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OBJECTIVE To evaluate the adequacy, tolerance, and complications of enteral nutrition, compared with parenteral nutrition, in pediatric patients requiring extracorporeal membrane oxygenation (ECMO). METHODS A retrospective chart review of all patients placed on extracorporeal life support from January 1991 through December 1995. METHODS Medical/surgical pediatric intensive care unit at Egleston Children's Hospital, a tertiary care pediatric center. METHODS Twenty-nine consecutive pediatric patients who required ECMO and were provided nutritional support, either enterally or parenterally. Group A consisted of 14 patients who were provided nutritional support using total parenteral nutrition. Group B consisted of 15 patients. Two patients were excluded from group B because their ECMO run was <36 hrs, leaving insufficient data for analysis. The remaining 13 patients were provided total enteral nutrition during ECMO. METHODS None. RESULTS Both groups were similar in age, weight, pre-ECMO oxygenation index, alveolar-arterial oxygen difference, type, and duration of ECMO (p = NS). Comparison of percent ideal body weight on admission did not show a statistical difference between groups A and B (p = .883). There was no difference between the two groups in the time needed to achieve caloric goal (p = .536) from the initiation of ECMO. No complications were associated with the utilization of enteral feedings. Savings for the nutritional supplement was estimated to be $170 per day for the enterally fed group. The percentage of patients surviving was higher in the enterally fed patients compared with the parenterally fed group (79% vs. 100%), although this difference was not statistically significant (p = .47). CONCLUSIONS Enteral nutrition in patients receiving either venoarterial or venovenous ECMO is well tolerated, provides adequate nutrition, is cost effective, and is without complications, as compared with parenteral nutrition. These data suggest that total enteral nutrition can be safely administered for nutritional support in pediatric patients undergoing either venoarterial or venovenous ECMO.
R Pettignano, and
M Heard, and
R Davis, and
M Labuz, and
M Hart
November 2021,
Zhonghua er ke za zhi = Chinese journal of pediatrics,
R Pettignano, and
M Heard, and
R Davis, and
M Labuz, and
M Hart
December 2018,
Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition,
R Pettignano, and
M Heard, and
R Davis, and
M Labuz, and
M Hart
January 1991,
Critical care medicine,
R Pettignano, and
M Heard, and
R Davis, and
M Labuz, and
M Hart
January 2018,
JPEN. Journal of parenteral and enteral nutrition,
R Pettignano, and
M Heard, and
R Davis, and
M Labuz, and
M Hart
September 2018,
JPEN. Journal of parenteral and enteral nutrition,
R Pettignano, and
M Heard, and
R Davis, and
M Labuz, and
M Hart
August 2023,
Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies,
R Pettignano, and
M Heard, and
R Davis, and
M Labuz, and
M Hart
February 2001,
Critical care medicine,
R Pettignano, and
M Heard, and
R Davis, and
M Labuz, and
M Hart
January 2022,
Journal of pediatric gastroenterology and nutrition,
R Pettignano, and
M Heard, and
R Davis, and
M Labuz, and
M Hart
May 2005,
Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies,
R Pettignano, and
M Heard, and
R Davis, and
M Labuz, and
M Hart
August 2003,
Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition,
