CICU Clinical Pathway for Nutrition of Neonates Undergoing Surgery for Congenital Heart Disease
PRE-OPERATIVE
- Initiate Parenteral Nutrition (PN) within 24 Hours of Admission
- Pre-op Enteral Feeding Readiness Assessment
Daily Reassessment for
Enteral Feeding Readiness
Enteral Feeding Readiness
Daily Reassessment for
Enteral Feeding Readiness
Enteral Feeding Readiness
POST-OPERATIVE
Daily Reassessment for
Enteral Feeding Readiness
Enteral Feeding Readiness
Daily Reassessment for
Enteral Feeding Readiness
Enteral Feeding Readiness
Posted: March 2016
Revised: June 2022
Authors: A. J. Lisanti, PhD, RN, CCNS, CCRN-K; M. Savoca, MS, RD, CNSC, LDN; J. Chen, MD; D. Costarino, MD; K. Drabouski, RD, CNSC, LDN; S. Natarajan, MD; R. Lessen, MS, RD, IBCLC; N. Burnham, RN, MSN, CRNP; E. M. Connock, MA, CCC-SLP; J. Welc, MA, CCC/SLP; J. Rim, BSN, RN; K. Proffitt, BSN, RN; L. DiFusco, MSN, RN, PCNS-BC; A. Seelhorst, BSN, RN; H. Meldrum, BSN, RN; A. Sorbello, MSN, CRNP; A. Mathews, MSN, CRNP; C. Ravishankar, MBBS; L. Montenegro, MD; S. Irving, PhD, RN, CRNP, FCCM; M. R Mascarenhas, MBBS; B. Medoff-Cooper, PhD, RN, FAAN; A. Perri, MSN, RN, NE-BC; J. W. Gaynor, MD
Revised: June 2022
Authors: A. J. Lisanti, PhD, RN, CCNS, CCRN-K; M. Savoca, MS, RD, CNSC, LDN; J. Chen, MD; D. Costarino, MD; K. Drabouski, RD, CNSC, LDN; S. Natarajan, MD; R. Lessen, MS, RD, IBCLC; N. Burnham, RN, MSN, CRNP; E. M. Connock, MA, CCC-SLP; J. Welc, MA, CCC/SLP; J. Rim, BSN, RN; K. Proffitt, BSN, RN; L. DiFusco, MSN, RN, PCNS-BC; A. Seelhorst, BSN, RN; H. Meldrum, BSN, RN; A. Sorbello, MSN, CRNP; A. Mathews, MSN, CRNP; C. Ravishankar, MBBS; L. Montenegro, MD; S. Irving, PhD, RN, CRNP, FCCM; M. R Mascarenhas, MBBS; B. Medoff-Cooper, PhD, RN, FAAN; A. Perri, MSN, RN, NE-BC; J. W. Gaynor, MD
Evidence
- "Low energy intakes are associated with adverse outcomes in infants after open heart surgery."
- ABM clinical protocol #2: guidelines for hospital discharge of the breastfeeding term newborn and mother: ‘‘the going home protocol,’’ Revised 2014.
- Improved nutrition delivery and nutrition status in critically ill children with heart disease.
- Nutrition algorithms for infants with hypoplastic left heart syndrome; birth through the first interstage period.
- Enteral feeding algorithm for infants with hypoplastic left heart syndrome post stage I palliation.
- Resting energy expenditure at 3 months of age following neonatal surgery for congenital heart disease.
Community Resources
CHOP Program