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Congenital heart nutrition

Manoj Kumar Sahu, Anuradha Singal, Ramesh Menon, Sarvesh Pal Singh, Alka Mohan, Mala Manral, Divya Singh, V Devagouru, Sachin Talwar, Shiv Kumar Choudhary
BACKGROUND AND OBJECTIVES: Adequate nutritional supplementation in infants with cardiac malformations after surgical repair is a challenge. Critically ill infants in the early postoperative period are in a catabolic stress. The mismatch between estimated energy requirement (EER) and the intake in the postoperative period is multifactorial, predisposing them to complications such as immune deficiency, more infection, and growth failure. This study aimed to assess the feasibility and efficacy of enriched breast milk feed on postoperative recovery and growth of infants after open heart surgery...
October 2016: Annals of Cardiac Anaesthesia
Michelle M Steltzer, Karen Sussman-Karten, Hillary Bishop Kuzdeba, Sandra Mott, Jean Anne Connor
INTRODUCTION: To our knowledge, successful breastfeeding in the population with single ventricle congenital heart disease has not been reported in the literature, particularly during the interstage period. METHOD: A retrospective case study including inpatient nutrition and a complete history of daily logs with the home surveillance monitoring program was performed. RESULTS: Successful full breastfeeding (exceeding prescribed weight growth goals) after Stage I surgery was achieved during the interstage period...
September 22, 2016: Journal of Pediatric Health Care
Shaad Abqari, Akash Gupta, Tabassum Shahab, M U Rabbani, S Manazir Ali, Uzma Firdaus
INTRODUCTION: Congenital heart defects (CHDs) are an important cause of mortality and morbidity in children representing a major global health burden. It is thus important to determine their prevalence and spectrum and identify risk factors associated with the development of heart defects. MATERIALS AND METHODS: A case-control study was carried out in the Department of Pediatrics and Center of Cardiology, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India, from February 2014 to August 2015...
September 2016: Annals of Pediatric Cardiology
Alejandro A Floh, Julie Slicker, Steven M Schwartz
OBJECTIVES: The objectives of this review are to discuss the challenges of delivering adequate nutrition to children with congenital heart disease, including pre- and postoperative factors and the role of enteral and parenteral nutrition, as well as the evidence supporting current practices. DATA SOURCE: MEDLINE and PubMed. CONCLUSION: Providing adequate nutritional support is paramount for critically ill infants with congenital heart disease, a population at particular risk for malnutrition...
August 2016: Pediatric Critical Care Medicine
Jina Kim, Zhifei Sun, Brian R Englum, Alexander C Allori, Obinna O Adibe, Henry E Rice, Elisabeth T Tracy
PURPOSE: Concerns have been raised about the use of laparoscopic surgery (LS) in infants with congenital heart disease (CHD) due to their unique physiology. Prior studies on the safety and effectiveness of laparoscopy in children with CHD are limited in scope and cohort size. MATERIALS AND METHODS: We identified children <1 year of age with CHD who underwent abdominal surgery in the 2012-2013 American College of Surgeons National Surgical Quality Improvement Project Pediatric database...
October 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Pankajkumar A Kasar, Raghavan Nair Suresh Kumar, Vellappillil Raman Kutty
OBJECTIVES: To assess the impact of congenital heart surgery on anthropometric scores of growth in economically disadvantaged children. METHODS: A cohort of 100 economically disadvantaged children was followed up after cardiac surgery for their nutritional recovery. Weight, height and body mass index for age were measured just before surgery and at a median period of 48.1 months (range 9-59.9 months) after surgery. Z scores of the age-adjusted variables were computed and McNemar OR was calculated for odds of improvement...
2011: Heart Asia
Dicky Fakhri, Samsuridjal Djauzi, Tri Wahyu Murni, Jusuf Rachmat, Alida Roswita Harahap, Sri Endah Rahayuningsih, Muchtaruddin Mansyur, Anwar Santoso
BACKGROUND: Sepsis is one of the complications following open heart surgery. Toll-like receptor 2 and toll-interacting protein polymorphism influence the immune response after open heart surgery. This study aimed to assess the genetic distribution of toll-like receptor 2 N199N and toll-interacting protein rs5743867 polymorphism in the development of postoperative sepsis. METHODS: A prospective cohort study was conducted in 108 children <1-year old who underwent open heart surgery with a Basic Aristotle score ≥6...
May 2016: Asian Cardiovascular & Thoracic Annals
Pirouz Shamszad, Joseph W Rossano, Bradley S Marino, Adam W Lowry, Jarrod D Knudson
OBJECTIVE: To assess how obesity or diabetes mellitus impacts outcomes in patients undergoing cardiac surgery in pediatric hospitals. DESIGN: A multi-institutional, matched case-control study of the Pediatric Health Information System database was performed. SETTING: Tertiary children's hospitals in the United States. PATIENTS: All cardiac surgical cases in patients with obesity or diabetes mellitus between 2004 and 2012 were included...
February 17, 2016: Congenital Heart Disease
Heidi E Karpen
Both protein and energy malnutrition are common in neonates and infants with congenital heart disease (CHD). Neonates with CHD are at increased risk of developing necrotizing enterocolitis (NEC), particularly the preterm population. Mortality in patients with CHD and NEC is higher than for either disease process alone. Standardized feeding protocols may affect both incidence of NEC and growth failure in infants with CHD. The roles of human milk and probiotics have not yet been explored in this patient population...
March 2016: Clinics in Perinatology
Amy Donnellan, Lindsey Justice
Hypoplastic left heart syndrome is a severe form of congenital heart disease that results in single-ventricle physiology. Although surgical palliation in infants with this syndrome is widely agreed on in practice, variation occurs in both surgical and medical management. Perinatal factors that affect preoperative management include the subtype of the syndrome and the patient's birth weight, gestational age, and genetic abnormalities. The general aspects of perioperative stabilization and management are monitoring, use of vasoactive infusions, ventilatory support, and nutrition...
February 2016: Critical Care Nurse
A Blasquez, H Clouzeau, M Fayon, J-B Mouton, J-B Thambo, R Enaud, T Lamireau
BACKGROUND/OBJECTIVES: The objective of this disease was to determine the prevalence of malnutrition in children with congenital heart disease (CHD). SUBJECTS/METHODS: A total of 125 children with CHD, under 6 months of age, were divided into four groups: no pulmonary hypertension (PH) or cyanosis (group 1, n=47), isolated cyanosis (group 2, n=52), isolated PH (group 3, n=16), and PH and cyanosis (group 4, n=10). Six children died at 6 months (n=4), 12 months (n=1) and 19 months (n=1)...
April 2016: European Journal of Clinical Nutrition
Ijeoma Arodiwe, Josephat Chinawa, Fortune Ujunwa, Dabere Adiele, Mildred Ukoha, Egbuna Obidike
BACKGROUND AND OBJECTIVES: Children with congenital heart disease (CHD) are prone to malnutrition. This can have a significant effect on the outcome of surgery. Our objective was to determine the burden and determinant of malnutrition in children with several types of congenital heart disease (CHD). METHODS: This is a descriptive cross sectional study of children attending the outpatient clinic of UNTH, Ituku - Ozalla, Enugu State, over a six year period from March 2007 to April 2014...
September 2015: Pakistan Journal of Medical Sciences Quarterly
Sarah Wisecup, Shannan Eades, Yuliya Turiy
OBJECTIVES: With the apparent increase in venous thromboembolism noted in the pediatric population, it is important to define which children are at risk for clots and to determine optimal preventative therapy. The purpose of this study was to determine the risk factors for venous thromboembolism in pediatric patients with central venous line placement. METHODS: This was an observational, retrospective, case-control study. Control subjects were patients aged 0 to 18 years who had a central venous line placed...
September 2015: Journal of Pediatric Pharmacology and Therapeutics: JPPT: the Official Journal of PPAG
Chinwendu Onwubiko, Sigrid Bairdain, Andrew J Murphy, Maireade E McSweeney, Julia Perkins, Rahul H Rathod, Christopher Baird, C Jason Smithers
INTRODUCTION: Gastrojejunostomy (GJ) tubes are an option for durable enteral access for critically ill infants with congenital cardiac disease who struggle with obtaining adequate nutrition. MATERIALS AND METHODS: Infants weighing less than 10 kg with cardiac disease who received placement of a laparoscopic GJ tube from November 2011 to January 2015 were reviewed. The operative technique used an umbilical port for the camera and a single stab incision for the gastric access site...
December 2015: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Agnieszka Szlagatys-Sidorkiewicz, Anna Borkowska, Katarzyna Popińska, Ewa Toporowska-Kowalska, Urszula Grzybowska-Chlebowczyk, Anna Wernicka, Ewa Hapyn, Marta Sibilska, Beata Gębora-Kowalska, Sabina Więcek, Paweł Zagożdżon, Jarosław Kierkuś
PURPOSE: The aim of this study was to analyze whether the insertion of Percutaneous Endoscopic Gastrostomy (PEG) during infancy is related to higher morbidity. Moreover, we analyzed the structure of indications to PEG placement in various age groups of pediatric patients. MATERIAL/METHODS: The study involved medical data of children after PEG insertion from six Polish endoscopic centers: infants (<12 months of age), toddlers (12-36 months), and preadolescents (>36 months)...
March 2016: Advances in Medical Sciences
Nancy A Pike, Carol A Okuhara, Joy Toyama, Barbara P Gross, Winfield J Wells, Vaughn A Starnes
BACKGROUND: Persistent pleural effusions after the Fontan procedure contribute to prolonged hospitalization and increased costs. We report our experience using a modified Wisconsin Fontan protocol to reduce chest tube drainage and hospital length of stay (LOS). METHODS: Single institutional retrospective chart review of 120 consecutive patients (60 before and 60 after initiation of our protocol) undergoing an extracardiac Fontan procedure from January 2004 to February 2007...
September 2015: Journal of Thoracic and Cardiovascular Surgery
Ganimeta Bakalovic, Amra Dzinovic, Rusmir Baljic, Selma Dizdar, Amina Selimovic
OBJECTIVE: To present the epidemiological features of bronchiolitis in a one-year period in patients of Pediatric Clinic, Clinical Centre of Sarajevo University. INTRODUCTION: Bronchiolitis is the most common respiratory infection of early infant age. The disease is one the most common reason for hospitalization of children under the age of six months. The disease is characterized by occurrences in the winter season November-March. For daily diagnosing of severe forms of bronchiolitis as a clinical syndrome, often sufficient are the knowledge of the epidemiological data, age of the patient, clinical examination and insight into the risk factors...
June 2015: Materia Socio-medica
Lily Jiménez, Jaime Cerda, Gigliola Alberti, Macarena Lizama
BACKGROUND: Overweight and obesity in Down syndrome (DS) is a common problem. Chile has a high prevalence of DS. AIM: To determine overweight and obesity rates in students with DS and evaluate the concordance of three different growth charts. MATERIAL AND METHODS: Seventy nine students with DS aged between 6 and 18 years (56% males), from three different schools, were included. Weight and height were measured and their body mass index (BMI) was calculated...
April 2015: Revista Médica de Chile
Judith J M Wong, Ira M Cheifetz, Chengsi Ong, Masakazu Nakao, Jan Hau Lee
Energy imbalance in infants and children with congenital heart disease (CHD) is common and influenced by age, underlying cardiac diagnoses, and presence or absence of congestive heart failure. During the surgical hospitalization period, these children are prone to nutritional deterioration due to stress of surgery, anesthetic/perfusion techniques, and postoperative care. Poor nutrition is associated with increased perioperative morbidity and mortality. This review aims to examine various aspects of nutrition in critically ill children with CHD, including (1) energy expenditure, (2) perioperative factors that contribute to energy metabolism, (3) bedside practices that are potentially able to optimize nutrient delivery, and (4) medium- to long-term impact of energy balance on clinical outcomes...
July 2015: World Journal for Pediatric & Congenital Heart Surgery
Basheir A Hassan, Ehab A Albanna, Saed M Morsy, Ahmed G Siam, Mona M Al Shafie, Hosam F Elsaadany, Hanan S Sherbiny, Mohamed Shehab, Oswin Grollmuss
BACKGROUND: Malnutrition is a common cause of morbidity and mortality in children with congenital heart disease (CHD). This study aimed to identify prevalence and predictors of malnutrition in Egyptian children with symptomatic CHD. METHODS: This case-control study included 100 children with symptomatic CHD (76 acyanotic and 24 cyanotic) and 100 healthy children matched for age and sex as a control group. Clinical Evaluation and Laboratory Assessment of Nutritional Status were documented...
2015: Frontiers in Pediatrics
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