Current opinion in clinical nutrition and metabolic care
The most recent articles from:
May 2016
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Curr Opin Clin Nutr Metab Care · May 2016
ReviewNutritional support and the role of the stress response in critically ill children.
Nutrition impacts outcome in critically ill children. Based on evolving neuro-endocrine, immunologic and metabolic alterations, three different phases can be proposed during the course of illness. The different phases each demand for tailored macronutrient intakes in critically ill children. ⋯ Understanding the stress response to critical illness and its phases is essential for nutritional recommendations in critically ill children. Although parenteral nutrient restriction during the acute phase might be beneficial, inclining requirements ask for a more aggressive approach during the stable and recovery phase to enable recovery, growth and catch-up growth.