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Nutrition, PICU, Initiation and Advancement — Consider Trophic Feeds — Clinical Pathway: ICU and Inpatient

Nutrition Initiation and Advancement Clinical Pathway — PICU/PCU

Consider Trophic Feeds

Rationale

  • Small-volume, continuous enteral feeds are beneficial because:
    • Prevents mucosal atrophy, particularly in the small bowel
  • While trophic feeds do not provide significant nutrition, they help prevent:
    • Malabsorption
    • Intestinal bacterial translocation

Sources
Mishra S, Agarwal R, Jeevasankar M, Ashok DK, Paul VK. Minimal Enteral Nutrition. Indian J Pediatr. 2008; 75(3): 267-269.

Orellana RA, Kyle UG, Coss Bu JA. Nutritional Assessment and Feeding in the ICU. In: Jana A. Stockwell, Catherine M. Preissig, eds. Comprehensive Critical Care: Pediatric. Mount Prospect: Society of Critical Care Medicine; 2012:931-948.

 

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