Trauma Nutrition — Nutrition — Clinical Pathway: ICU

Trauma Nutrition Clinical Pathway — ICU

Nutrition for the Traumatically Injured Child Requiring ICU Care for ≥ 3 Days

This pathway guides the care of traumatically injured children with a likely PICU admission lasting ≥ 3 days with:

  • Baseline risk factors or indicators of antecedent malnutrition or
  • Unlikely to consume adequate caloric intake by mouth within 3 days
    of admission

Traumatic injuries including, but are not limited to:

  • Severe TBI, especially with persistent vasoactive or neuromuscular blockade requirement or invasive ICP monitoring
  • Intubated with persistent hemodynamic instability or high respiratory requirements (including, inhalation injuries)
  • Trauma requiring massive transfusion
  • Abdominal injuries:
    • Solid organ injury requiring operative intervention
    • Any hollow viscous injury including, duodenal hematoma
    • Pancreatic injury grade ≥ 3
    • Damage control laparotomy with open abdomen
  • Spinal cord transection including, para/quadriplegia