Nutritional support in pediatric critically ill obese patients
10.3760/cma.j.issn.1673-4912.2017.01.005
- VernacularTitle:肥胖危重患儿的营养支持
- Author:
Xiaoxu REN
- Keywords:
Obesity;
Critically ill children;
Nutritional support;
Nutrition assessment;
Body mass index;
Indirect calorimetry
- From:
Chinese Pediatric Emergency Medicine
2017;24(1):17-22
- CountryChina
- Language:Chinese
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Abstract:
The nutritional support of pediatric critically ill obese patients is more challenging. In addition to the critical condition of the primary illness,a series of pathophysiological changes and multi-organ dysfunction that are brought by obesity make higher nutritional risks, more complex clinical conditions and more variable metabolic status in critically ill obese children. Continuous indirect calorimetry is the ′gold standard′in the assessment of energy requirements and guiding nutritional support in critically ill obese chil-dren. Optimal protein intake,reasonable carbohydrates/lipid ratio for the total non-protein energy and objec-tive dynamic assessment are essential for successful nutrition support.
