The Society of Critical Care Medicine (SCCM) and the American Society for Parenteral and Enteral Nutrition (ASPEN) recently released guidelines addressing nutrition support therapy in the critically ill pediatric patient.
Titled “Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition,” the material was published in the July 2017 issue of Pediatric Critical Care Medicine.
“The guidelines offer basic recommendations that are supported by review and analysis of the current literature and a blend of expert opinion and clinical practicality,” notes lead author Nilesh M. Mehta, MD. These guidelines are intended for use by all healthcare providers involved in nutrition therapy of the critically ill child, primarily physicians, nurses, dietitians, and pharmacists.
Guideline findings include:
- There is a significant gap in proper nutritional interventions, particularly among malnourished pediatric patients
- Early intervention makes a difference
- The timing and method of nutrient delivery is important
- A skilled nutrition support team is a key differentiator
- Ongoing monitoring is critical to avoid unintended caloric under- or overfeeding
- Determining how much nutrition is needed is an important factor