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Early enteral nutrition

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https://www.readbyqxmd.com/read/29665095/enteral-nutrition-and-dementia-integrating-ethics
#1
Denise Baird Schwartz
This narrative review highlights topics related to feeding patients with dementia, including the use of ethical principles and legal precedents; specifies guidelines and practice recommendations; provides an option to assist in applying the recommendations, such as comfort feedings instead of enteral nutrition; promotes the use of early advance care planning to achieve medical therapies based on an individual's wishes; and provides 3 case studies to demonstrate the clinical application of the information presented in the article...
April 17, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/29650256/impact-of-route-and-adequacy-of-nutritional-intake-on-outcomes-of-allogeneic-haematopoietic-cell-transplantation-for-haematologic-malignancies
#2
Julie Beckerson, Richard M Szydlo, Mary Hickson, Catriona E Mactier, Andrew J Innes, Ian H Gabriel, Renuka Palanicawandar, Edward J Kanfer, Donald H Macdonald, Dragana Milojkovic, Amin Rahemtulla, Aristeidis Chaidos, Anastasios Karadimitris, Eduardo Olavarria, Jane F Apperley, Jiri Pavlu
BACKGROUND: Allogeneic haematopoietic cell transplantation (HCT) is often associated with poor oral intake due to painful mucositis and gastrointestinal sequalae that occur following a preparative regimen of intensive chemotherapy and/or total body radiation. Although attractive to assume that optimal nutrition improves HCT outcomes, there are limited data to support this. It is also unclear whether artificial nutrition support should be provided as enteral tube feeding or parenteral nutrition (PN)...
March 28, 2018: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29629984/early-enteral-nutrition-provided-within-24-hours-of-icu-admission-a-meta-analysis-of-randomized-controlled-trials
#3
Feng Tian, Philippa T Heighes, Matilde J Allingstrup, Gordon S Doig
OBJECTIVES: To identify, appraise, and synthesize the most current evidence to determine whether early enteral nutrition alters patient outcomes from critical illness. DATA SOURCES: Medline and Embase were searched. The close out date was November 20, 2017. STUDY SELECTION: Early enteral nutrition was defined as a standard formula commenced within 24 hours of ICU admission. Comparators included any form of nutrition support "except" early enteral nutrition...
April 6, 2018: Critical Care Medicine
https://www.readbyqxmd.com/read/29622398/time-to-reintroduction-of-feeding-in-infants-with-nonsurgical-necrotizing-enterocolitis
#4
Chase A Arbra, Andra Oprisan, Dulaney A Wilson, Rita M Ryan, Aaron P Lesher
BACKGROUND: For infants with necrotizing enterocolitis (NEC) treated nonoperatively, no consensus exists on the optimal fasting period prior to reintroducing feeds after NEC. We report our experience with early (<7days) and late (≥7days) refeeding in this population. METHODS: A chart review of infants with NEC born between 2006 and 2016 was performed. Data elements include demographics, comorbidities, day of diagnosis, Bell's stage, recurrence, strictures, length of stay and mortality, and were grouped into early and late refeeding...
March 7, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29620597/early-serum-gut-hormone-concentrations-associated-with-time-to-full-enteral-feedings-in-preterm-infants
#5
Kristen H Shanahan, Xinting Yu, Laura G Miller, Steven D Freedman, Camilia R Martin
OBJECTIVES: The primary objective of this study was to evaluate early postnatal serum gut hormone concentrations in preterm infants as predictors of time to full enteral feedings. The secondary objective was to identify infant characteristics and nutritional factors that modulate serum gut hormone concentrations and time to full enteral feedings. METHODS: Sixty-four preterm infants less than 30 weeks of gestation were included in this retrospective cohort study...
April 3, 2018: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/29603269/nutrition-delivery-during-pediatric-extracorporeal-membrane-oxygenation-therapy
#6
Lindsey B Armstrong, Katelyn Ariagno, Craig D Smallwood, Charles Hong, Mary Arbuthnot, Nilesh M Mehta
BACKGROUND: Macronutrient delivery during pediatric ECMO therapy can be challenging. We examined predictors of nutrient delivery in the first 2 weeks of extracorporeal membrane oxygenation (ECMO) therapy in the pediatric intensive care unit (ICU). METHODS: Details of macronutrient delivery were recorded in children (newborn-18 years of age) who survived 24 hours after cannulation to ECMO over a 3-year period (2012-2015). RESULTS: We analyzed data from 54 consecutive eligible patients, 43% female, with median (interquartile range) ECMO duration of 8...
March 30, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29601436/gavage-feed-volume-determines-the-gastric-emptying-rate-in-preterm-infants
#7
Cristina H F Ferreira, Francisco E Martinez, Gerson C Crott, Jaques Belik
OBJECTIVE: Feeding intolerance, manifesting as increased gastric residual, is a common finding in preterm neonates. Little is known about the regulation of gastric emptying early in life and the extent to which this plays a role in the preterm infants' feeding tolerance. The goal of this study was to evaluate clinically stable 28- to 32-week gestation neonates during the first 4 weeks of life and noninvasively determine their gastric emptying rate. STUDY DESIGN: Ultrasound measurements of gastric milk content volume were obtained from 25 neonates immediately after, 30 and/or 60 minutes following routine gavage feeds...
March 29, 2018: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/29599384/pneumatosis-intestinalis-in-a-preterm-infant-should-we-treat-all-intestinal-pneumatosis-as-necrotising-enterocolitis
#8
Siu Jun Chew, Rajadurai Samuel Victor, Krishna Revanna Gopagondanahalli, Suresh Chandran
Gastric pneumatosisis a very rare site of pneumatosis intestinalis (PI), and we report this finding in a preterm female infant with cyanotic congenital heart disease. The infant was stable initially on nasal intermittent mandatory ventilation; however, torrential pulmonary flow through a large patent ductus arteriosus prompted closure using oral ibuprofen. After an episode of haematochezia, she developed PI, affecting mainly the gastric wall and small intestine with portal venous gas. Her bowel movements were regular, with no abdominal distension or significant gastric aspirates...
March 28, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29575415/gastrointestinal-dysmotility-a-qualitative-exploration-of-the-journey-from-symptom-onset-to-diagnosis
#9
K Twist, J Ablett, A Wearden, P Paine, D Vasant, S Lal, S Peters
BACKGROUND: Gastrointestinal dysmotility (GID) covers a spectrum of disorders disrupting enteric neuromuscular co-ordination which, when severe, causes intractable gastrointestinal symptoms and malnutrition and is a recognized cause of chronic intestinal failure. To date, no study has provided an in-depth account of the experiences of patients with severe GID and their psychosocial needs. This study aimed to explore patients' experiences from symptom onset and the process of seeking and receiving a diagnosis...
March 25, 2018: Neurogastroenterology and Motility: the Official Journal of the European Gastrointestinal Motility Society
https://www.readbyqxmd.com/read/29568326/determinants-of-early-child-development-in-rural-tanzania
#10
Ingeborg G Ribe, Erling Svensen, Britt A Lyngmo, Estomih Mduma, Sven G Hinderaker
Background: It has been estimated that more than 200 million children under the age of five do not reach their full potential in cognitive development. Much of what we know about brain development is based on research from high-income countries. There is limited evidence on the determinants of early child development in low-income countries, especially rural sub-Saharan Africa. The present study aimed to identify the determinants of cognitive development in children living in villages surrounding Haydom, a rural area in north-central Tanzania...
2018: Child and Adolescent Psychiatry and Mental Health
https://www.readbyqxmd.com/read/29567321/effect-of-early-fasting-and-total-parenteral-nutrition-support-on-the-healing-of-incision-and-nutritional-status-in-patients-after-sacrectomy
#11
S Gao, Y Zheng, X Liu, Z Tian, Y Zhao
INTRODUCTION: Surgical site infection is one of the most common complications for patients after sacrectomy which often accompanied by poor wound healing, sinus formation and serious metabolic disturbance. HYPOTHESIS: We tried to avoid the surgical site infection caused by feces during early period after surgery through early fasting and total parenteral nutrition(TPN) support, then compared the clinical results of these patients with other patients that received enteral nutrition (EN) early after sacrectomy...
March 19, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29529335/improved-safety-and-efficacy-of-small-bore-feeding-tube-confirmation-using-an-electromagnetic-placement-device
#12
Jan Powers, Michael Luebbehusen, Lillian Aguirre, Julia Cluff, Mary Ann David, Vince Holly, Lorraine Linford, Nancy Park, Rocco Brunelle
BACKGROUND: Early enteral nutrition has been shown to decrease complications and improve patient outcomes. Post pyloric feeding is recommended for patients with gastric intolerance or at high risk for aspiration. Feeding tube placement can be challenging and pose risk of pulmonary complications. Reliance on radiographic confirmation for feeding tube placement exposes the patient to radiation. Electromagnetic placement device (EMPD) may offer a method to minimize pulmonary complications, increase successful placement, and decrease radiation exposure to the patient...
March 12, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/29529231/early-progressive-feeding-in-extremely-preterm-infants-a-randomized-trial
#13
Ariel A Salas, Peng Li, Kelli Parks, Charitharth V Lal, Camilia R Martin, Waldemar A Carlo
Background: Due to insufficient evidence, extremely preterm infants (≤28 wk of gestation) rarely receive early progressive feeding (small increments of feeding volumes between 1 and 4 d after birth). We hypothesized that early progressive feeding increases the number of full enteral feeding days in the first month after birth. Objective: The aim of this study was to determine the feasibility and efficacy of early progressive feeding in extremely preterm infants...
February 24, 2018: American Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/29519287/-influence-of-clinical-nutritional-support-on-the-effects-of-mechanical-ventilation
#14
Xiujuan Xu, Geng Zhang, Mahong Hu, Chunlian Ji, Jianbiao Meng, Zhizhen Lai, Muhua Dai, Lisha Pang, Wei Zhang
OBJECTIVE: To study the influence of clinical nutritional support on the effects of mechanical ventilation (MV), and to find the factors affecting the outcome of patients undergoing MV. METHODS: A case-control study was conducted. The clinical data of 235 patients undergoing MV admitted to intensive care unit (ICU) of Tongde Hospital of Zhejiang Province from January 2015 to June 2017 were retrospectively analyzed. The patients were divided into two groups according to whether weaning successfully within 7 days...
March 2018: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
https://www.readbyqxmd.com/read/29514329/validation-of-the-subjective-global-nutrition-assessment-sgna-and-screening-tool-for-the-assessment-of-malnutrition-in-paediatrics-stamp-to-identify-malnutrition-in-hospitalized-malaysian-children
#15
Shu Hwa Ong, Winnie Siew Swee Chee, L Mageswary Lapchmanan, Shan Ni Ong, Zhi Chin Lua, Jowynna Xia-Ni Yeo
Background: Early detection of malnutrition in hospitalized children helps reduce length of hospital stay and morbidity. A validated nutrition tool is essential to correctly identify children at risk of malnutrition or who are already malnourished. This study compared the use of the Subjective Global Nutrition Assessment (SGNA, nutrition assessment tool) and Screening Tool for the Assessment of Malnutrition in Paediatrics (STAMP, nutrition screening tool) with objective nutritional parameters to identify malnutrition in hospitalized children...
March 5, 2018: Journal of Tropical Pediatrics
https://www.readbyqxmd.com/read/29507719/the-patient-needing-prolonged-mechanical-ventilation-a-narrative-review
#16
REVIEW
Nicolino Ambrosino, Michele Vitacca
Background: Progress in management has improved hospital mortality of patients admitted to the intensive care units, but also the prevalence of those patients needing weaning from prolonged mechanical ventilation, and of ventilator assisted individuals. The result is a number of difficult clinical and organizational problems for patients, caregivers and health services, as well as high human and financial resources consumption, despite poor long-term outcomes. An effort should be made to improve the management of these patients...
2018: Multidisciplinary Respiratory Medicine
https://www.readbyqxmd.com/read/29505664/higher-versus-lower-amino-acid-intake-in-parenteral-nutrition-for-newborn-infants
#17
REVIEW
David A Osborn, Tim Schindler, Lisa J Jones, John Kh Sinn, Srinivas Bolisetty
BACKGROUND: Sick newborn and preterm infants frequently are not able to be fed enterally, necessitating parenteral fluid and nutrition. Potential benefits of higher parenteral amino acid (AA) intake for improved nitrogen balance, growth, and infant health may be outweighed by the infant's ability to utilise high intake of parenteral AA, especially in the days after birth. OBJECTIVES: The primary objective is to determine whether higher versus lower intake of parenteral AA is associated with improved growth and disability-free survival in newborn infants receiving parenteral nutrition...
March 5, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29505152/early-protein-inadequacy-is-associated-with-longer-intensive-care-unit-stay-and-fewer-ventilator-free-days-a-retrospective-analysis-of-patients-with-prolonged-surgical-intensive-care-unit-stay
#18
D Dante Yeh, Eva Fuentes, Sadeq A Quraishi, Jarone Lee, Haytham M A Kaafarani, Peter Fagenholz, Kathryn Butler, Marc DeMoya, Yuchiao Chang, George Velmahos
BACKGROUND: Failure to provide adequate nutrition in the intensive care unit (ICU) may be particularly harmful for patients with prolonged critical illness. We hypothesized that early nutrition inadequacy is more influential for those requiring a longer ICU stay versus those requiring a shorter stay. METHODS: We enrolled 280 adult patients with prolonged surgical ICU stay who were receiving enteral nutrition for >72 hours. Subjects were divided into 2 groups: shortICU (<14 days) and longICU (≥14 days)...
January 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29505135/impact-of-early-initiation-of-enteral-nutrition-on-survival-during-pediatric-extracorporeal-membrane-oxygenation
#19
Kristin C Greathouse, Kelly T Sakellaris, Dmitry Tumin, Jacob Katsnelson, Joseph D Tobias, Don Hayes, Andrew R Yates
INTRODUCTION: Pediatric data related to safety, tolerance, and outcomes of enteral nutrition (EN) for patients requiring extracorporeal membrane oxygenation (ECMO) are lacking. The objectives of this study were to evaluate early nutrition status and timing of EN initiation on survival during pediatric ECMO. METHODS: A single center institutional review board-approved retrospective chart review was performed on all pediatric patients requiring ECMO from October 2008 through December 2013...
January 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29489656/the-impact-of-early-enteral-nutrition-on-pediatric-patients-undergoing-gastrointestinal-anastomosis-a-propensity-score-matching-analysis
#20
Qingjuan Shang, Qiankun Geng, Xuebing Zhang, Hongfang Xu, Chunbao Guo
This study was conducted to assess the clinical advantages of early enteral nutrition (EEN) in pediatric patients who underwent surgery with gastrointestinal (GI) anastomosis.EEN has been associated with clinical benefits in various aspect of surgical intervention, including GI function recovery and postoperative complications reduction. Evaluable data documenting clinical advantages with EEN for pediatric patients after surgery with GI anastomosis are limited.We retrospectively reviewed the medical records of 575 pediatric patients undergoing surgical intervention with GI anastomosis...
March 2018: Medicine (Baltimore)
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