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Review
. 2021 Aug 2:8:666464.
doi: 10.3389/fnut.2021.666464. eCollection 2021.

Nutrition in Pediatric Extracorporeal Membrane Oxygenation: A Narrative Review

Theresa S W Toh  1 , Chengsi Ong  2 , Yee Hui Mok  3 , Palen Mallory  4 , Ira M Cheifetz  5 , Jan Hau Lee  3   6
Affiliations
Review

Nutrition in Pediatric Extracorporeal Membrane Oxygenation: A Narrative Review

Theresa S W Toh et al. Front Nutr. .

Abstract

Extracorporeal membrane oxygenation (ECMO) support is increasingly utilized in quaternary pediatric intensive care units. Metabolic derangements and altered nutritional requirements are common in critically ill children supported on ECMO. However, there remains no consensus on the optimal approach to the prescription of nutrition in these patients. This narrative review aims to summarize the current medical literature on various aspects of nutrition support in pediatric patients on ECMO. These include: (1) nutritional adequacy, (2) pros and cons of feeding on ECMO, (3) enteral vs. parenteral nutrition, and (4) proposed recommendations and future directions for research in this area.

Keywords: energy expenditure; enteral nutrition; extracorporeal membrane oxygenation; mortality; nutritional adequacy; parenteral nutrition; pediatric intensive care unit.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Proposed approach for nutritional support in pediatric extracorporeal membrane oxygenation. CDH, congenital diaphragmatic hernia; EN, enteral nutrition; PN, parenteral nutrition; CRRT, continuous renal replacement therapy.
See this image and copyright information in PMC

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