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Journal of Parenteral and Enteral Nutrition
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Nutrition Therapy in Critically Ill Infants and Children

Heather E. Skillman , MS, RD, CSP, CNSC1 and Paul E. Wischmeyer , MD2

From the 1 Department of Clinical Nutrition, The Children's Hospital, Aurora, Colorado; and the2 Department of Anesthesiology, University of Colorado Health Sciences Center, Aurora, Colorado.

Address correspondence to: Heather Skillman, MS, RD, CSP, CNSC, Dept of Clinical Nutrition, The Children's Hospital, 13123 East 16th Ave, Box 270, Aurora, CO 80045; e-mail: skillman.heather{at}tchden.org.

Infants and children are susceptible to the profound metabolic effects of critical illness. In addition, preexisting malnutrition and obesity have adverse consequences during the intensive care unit stay. Early enteral and parenteral feeding can improve nutrition deficits, but neither has been sufficiently studied to show an effect on clinical outcomes in pediatric critical care. Indirect calorimetry is a useful technique that identifies patients receiving inadequate or excessive nutrition, but this technique is underused.

Key Words: critically ill infants and children • nutrition therapy • enteral nutrition • parenteral nutrition • clinical practice guidelines • research, funding

Journal of Parenteral and Enteral Nutrition, Vol. 32, No. 5, 520-534 (2008)
DOI: 10.1177/0148607108322398
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This article has been cited by other articles:


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 JPEN J Parenter Enteral NutrHome page
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Bringing N Closer to the ABCs of Critical Care: The Forgotten Status of Nutrition in the Pediatric Intensive Care Unit
JPEN J Parenter Enteral Nutr, September 1, 2008; 32(5): 585 - 586.
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