Role of registered dietitians in nasoenteric feeding tube placement
Nutr Clin Pract. 2023 Sep 19. doi: 10.1002/ncp.11071. Online ahead of print.ABSTRACTProvision of enteral nutrition (EN) in hospitalized patients is an integral part of clinical care. For various reasons, including but not limited to delayed enteral access placement and EN initiation, it is becoming more prevalent for registered dietitians (RDs) to place feeding tubes in various clinical settings. Although numerous RDs have expanded their practice by learning this skill, many remain hesitant about adding feeding tube placement to their scope of responsibilities. Feeding tube placement is within RDs' scope of practice. The r...
Source: Nutrition in Clinical Practice - September 19, 2023 Category: Nutrition Authors: Maryam Yeganehjoo Jennifer Johanek Source Type: research
Human milk fortification and use of infant formulas to support growth in the neonatal intensive care unit
Nutr Clin Pract. 2023 Oct;38 Suppl 2:S56-S65. doi: 10.1002/ncp.11038.ABSTRACTNewborn infants require adequate nutrition to achieve full potential growth and development. Early life nutrition and health impacts long-term outcomes through adulthood. Human milk is the optimal source of nutrition during the first 6 months of life. However, infants admitted to the neonatal intensive care unit (NICU) often have comorbidities that create more or different nutrition demands than healthy newborns. There are different strategies to meet the nutrition needs of sick newborns, including use of parenteral nutrition, human milk fortifier...
Source: Nutrition in Clinical Practice - September 18, 2023 Category: Nutrition Authors: Denise H Moreira Sarah B Gregory Noelle E Younge Source Type: research
Infant body composition: A comprehensive overview of assessment techniques, nutrition factors, and health outcomes
Nutr Clin Pract. 2023 Oct;38 Suppl 2:S7-S27. doi: 10.1002/ncp.11059.ABSTRACTBody composition assessment is a valuable tool for clinical assessment and research that has implications for long-term health. Unlike traditional measurements such as anthropometrics or body mass index, body composition assessments provide more accurate measures of body fatness and lean mass. Moreover, depending on the technique, they can offer insight into regional body composition, bone mineral density, and brown adipose tissue. Various methods of body composition assessment exist, including air displacement plethysmography, dual-energy x-ray ab...
Source: Nutrition in Clinical Practice - September 18, 2023 Category: Nutrition Authors: Maggie L Jerome Vivian Valcarce Laura Lach Elena Itriago Ariel A Salas Source Type: research
Nutrition for critically ill children and neonates requiring dialysis: Application of clinical practice recommendations
Nutr Clin Pract. 2023 Oct;38 Suppl 2:S139-S157. doi: 10.1002/ncp.11048.ABSTRACTApproximately 30% of all children and neonates admitted to the intensive care unit (ICU) experience acute kidney injury (AKI). Children with AKI are largely poorly fed and experience high rates of malnutrition. Nutrition prescription and provision are exceptionally challenging for critically ill neonates, infants, and children with AKI given the dynamic nature of AKI and its respective treatment modalities. Managing the nutrition prescription of critically ill neonates, infants, and children with AKI requires nutrition support clinicians to have...
Source: Nutrition in Clinical Practice - September 18, 2023 Category: Nutrition Authors: Molly Wong Vega Kim T Vuong Jennifer Chmielewski Laura Gollins Cara Slagle Poyyapakkam R Srivaths Ayse Akcan Arikan Source Type: research
Importance of human milk for infants in the clinical setting: Updates and mechanistic links
CONCLUSION: In this review, we affirm the importance of HM for all infants, especially clinical populations. An understanding of how HM composition is modulated by maternal and environmental factors is important to progress the field forward with respect to mechanistic links between HM biology and infant health outcomes.PMID:37721461 | DOI:10.1002/ncp.11037 (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - September 18, 2023 Category: Nutrition Authors: Emily M Nagel Kristin M Elgersma Tiffany T Gallagher Kelsey E Johnson Ellen Demerath Cheryl A Gale Source Type: research
Measuring growth in critically ill neonates and children
Nutr Clin Pract. 2023 Oct;38 Suppl 2:S28-S38. doi: 10.1002/ncp.11057.ABSTRACTCritical illness increases the risk of malnutrition in both infants and children. Malnutrition risk is multifactorial and includes premorbid factors as well as changes in nutrient metabolism and energy demands during critical illness. Inadequate nutrition has been linked to poor health outcomes and prolonged length of stay in the intensive care unit, demonstrating the importance of both recognizing and addressing malnutrition in this population. Assessing growth and identifying malnutrition requires methodical measurement of growth and a collabora...
Source: Nutrition in Clinical Practice - September 18, 2023 Category: Nutrition Authors: Julia M Bracken Lucy Pappas Jamie Wilkins Kelly Tracy Taiseer R Al-Rajabi Ruba A Abdelhadi Source Type: research
Nutrition for critically ill children with congenital heart disease
Nutr Clin Pract. 2023 Oct;38 Suppl 2:S158-S173. doi: 10.1002/ncp.11046.ABSTRACTChildren with congenital heart disease often require admission to the cardiac intensive care unit at some point in their lives, either after elective surgical or catheter-based procedures or during times of acute critical illness. Meeting both the macronutrient and micronutrient needs of children in the cardiac intensive care unit requires complex decision-making when considering gastrointestinal perfusion, vasoactive support, and fluid balance goals. Although nutrition guidelines exist for critically ill children, these cannot always be extrapo...
Source: Nutrition in Clinical Practice - September 18, 2023 Category: Nutrition Authors: Jason S Kerstein Corie M Klepper Emily G Finnan Kimberly I Mills Source Type: research
Nutrition association with skin integrity and pressure injury in critically ill pediatric patients
CONCLUSIONS: A dearth of evidence exists describing associations between nutrition and disruption of skin integrity in pediatric critical illness. Children with dark skin are at increased risk, as manifestation and identification of disruption to skin integrity may not be recognized. Research is needed to describe these associations and the impact of nutrition on skin integrity, including differences of skin color.PMID:37721464 | DOI:10.1002/ncp.11063 (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - September 18, 2023 Category: Nutrition Authors: Sharon Y Irving Katarina G Berry Sherry Morgan Stephanie M Seiple Monica L Nagle Molly Stetzer Neeka Tabatabaei Sara Murphy Vijay Srinivasan Maria Mascarenhas Source Type: research
Body composition in pediatric patients
Nutr Clin Pract. 2023 Oct;38 Suppl 2:S84-S102. doi: 10.1002/ncp.11061.ABSTRACTUndernutrition is highly prevalent in children who are critically ill and is associated with increased morbidity and mortality, including a higher risk of infection due to transitory immunological disorders, inadequate wound healing, reduced gut function, longer dependency on mechanical ventilation, and longer hospital stays compared with eutrophic children who are critically ill. Nutrition care studies have proposed that early interventions targeting nutrition assessment can prevent or minimize the complications of undernutrition. Stress promote...
Source: Nutrition in Clinical Practice - September 18, 2023 Category: Nutrition Authors: Patr ícia Zamberlan Beatriz P Mazzoni Maria A C Bonfim Rafaela R Vieira Rosana Tumas Artur F Delgado Source Type: research
Timing of enteral nutrition and parenteral nutrition in the PICU
This article provides a narrative review of the timing of nutrition support on outcomes in infants and children with critical illness, strategies to optimize timing and adequacy of nutrition support, and literature gaps, including the timing of parenteral nutrition initiation for children with malnutrition and those with contraindications to enteral nutrition and accurate measurement of energy requirements.PMID:37721466 | DOI:10.1002/ncp.11050 (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - September 18, 2023 Category: Nutrition Authors: Donna M Fell Emily A Bitetto Heather E Skillman Source Type: research
Determining energy and protein needs in critically ill pediatric patients: A scoping review
CONCLUSION: This scoping review highlights the need for scientific data on the methods used to measure energy expenditure and determine protein needs in critically ill children. Studies using a reference method are needed to validate an indirect calorimeter.PMID:37721467 | DOI:10.1002/ncp.11060 (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - September 18, 2023 Category: Nutrition Authors: Corinne Jotterand Chaparro C éline Pabion Lyvonne Tume Nilesh M Mehta Fr édéric V Valla Cl émence Moullet Source Type: research
Nutrition support for the critically ill infant and child
Nutr Clin Pract. 2023 Oct;38 Suppl 2:S5-S6. doi: 10.1002/ncp.11056.NO ABSTRACTPMID:37721468 | DOI:10.1002/ncp.11056 (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - September 18, 2023 Category: Nutrition Authors: Catherine Larson-Nath Lori J Bechard Source Type: research
Select micronutrients for the preterm neonate
Nutr Clin Pract. 2023 Oct;38 Suppl 2:S66-S83. doi: 10.1002/ncp.11054.ABSTRACTIf premature neonates are not provided with adequate nutrition, they will quickly become deficient because of increased requirements and a lack of nutrient stores to achieve adequate growth. The provision of many of the recommended micronutrients for pediatric and adult patients is challenging in premature neonates because of the limited data surrounding the true needs of premature neonates and the difficulty in assessing adequate serum levels of these nutrients in this patient population. Parenteral and enteral nutrition shortages further complic...
Source: Nutrition in Clinical Practice - September 18, 2023 Category: Nutrition Authors: Jessica Barbieri Mary Petrea Cober Source Type: research
Human milk fortification and use of infant formulas to support growth in the neonatal intensive care unit
Nutr Clin Pract. 2023 Oct;38 Suppl 2:S56-S65. doi: 10.1002/ncp.11038.ABSTRACTNewborn infants require adequate nutrition to achieve full potential growth and development. Early life nutrition and health impacts long-term outcomes through adulthood. Human milk is the optimal source of nutrition during the first 6 months of life. However, infants admitted to the neonatal intensive care unit (NICU) often have comorbidities that create more or different nutrition demands than healthy newborns. There are different strategies to meet the nutrition needs of sick newborns, including use of parenteral nutrition, human milk fortifier...
Source: Nutrition in Clinical Practice - September 18, 2023 Category: Nutrition Authors: Denise H Moreira Sarah B Gregory Noelle E Younge Source Type: research
Infant body composition: A comprehensive overview of assessment techniques, nutrition factors, and health outcomes
Nutr Clin Pract. 2023 Oct;38 Suppl 2:S7-S27. doi: 10.1002/ncp.11059.ABSTRACTBody composition assessment is a valuable tool for clinical assessment and research that has implications for long-term health. Unlike traditional measurements such as anthropometrics or body mass index, body composition assessments provide more accurate measures of body fatness and lean mass. Moreover, depending on the technique, they can offer insight into regional body composition, bone mineral density, and brown adipose tissue. Various methods of body composition assessment exist, including air displacement plethysmography, dual-energy x-ray ab...
Source: Nutrition in Clinical Practice - September 18, 2023 Category: Nutrition Authors: Maggie L Jerome Vivian Valcarce Laura Lach Elena Itriago Ariel A Salas Source Type: research
