THE POSTPYLORIC NUTRITION SUPPORT IN THE COMPREHENSIVE TREATMENT OF THE NEONATAL SEPSIS
https://doi.org/10.21292/2078-5658-2015-12-3-9-14
Abstract
The study was undertaken for the relationship of the transpyloric jejunal nutrition support in infants suffering from severe sepsis and the long-lasting gut-specific malfunction. The study design is retrospective, probationary, single-center, historical control. A total of 127 infants were examined. The inclusion criteria are: neonatality, the available focus of inflammation infection, the dysfunction of two and more systems, the artificial pulmonary ventilation longer than 48 hours, available enteroparesis, ≥ 3 scores by the PRNS scale. It was established that under development of the intestinal failure with the sepsis infant patients, the transpyloric pathway is the preferred one for the enteral feeding delivery. The indication for the installation of the jejunal enteral feeding tube is the volume of the venter stagnant discharge of > 6 ml per day.
About the Authors
R. Kh. Gizatullin
Bashkirsky State Medical University
Russian Federation
Russian Federation
P. I. Mironov
Bashkirsky State Medical University
Russian Federation
Russian Federation
References
1. Adamkin D.H. Strategiya pitaniya mladentsev s ochen nizkoy massoy tela pri rozhdenii. (Russ. Ed.: David H. Adamkin. Nutritional strategies for the very low birthweight infants.) Ed. by E.N. Baybarina. Moscow, GEOTAR-Media Publ., 2013, 727 p.
2. Aleksandrovich Yu.S., Pshenisnov K.V. Intensivnaya terapiya novorozhdennykh. [Intensive therapy of newborns]. St. Petersburg, N-L Publ., 2013. 672 p.
3. Yerpuleva Yu.V., Lekmanov A.U. Current problems of nutritional support of children in the intensive care department: why, when, how much? Ros. Vestn. Det. Khir. Anesteziol. i Reanimatol., 2011, no. 3, pp. 85-91. (In Russ.)
4. Kulbak S. Teorya informativnosti i statistika. [Theory of informativeness and statistics]. Moscow, Nauka Publ., 1967, 408 p.
5. Lekmanov A.U., Ryzhov E.A., Yerpuleva Yu.V. et al. Experience of enteral feeding through jejunal catheter of the children in critical states. Anesteziol. i Reanimatol., 2012. no. 1, pp. 41-43. (In Russ.)
6. Lekmanov A.U., Ryzhov E.A., Yerpuleva Yu.V. et al. Experience of using postpyloric feeding of children under the intensive care. Vestnik Anasteziol. i Reanimatol., 2012, no. 3, pp. 42-45. (In Russ.)
7. Neonatologiya. Natsionalnoye rukovodstvo. [Neonatology. National Guidelines]. Ed. by acad. RAS N.N. Volodin, Moscow, GEOTAR-Media Publ., 2008, 749 p.
8. Parenteralnoye pitaniye novorozhdennykh. Metodicheskiye rekomendatsii. [Patenteral feeding of newborns. Guidelines]. Prepared by Russian Association of Perinatal Medicine Specialists jointly with Association of Neonatology Physicians. Ed. by acad. RAS N.N. Volodin, Moscow, 2014. 52 p.
9. Agostoni C., Buonocore G., Carnielli V.P. et al. Enteral nutrient supply for preterm infants: commentary from the European Society of Paediatric Gastroenterology, Hepatology and Nutrition Committee on Nutrition JPGN. J. Parenter. Enteral. Nutr., 2010, vol. 50, pp. 85-91.
10. Goldstein B., Giroir B., Randolph A. et al. International pediatric sepsis consensus conference: Definitions for sepsis and organ dysfunction in pediatrics. Pediatr. Crit. Care Med., 2005, vol. 6, pp. 2-8.
11. Groh-Wargo Sh., Sapsford A. Enteral Nutrition Support of the Preterm Infant in the Neonatal Intensive Care Unit. Nutr. Clin. Pract., 2009, vol. 24, pp. 363-376.
12. Hay W.W.Jr. Strategies for feeding the preterm infant. Neonatology, 2008, vol. 94, pp. 245-254.
13. Martindale R.G., McClave S.A., Vanek V.W. et al. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition. Crit. Care Med., 2009, vol. 37, pp. 1-30.
14. Misra S., Macwan K., Albert V. Transpyloric feeding in gastroesophageal-reflux-associated apnea in premature infants. Acta Paediatrica, 2007, vol. 96, pp. 1426-1429.
15. Patole S. Nutrition for the Preterm Neonate. A clinical perspective. Springer, 2013, 450 p.
16. Sermet-Gaudelus I., Poisson-Salomon A.S., Colomb V. et al. Simple pediatric nutritional risk score to identify children at risk of malnutrition. Am. J. Clin. Nutr., 2000, vol. 72, pp. 64-70.
Review
For citations:
Gizatullin R.Kh., Mironov P.I. THE POSTPYLORIC NUTRITION SUPPORT IN THE COMPREHENSIVE TREATMENT OF THE NEONATAL SEPSIS. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2015;12(3):9-14. (In Russ.) https://doi.org/10.21292/2078-5658-2015-12-3-9-14
Email this article 