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Incorporating the 2017 critical care pediatric nutrition support guidelines into clinical practice

Irving, Sharon Y., PhD, CRNP, FCCM, FAAN; Guenter, Peggi, PhD, RN, FAAN; Mehta, Nilesh M., MD

doi: 10.1097/01.CCN.0000549629.44430.26

Abstract: Optimal nutrition support in critically ill children is associated with improved outcomes and decreased mortality. Nutrition provision often competes with other care priorities in critically ill patients. The pediatric critical care nutrition support guidelines supplement clinician knowledge and inform best practices for nutrition therapy in this vulnerable patient population.

Proper nutrition support is essential to achieving optimal outcomes in critically ill children. This article summarizes the key points of the recently published Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient, which were developed by the Society of Critical Care Medicine and the American Society for Parenteral and Enteral Nutrition. Practical tips to incorporate these guidelines into clinical practice are provided.

Sharon Y. Irving is an assistant professor at the University of Pennsylvania School of Nursing and an NP at the Children's Hospital of Philadelphia–Department of Critical Care Nursing, both in Philadelphia, Pa.

Peggi Guenter is a senior director of clinical practice, quality, and advocacy at the American Society for Parenteral and Enteral Nutrition, Silver Spring, Md.

Nilesh M. Mehta is an associate professor at Harvard Medical School as well as the director of critical care nutrition, medical-surgical ICU medical director, and director of quality and outcomes at Boston Children's Hospital, both in Boston, Mass. He also serves as the current president of the American Society for Parenteral and Enteral Nutrition.

The authors have disclosed no other financial relationships related to this article.

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