The aim of this study was to evaluate the effect of calorie and enteral feeding timing on survival in critically ill children receiving inotropic, vasopressor and inodilatory supplements.
The aim of this study was to evaluate the effect of calorie and enteral feeding timing on survival in critically ill children receiving inotropic, vasopressor and inodilatory supplements. Early enteral nutrition will be initiated within the first 24 hours of hospitalization in critically ill children who have inotropic vasopressor and inodilator support without any problems and contraindications in gastrointestinal system functions. The energy requirement of the intubated patients will be measured by indirect calorie meter method. Schofield method will be used to calculate the daily energy needs of extubated patients. 30% of the targeted energy in the first 48 hours of hospitalization and 80% of the targeted energy in the first week will be achieved by enteral nutrition.Nutritional solutions with a concentrated formula of 1 / 1.5 will be given to patients with cardiac pulmonary or renal disease requiring fluid restriction.Patients will be followed up for vomiting, diarrhea, abdominal distention, feeding intolerance, gastric residues and gastrointestinal bleeding. If these findings develop, the patient's nutrition will be interrupted according to the clinician's assessment and enteral nutrition will be re-fed as soon as possible.
Study Type
OBSERVATIONAL
Enrollment
20
Cukurova University, Division of Pediatric Intensive Care Unit
Adana, Turkey (Türkiye)
RECRUITING28-d mortality
To evaluate the effect of enteral feeding timing on survival
Time frame: 28 days
Lactate
To observe safe lactate levels suitable for enteral nutrition. Lactate levels will be measure 4 times in a day.
Time frame: During inotropic treatment
Vasoactive inotrope score
To observe maximum vasoactive inotrope score suitable for enteral nutrition. Maximum VIS will be recorded.
Time frame: During inotropic treatment
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.