Feeding the Critically Ill Child

Explore a comprehensive lecture on feeding critically ill children in pediatric intensive care units. Delve into the current state of nutrition for pediatric ICU patients, presented by Dr. Nilesh Mehta, Director of Critical Care Nutrition and Associate Medical Director of Critical Care at Boston Children's Hospital. Learn about malnutrition in PICUs, protein intake for mechanically ventilated children, indirect calorimetry, metabolic stress response, and whole body protein turnover. Discover the challenges to optimal enteral nutrition and strategies to overcome them, including a stepwise enteral nutrition algorithm. Gain insights into the Society of Critical Care Medicine guidelines, upper arm muscle area-for-age Z-scores, and the impact of protein intake on clinical outcomes. This 52-minute video, part of the OPENPediatrics platform, offers valuable knowledge for healthcare clinicians worldwide caring for critically ill children in various resource settings.

Intro
Society of Critical Care Medicine
Upper Arm Muscle Area-for-Age Z-Score
Malnutrition in the PICU
Protein Intake - Mechanically Ventilated Children
Indirect Calorimetry
Combustion of Different Substrates Substrate
Haldane Transformation • Start with the equation for volumetric oxygen consumption
Metabolic Stress Response
Whole Body Protein Turnover
Protein Intake and Clinical Outcomes
Challenges to optimal enteral nutrition in a multidisciplinary pediatric intensive care unit
Enteral Nutrition Interruptions
Astepwise enteral nutrition algorithm for critically ill children helps achieve nutrient delivery goals