Best evidence summary on nutritional support in pediatric patients with extracorporeal membrane oxygenation
CHENG Zhiqiang
XIA Jiaoyun
LI Xiaxin
ZHOU Yujue
ZHANG Baozhen
Abstract：Objective To systematically search for and summarize the best evidence on nutritional support in pediatric extracorporeal membrane oxygenation(ECMO)patients.Methods Literature on nutritional support for pediatric ECMO published by various evidence-based guideline websites,critical care associations,nutrition associations websites and databases both domestically and internationally.The search period was from the establishment of the database to December 31,2022.After quality evaluation and evidence level assessment of the included literature,the evidence was concluded and summarized.Results A total of 10 articles were included,including 3 guidelines,1 sys-tematic review,4 expert consensus,and 2 cohort studies.There were 6 topics,including construction of nutrition team,nutrition screening and assessment,calculation of nutrition requirement,selection of nutrition support pathway,timing of starting nutrition support,and monitoring and management of feeding intolerance,with a total of 24 best evidences.Conclusion Clinical medical staff should establish a special nutrition team for pediatric ECMO patients to carry out nutrition screening in time,accurately calculate nutrition requirements,select the best path and timing of nutrition support,and closely monitor feeding intolerance,so as to improve the success rate of treatment of children.
Keywords：pediatricsextracorporeal membrane oxygenationnutrition supportevidence summaryevidence-based nursing
Publication Date：2023-09-10
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 737-742 )