Early or Late Parenteral Nutrition in Critically Ill Children: Practical Implications of the PEPaNIC Trial

Observational data from patients treated in pediatric intensive care units suggest that optimized nutritional care may improve clinical outcomes, particularly in patients with malnutrition or high nutritional risk. Supplemental parenteral nutrition (sPN) is widely used in those patients where early...

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Bibliographic Details
Published in:Annals of nutrition and metabolism 2017-01, Vol.70 (1), p.34-38
Main Authors: Goulet, Olivier, Jochum, Frank, Koletzko, Berthold
Format: Article
Language:English
Subjects:
Adults
Children
Editorial
Enteral nutrition
Hospitals
Human nutrition
Intensive care units
Malnutrition
Medical treatment
Nutrition
Parenteral nutrition
Patients
Pediatric intensive care
Pediatrics
Risk assessment
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Summary:Observational data from patients treated in pediatric intensive care units suggest that optimized nutritional care may improve clinical outcomes, particularly in patients with malnutrition or high nutritional risk. Supplemental parenteral nutrition (sPN) is widely used in those patients where early enteral nutrition (EN) is not feasible or does not suffice to reach nutritional targets. The benefit and safety of early sPN in critically ill adults and children has recently been questioned based on findings from studies in adults. This important issue has been addressed by Fivez et al. in an impressive, large randomized controlled multicenter trial.
ISSN:0250-6807
1421-9697
DOI:10.1159/000455336