Current opinion in clinical nutrition and metabolic care
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Curr Opin Clin Nutr Metab Care · May 2017
ReviewTiming of the initiation of parenteral nutrition in critically ill children.
To review the current literature evaluating clinical outcomes of early and delayed parenteral nutrition initiation among critically ill children. ⋯ Although there is no consensus on the optimal timing of parenteral nutrition initiation among critically ill children, recent literature does not support the immediate initiation of parenteral nutrition on pediatric ICU admission. A common theme in the reviewed literature highlights the importance of accurate assessment of nutritional status and energy expenditure in deciding when to initiate parenteral nutrition. As with all medical interventions, the initiation of parenteral nutrition should be considered in light of the known benefits of judiciously provided nutritional support with the known risks of artificial, parenteral feeding.