• An Pediatr (Barc) · Jul 2003

    [Transpyloric enteral nutrition in critically-ill children (I): technic and indications].

    • C Sánchez Sánchez, J López-Herce Cid, A Carrillo Alvarez, A Bustinza Arriortúa, L Sancho Pérez, and D Vigil Escribano.
    • Sección de Cuidados Intensivos Pediátricos. Hospital General Universitario Gregorio Maranon. Madrid. Spain.
    • An Pediatr (Barc). 2003 Jul 1;59(1):19-24.

    ObjectiveTo study the utility and efficacy of transpyloric enteral nutrition (TEN) in critically-ill children by analyzing the factors that determine enteral tolerance.Patients And MethodsWe performed a prospective, observational study between 1994 and 2002 of all critically-ill children admitted to our pediatric intensive care unit who received TEN. The indications for enteral nutrition, type of nutrition and its duration were studied.ResultsA total of 286 patients (8.4 % of patients admitted to the PICU in the study period), aged between 3 days and 17 years received TEN. Fifty-five children (19.2 %) were aged less than 1 month and 165 (27.7 %) were aged less than 6 months. Seventy percent received TEN exclusively. The most frequent indication for TEN was mechanical ventilation in 255 children (89.2 %). One hundred seventy-six patients (61.5 %) received TEN in the postoperative period after cardiac surgery. The mean duration of TEN was 15.4 25 days, the maximum volume of nutrition was 118.7 41 ml/kg/day, and the maximum caloric intake was 88.6 26.7 kcal/kg/day. During TEN, 227 patients received sedation (79.3 %), and 124 were administered muscle relaxants (43.3 %), with no increase in complications.ConclusionsTEN is a useful method of nutrition in critically-ill children.

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