Nutrition in Critical Illness with Dr. Enid Martinez, 1/2
PedsCrit
Early feeding goals in the first week
Enid summarizes guidelines: start enteral nutrition within 48 hours and target ~60%–66% of goal by day seven.
Enid Martinez, MD is a Senior Associate in Critical Care at Boston Children’s Hospital, and an Assistant Professor of Anaesthesia at Harvard Medical School. She is the Director of the Pediatric Critical Care Nutrition Program in the Division of Critical Care Medicine and Principal Investigator for a clinical-translational research program on gastrointestinal function and nutrition in pediatric critical illness.
Learning Objectives:
By the end of this podcast, listeners should be able to:
- Recognize the impact of nutritional status on outcomes of critically-ill children.
- Describe the key aspects of the metabolic stress response in critical illness.
- Discuss a clinical approach to accurately estimating and prescribing nutrition in critically-ill children.
- Reflect on an expert’s approach to managing aspects of nutrition in critically-ill children where there may not be high-quality evidence.
Selected references:
Mehta et al. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition. JPEN J Parenter Enteral Nutr. 2017 Jul;41(5):706-742. doi: 10.1177/0148607117711387. Epub 2017 Jun 2. PMID: 28686844.
Fivez et al. Early versus Late Parenteral Nutrition in Critically Ill Children. N Engl J Med. 2016 Mar 24;374(12):1111-22. doi: 10.1056/NEJMoa1514762. Epub 2016 Mar 15. PMID: 26975590.
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