Nutrition Initiation and Advancement Clinical Pathway — PICU/PCU
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.