatric intensive care units (PICUs) to support children with respiratory failure has increased, but there is variation in the practice of initiating enteral nutrition (EN) due to safety concerns. This retrospective study found that early enteral feeding in children on NIV was associated with a lower rate of respiratory complications and shorter ICU stays.
Review
Critical Care Medicine
Elizabeth Viner Smith, Rebecca F. D'Cruz, Lee-anne Chapple
Summary: Critical care nutrition guidelines mainly focus on patients receiving invasive mechanical ventilation, yet noninvasive ventilation (NIV) is common. The optimal route of nutrition delivery in NIV patients has not been established. This review aims to describe the implications of NIV on feeding route prescribed.
CURRENT OPINION IN CRITICAL CARE
(2023)
Article
Nutrition & Dietetics
Judith Behnke, Vanessa Estreich, Frank Oehmke, Bernd Axel Neubauer, Anita Windhorst, Harald Ehrhardt
Summary: Nutritional supply is crucial for the growth and development of very-low-birthweight infants, and our study confirms the effectiveness of rapid enteral feeding in reducing long-term complications. Our findings show that the standardized protocol (STENA) for enteral feeding not only reduces the need for parenteral nutrition but also improves somatic growth and reduces the requirement for mechanical ventilation. Additionally, the benefits of STENA on head circumference persist until the age of 2 years.
Article
Nutrition & Dietetics
Hong-Yeul Lee, Jung-Kyu Lee, Hye-Jin Kim, Dal-Lae Ju, Sang-Min Lee, Jinwoo Lee
Summary: Continuous enteral feeding has been shown to be more effective in achieving target nutrition, especially in patients receiving mechanical ventilation.
Article
Pediatrics
Judith Behnke, Vanessa Estreich, Frank Oehmke, Klaus-Peter Zimmer, Anita Windhorst, Harald Ehrhardt
Summary: The study aimed to evaluate the safety and clinical outcomes of rapid enteral feeding advancements in preterm infants with a birthweight of less than 1500 g. The results showed that rapid feeding advancements were safe and did not impede stabilization on noninvasive ventilation. Preterm infants in the rapid feeding group achieved full volume feedings faster and displayed improved somatic growth.
PEDIATRIC PULMONOLOGY
(2022)
Article
Gastroenterology & Hepatology
David I. F. Wands, Laura Gianolio, David C. Wilson, Richard Hansen, Iain Chalmers, Paul Henderson, Konstantinos Gerasimidis, Richard K. Russell
Summary: In pediatric patients with CD in Scotland, the usage rates of EEN have not changed over the past 7.5 years, except during the COVID-19 pandemic, despite an increase in biologic use. Combination induction has emerged as a new trend.
INFLAMMATORY BOWEL DISEASES
(2023)
Article
Gastroenterology & Hepatology
R. Dawson, D. I. F. Wands, M. Logan, G. Bremner, S. Efklides, L. Benn, P. Henderson, H. Grant, J. Meredith, K. Armstrong, D. C. Wilson, K. Gerasimidis, G. Alex, R. K. Russell
Summary: This study compared the outcomes of two formulas and found that a generic oral nutritional supplement and a specialized formula have similar effectiveness in inducing remission in pediatric Crohn's disease. However, using a generic oral nutritional supplement can result in significant cost savings.
INFLAMMATORY BOWEL DISEASES
(2022)
Article
Critical Care Medicine
Kristen H. Shanahan, Michael C. Monuteaux, Joshua Nagler, Richard G. Bachur
Summary: A large cohort study in children's hospitals from 2010 to 2018 found significant increases in both noninvasive and invasive ventilation for infants with bronchiolitis. While high hospital-level noninvasive ventilation utilization was not associated with a reduction in invasive ventilation, it was linked to higher rates of cardiac arrest. Further investigation into the unintended risk of cardiac arrest with noninvasive ventilation in bronchiolitis is needed.
CRITICAL CARE MEDICINE
(2021)
Article
Nutrition & Dietetics
Omorogieva Ojo, Osarhumwese Osaretin Ojo, Qianqian Feng, Joshua Boateng, Xiaohua Wang, Joanne Brooke, Amanda Rodrigues Amorim Adegboye
Summary: This systematic review and meta-analysis evaluated the effects of enteral nutrition in critically ill patients with COVID-19. The results showed that early enteral nutrition significantly reduced the risk of mortality among these patients, while it did not significantly affect the length of hospital stay, length of ICU stay, and days on mechanical ventilation. Further studies are needed to examine the effect of early enteral nutrition in patients with COVID-19.
Review
Nutrition & Dietetics
Kaitlyn Page, Elizabeth Viner Smith, Lee-anne S. Chapple
Summary: The use of noninvasive respiratory support is increasing, but limited data exists on nutrition management for these patients in the ICU. There is a lack of consensus regarding the ideal method for nutrition assessment and route of nutrition, with oral nutrition being the most frequently reported route but inadequate in terms of calorie and protein delivery.
NUTRITION IN CLINICAL PRACTICE
(2023)
Review
Nutrition & Dietetics
Mariana Velly Miguel, Kevin Haubrick
Summary: This study evaluates the effect of blenderized tube feeding on feeding tolerance in enterally fed pediatric patients. The results demonstrate that blenderized tube feeding can improve vomiting, gagging/retching and heartburn, abdominal pain/upset and distension, and diarrhea. The impact on gas and constipation remains unclear.
Article
Critical Care Medicine
Katherine N. Slain, Sindhoosha Malay, Steven L. Shein
Summary: In a multicenter cohort study of children hospitalized with bronchiolitis, PICU patients, especially low-risk children without the need for IMV, were the main drivers of increased hospital charges.
PEDIATRIC CRITICAL CARE MEDICINE
(2022)
Review
Gastroenterology & Hepatology
Claudio Romano, Paolo Lionetti, Maria Immacolata Spagnuolo, Sergio Amarri, Antonella Diamanti, Elvira Verduci, Antonella Lezo, Gatti Simona
Summary: The benefits of bolus feeding for children receiving home enteral feeding (HEN) are supported by new evidence. However, current home methods have limitations, especially for mobile or restless patients. Therefore, innovative delivery methods have been introduced to provide more flexible and efficient feeding options.
EXPERT REVIEW OF GASTROENTEROLOGY & HEPATOLOGY
(2023)
Review
Gastroenterology & Hepatology
Paolo Lionetti, Eytan Wine, Rinat Ran Ressler, Gerard J. Minor, Giles Major, Boutaina Zemrani, Frederic Gottrand, Claudio Romano
Summary: Children who require enteral nutrition often experience gastrointestinal symptoms. Fiber-containing enteral formulas can improve bowel function, promote healthy gut microbiota growth, and improve immune homeostasis. However, there is a lack of guidance in clinical practice.
EXPERT REVIEW OF GASTROENTEROLOGY & HEPATOLOGY
(2023)
Article
Nutrition & Dietetics
Enid E. Martinez, Lori J. Bechard, Ann-Marie Brown, Jorge A. Coss-Bu, Sapna R. Kudchadkar, Theresa A. Mikhailov, Vijay Srinivasan, Steven J. Staffa, S. (Sascha) C. A. T. Verbruggen, David Zurakowski, Nilesh M. Mehta
Summary: Intermittent and continuous enteral nutrition strategies show no difference in energy or protein adequacy and infection rates in critically ill children.
CLINICAL NUTRITION
(2022)