Optimising nutrition during therapeutic hypothermia
File(s)
Published version
Author(s)
Ojha, S
Dorling, J
Battersby, C
Longford, N
Gale, CRK
Type
Journal Article
Abstract
There is little evidence to inform provision of enteral or parenteral nutrition to infants with hypoxic ischaemic encephalopathy (HIE) during and soon after therapeutic hypothermia; as a consequence, clinical practice is both variable and changing. A 2014 UK survey found that 79% (33 of 42) of responding neonatal units routinely withheld enteral nutrition during cooling; 3 years later, a similar survey found that 41% (20 of 49) of responding units reported withholding enteral nutrition.1 The latter study also reports wide variation in how, when and how much to feed, and in the use of parenteral nutrition. Internationally, practice is even more variable: withholding enteral feeds is practised almost universally2 in some countries, while in others, milk feeding during hypothermia is routine.3 Here we discuss the limited evidence available to inform enteral and parenteral nutrition during therapeutic hypothermia.
Date Issued
2019-05-01
Date Acceptance
2018-09-20
Citation
Archives of Disease in Childhood. Fetal and Neonatal Edition, 2019, 104 (3), pp.F230-F231
ISSN
1359-2998
Publisher
BMJ Publishing Group
Start Page
F230
End Page
F231
Journal / Book Title
Archives of Disease in Childhood. Fetal and Neonatal Edition
Volume
104
Issue
3
Copyright Statement
© 2018 Author(s) (or their employer(s)). Re-use permitted under CC BY. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
License URL
Sponsor
Medical Research Council
National Institute for Health Research
Grant Number
MR/N008405/1
16/79/03
Subjects
Science & Technology
Life Sciences & Biomedicine
Pediatrics
LATE PARENTERAL-NUTRITION
CRITICALLY-ILL
NNRD
hypothermia, induced
hypoxia-ischaemia, brain
infant feeding
infant, newborn
intensive care, neonatal
parenteral nutrition
Enteral Nutrition
Humans
Hypothermia, Induced
Hypoxia-Ischemia, Brain
Infant
Infant Care
Infant Nutritional Physiological Phenomena
Infant, Newborn
Parenteral Nutrition
Humans
Hypoxia-Ischemia, Brain
Enteral Nutrition
Parenteral Nutrition
Hypothermia, Induced
Infant
Infant, Newborn
Infant Care
Infant Nutritional Physiological Phenomena
Pediatrics
1114 Paediatrics and Reproductive Medicine
Publication Status
Published
Date Publish Online
2018-10-15