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- HOME > Ann Clin Nutr Metab > Volume 16(2); 2024 > Article
- Editorial Nutritional therapy for critically ill children
- Eunju Ha
-
Annals of Clinical Nutrition and Metabolism 2024;16(2):21-21.
DOI: https://doi.org/10.15747/ACNM.2024.16.2.21
Published online: August 1, 2024
Nursing Department of Children, Asan Medical Center, Children’s Hospital, Seoul, Korea
- Corresponding author: Eunju Ha, email: ejha@amc.seoul.kr
• Received: May 29, 2024 • Revised: May 29, 2024 • Accepted: May 29, 2024
© 2024 The Korean Society of Surgical Metabolism and Nutrition · The Korean Society for Parenteral and Enteral Nutrition
This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Nutritional supplementation in pediatric intensive care units (PICUs) remains a field with many unresolved gray areas, lacking detailed research [1]. While nutritional support is deemed a cornerstone in pediatric critical care, some view it merely as ancillary. In the treatment of pediatric critically ill patients, fluid overload significantly impacts poor prognosis [2]. However, the delivery of nutrients considered as part of intake fluid is given lower priority compared to essential treatments such as medications or transfusions within intake volume, making it challenging to ensure adequate nutritional delivery. This may be one of the reasons why malnutrition remains prevalent, despite significant changes in pediatric critical care nutrition brought about by guidelines from ASPEN and ESPEN [3,4].
Nutrition is vital for life, especially for growing children. Malnutrition correlates with poor outcomes, and adequate caloric and protein intake improves long-term results in critically ill patients [5,6]. Hence, nutrition should be recognized as a therapeutic component in pediatric critical care, and tailored nutritional therapy is necessary to treat patients with various ages and diagnoses.
For tailored nutritional support, it demands critical thinking skills, which in turn require a multidisciplinary approach comprising specialized physicians, pharmacists, dietitians, and nurses.
The Annals of Clinical Nutrition and Metabolism is expected to establish consensus on pediatric critical care nutrition and provide evidence through research, significantly contributing to the multidisciplinary approach to nutritional delivery in PICUs.
- 1. Joffe A, Anton N, Lequier L, Vandermeer B, Tjosvold L, Larsen B, et al. Nutritional support for critically ill children. Cochrane Database Syst Rev 2016;2016:CD005144. ArticlePubMedPMC
- 2. Bem RA, Lemson J. 2024;Evaluating fluid overload in critically ill children. Curr Opin Pediatr 36:266-73. ArticlePubMed
- 3. Mehta NM, Compher C. A.S.P.E.N. Board of Directors. A.S.P.E.N. clinical guidelines: nutrition support of the critically ill child. JPEN J Parenter Enteral Nutr 2009;33:260-76. ArticlePubMedPDF
- 4. Tume LN, Valla FV, Joosten K, Jotterand Chaparro C, Latten L, Marino LV, et al. Nutritional support for children during critical illness: European Society of Pediatric and Neonatal Intensive Care (ESPNIC) metabolism, endocrine and nutrition section position statement and clinical recommendations. Intensive Care Med 2020;46:411-25. ArticlePubMedPMCPDF
- 5. Kratochvíl M, Klučka J, Klabusayová E, Musilová T, Vafek V, Skříšovská T, et al. Nutrition in pediatric intensive care: a narrative review. Children 2022;9:1031.ArticlePubMedPMC
- 6. Rupp Hanzen Andrades G, Abud Drumond Costa C, Crestani F, Tedesco Tonial C, Fiori H, Santos IS, et al. Association of nutritional status with clinical outcomes of critically ill pediatric patients with complex chronic conditions. Clin Nutr 2022;41:2786-91. ArticlePubMed
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