Feeding in the PICU.

Abstract:

:Nutrition plays a vital role in maintaining and enhancing the health of an individual. As mortality within intensive care units declines because of increased expertise and better equipment, attention is being focused on better methods of feeding the critically ill child. Feeding the child is one aspect that has been relegated to the back burner of the typically busy PICU. Evidence that feeding enhances immunity, protects the gut and shortens recovery time forces us to learn to feed our patients in more effective and safer ways. This article reviews the importance of feeding, especially that of enteral feeding, in the intensive care setting. The reactions of a stressed metabolism are outlined; separate nutritional components are discussed and requirements in specific conditions are given. Parenteral nutrition remains fraught with practical difficulties in India. Metabolic and infective complications are frequent and constant monitoring coupled with the cost of these solutions raises cost beyond affordable levels. Hence the emphasis on enteral feeding, with it's proven safety, routes of administration and ready availability. The immunity enhancing properties of enteral feeding is another aspect that has gained interest in recent years. Ecoimmunonutrition is a new concept that keeps the ecology of the stressed GI tract intact while providing adequately balanced formulae along with micronutrients and fibre.

journal_name

Indian J Pediatr

authors

Udani S

doi

10.1007/BF02721839

keywords:

subject

Has Abstract

pub_date

2001-04-01 00:00:00

pages

333-7

issue

4

eissn

0019-5456

issn

0973-7693

journal_volume

68

pub_type

杂志文章,评审
  • Ocular Manifestations of Pediatric Systemic Diseases.

    abstract::Ocular manifestations that occur directly or indirectly as result of a pathologic process that involves other parts of the body, in a pediatric population, will be discussed here. While a myriad number of systemic conditions have ocular manifestations, its importance cannot be undermined because it has implications fo...

    journal_title:Indian journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s12098-018-2623-2

    authors: Pillai GS,Radhakrishnan N

    更新日期:2018-03-01 00:00:00

  • Association of celiac disease with aplastic anemia.

    abstract::The authors report a case of 13-y-old boy who presented with pain in bilateral knee and ankle joints accompanied by petechiae all over the body and hematochezia. On investigation, he had pancytopenia, which on subsequent evaluation revealed aplastic anemia. On investigation for short stature, he was diagnosed as a cas...

    journal_title:Indian journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s12098-011-0579-6

    authors: Maheshwari A,Nirupam N,Aneja S,Meena R,Chandra J,Kumar P

    更新日期:2012-10-01 00:00:00

  • Moyamoya syndrome in a child with down syndrome.

    abstract::Secondary Moyamoya disease, also known as Moyamoya syndrome has been rarely associated with Down syndrome. In pediatric patients, the usual presentation is that of ischemic stroke. Here is reported a 4-year-old child with Down syndrome and Moyamoya syndrome who presented with acute-onset right hemiplegia. A high index...

    journal_title:Indian journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/BF02724192

    authors: Bhalala US,Parekh PR

    更新日期:2005-07-01 00:00:00

  • Homocysteine, vitamin B12 and folate status in pediatric acute lymphoblastic leukemia.

    abstract:OBJECTIVE:The cause of majority of acute leukemias is unknown, but likely to involve interaction of environment, hematopoitic development and weak susceptibility loci within an individual's genetic constitution. The present study evaluates the association between plasma levels of homocysteine, folate and vitamin B12 an...

    journal_title:Indian journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s12098-008-0051-4

    authors: Sadananda Adiga MN,Chandy S,Ramaswamy G,Appaji L,Krishnamoorthy L

    更新日期:2008-03-01 00:00:00

  • Are our donors safe?

    abstract::Blood is defined as a 'drug' under the Drugs and Cosmetics Act. The Standard of drugs is laid down in the Indian Pharmacopoeia. The first step towards blood safety is to encourage blood donations, which are voluntary, non-remunerated and obtained from low-risk and regular donors. A regular donor is one who donates blo...

    journal_title:Indian journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/BF02728866

    authors: Viswanathan C

    更新日期:2001-01-01 00:00:00

  • Iron deficiency anemia in an urban slum.

    abstract:OBJECTIVE:Of this pilot study was to assess the iron status and dietary intake of 1-3 year-old apparently healthy toddlers of the lower socio-economic class, and the effect of eight weeks intervention with liquid oral iron in an urban slum in Pune, India. METHODS:50 toddlers (M= 25, F= 25) with mean age of 2.4 years (...

    journal_title:Indian journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s12098-008-0038-1

    authors: Hanumante NM,Kanvinde S,Sanwalka NJ,Vaidya MV,Khadilkar AV

    更新日期:2008-04-01 00:00:00

  • Cecal duplications: a rare cause for secondary intussusception.

    abstract::Duplications of the alimentary tract are rare congenital anomalies that may occur at any level from mouth to anus. While the oesophagus and the ileum are the most common sites, duplications of the colon are rare. Two cases of ileocolic intussusceptions in 8-month-old girl and 6-month-old boy who were admitted to our h...

    journal_title:Indian journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/BF02905736

    authors: Rizalar R,Somuncu S,Sözübir S,Yildiz L,Gürses N

    更新日期:1996-07-01 00:00:00

  • Improving bacteriological diagnosis of tuberculosis.

    abstract::This review is to summarize recent developments in the field of mycobacteriology since the diagnosis of tuberculosis remains elusive in spite of our best efforts and great scientific advances. Progress has been made in further improving upon the age old, time tested traditional techniques like microscopy (Auramine-Rho...

    journal_title:Indian journal of pediatrics

    pub_type: 杂志文章

    doi:

    authors: Wattal C

    更新日期:2002-11-01 00:00:00

  • The use of diagnostic systems for tuberculosis in children.

    abstract::Effective management of tuberculosis (TB) in children and important data of disease burden continue to rely on a clinical approach to diagnosis, as diagnosis of childhood TB is not confirmed in the majority. Many diagnostic scoring systems have been developed to aid with diagnosis. This article reviews the use and eva...

    journal_title:Indian journal of pediatrics

    pub_type: 杂志文章,评审

    doi:10.1007/s12098-010-0307-7

    authors: Graham SM

    更新日期:2011-03-01 00:00:00

  • Persistent pneumonia: Underlying cause and outcome.

    abstract:OBJECTIVE:To identify the causes and contributing factors of persistent pneumonia in children. METHODS:41 cases with persistent pneumonia were investigated (biochemical, microbiological, histopathological, immunological and radiological tests) to find out the underlying cause. RESULTS:Out of 41 cases, 8 had pulmonary...

    journal_title:Indian journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s12098-009-0272-1

    authors: Kumar M,Biswal N,Bhuvaneswari V,Srinivasan S

    更新日期:2009-12-01 00:00:00

  • Nutrition and growth in patients with chronic liver disease.

    abstract::Protein energy malnutrition leading to growth failure is an inevitable consequence of chronic liver disease in childhood. Although the precise pathophysiology is not understood considerable progress has been made in understanding the mechanisms of fat malabsorption and protein turnover in liver disease. There are many...

    journal_title:Indian journal of pediatrics

    pub_type: 杂志文章,评审

    doi:10.1007/BF02761872

    authors: Kelly DA

    更新日期:1995-09-01 00:00:00

  • Jones criteria and underdiagnosis of rheumatic fever.

    abstract:OBJECTIVE:The authors attempt to determine whether typical clinical and laboratory manifestations of acute rheumatic fever (ARF) are in accordance to what has been traditionally described and how useful the Jones criteria are for diagnosis. METHODS:Data from 81 cases of ARF were retrospectively collected. INCLUSION C...

    journal_title:Indian journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s12098-007-0001-6

    authors: Pereira BA,da Silva NA,Andrade LE,Lima FS,Gurian FC,de Almeida Netto JC

    更新日期:2007-02-01 00:00:00

  • Prevalence of Depression among Caregivers of Indian Children with Cystic Fibrosis.

    abstract:OBJECTIVE:To study the prevalence of depression among caregivers of children with cystic fibrosis and its impact on the health and well being of these children. METHODS:This cross-sectional study was conducted in a tertiary care hospital from September 2015 through August 2016. Forty one parents of children receiving ...

    journal_title:Indian journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s12098-018-2695-z

    authors: Bhat JI,Wani WA,Charoo BA,Ali SW,Ahmad QI,Ahangar AA

    更新日期:2018-11-01 00:00:00

  • LY96, UPKIB mutations and TLR4, CD14, MBL polymorphisms in children with urinary tract infection.

    abstract:OBJECTIVE:To evaluate genetic variations of innate immune system such as mannose binding lectin (MBL), Toll like receptor 4 (TLR4), CD14, LY96 (MD2) and Uroplakin 1B (UPK1B) genes in children with recurrent urinary tract infection (UTI). METHODS:The study included 30 children with recurrent UTI and 30 healthy controls...

    journal_title:Indian journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s12098-011-0399-8

    authors: Ertan P,Berdeli A,Yilmaz O,Gonulal DA,Yuksel H

    更新日期:2011-10-01 00:00:00

  • The making of a polio-free India.

    abstract::Rotary one of the largest non-government international organization focused mainly towards the up-liftment of the downtrodden worldwide, got involved in the Polio Eradication Program way back in 1979 with a five-year pledge to immunize about six million Philippine children from the crippling disease of poliomyelitis. ...

    journal_title:Indian journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/BF02722705

    authors: Tandon R

    更新日期:2002-08-01 00:00:00

  • Hand Foot and Mouth Disease Like Illness in Office Practice.

    abstract:OBJECTIVE:To describe the clinical profile of Hand Foot and Mouth Disease (HFMD) like illness in a cluster of cases. METHODS:Children presenting with papulovesicular skin lesions with or without oral lesions were clinically examined, treated and followed up. RESULTS:Out of 21 cases, 18 (85.7%) were less than 3y and 1...

    journal_title:Indian journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s12098-016-2271-3

    authors: Ganga N

    更新日期:2017-03-01 00:00:00

  • Clinical manifestations of HIV infected children.

    abstract:OBJECTIVE:Heterosexual contact is the predominant mode of transmission among adults in India with an increasing number of women of childbearing age becoming infected with HIV. Consequently, children in India increasingly getting infected, primarily from vertical transmission. A retrospective review of the profile of HI...

    journal_title:Indian journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/BF02724249

    authors: Madhivanan P,Mothi SN,Kumarasamy N,Yepthomi T,Venkatesan C,Lambert JS,Solomon S

    更新日期:2003-08-01 00:00:00

  • Hepatitis B vaccine in the EPI schedule.

    abstract:OBJECTIVE:This study was carried out to evaluate the adequacy of seroconversion when Hepatitis B vaccine is given along with other vaccines at 0, 6 weeks (along with DPT and OPV) and at 9 months (along with measles). METHODS:725 infants born to apparently healthy mothers were enrolled to receive the hepatitis B vaccin...

    journal_title:Indian journal of pediatrics

    pub_type: 临床试验,杂志文章

    doi:10.1007/BF02724073

    authors: Jain AK,Mittal SK,Ramji S,Chakravarti A

    更新日期:2005-08-01 00:00:00

  • Tuberous sclerosis: diagnosis and prenatal diagnosis by MLPA.

    abstract::Tuberous sclerosis complex (TSC) is an autosomal dominant disorder, caused due to mutations in the TSC1 and TSC2 genes. Mutations in TSC2 gene are more common than in TSC1 gene and mostly they are in the form of large genomic deletions or duplications. The authors report on a novel deletion in TSC2 gene, prenatal diag...

    journal_title:Indian journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s12098-011-0408-y

    authors: Padma Priya T,Dalal AB

    更新日期:2012-10-01 00:00:00

  • Leiomyoblastoma of small intestine.

    abstract::Gastrointestinal tumours are rare in children and leiomyoblastoma of small intestine is still rarer. We report a case of leiomyoblastoma of small intestine in a child who presented with acute intestinal obstruction. ...

    journal_title:Indian journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/BF02831363

    authors: Dass B,Dalal A,Sharma U,Garg P

    更新日期:1998-11-01 00:00:00

  • Common hematological disorders in children.

    abstract::It is common for primary care physicians to be faced with children with hematological disorders in everyday practice. The article seeks to provide realistic information for the first-contact physician in handling common hematological diseases in children. Practical step-wise approach to understanding and investigating...

    journal_title:Indian journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s12098-013-1159-8

    authors: Bansal D,Totadri S

    更新日期:2014-01-01 00:00:00

  • Smartphone App as Motivational Intervention to Improve Glycemic Control in Adolescents with Type 1 Diabetes.

    abstract:OBJECTIVES:Type 1 diabetes (T1D) adolescents often do not achieve good glycemic control. In the context of growing number of technologically savvy adolescents, this study was done to examine the effectiveness of a motivational smartphone app to improve their glycemic control. METHODS:Eleven to eighteen year old adoles...

    journal_title:Indian journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s12098-019-03035-x

    authors: Pramanik BK,Angelin JJ,Mathai VJ,Mathai S,Korula S,Simon A

    更新日期:2019-12-01 00:00:00

  • Hypoglycemia in the newborn.

    abstract::Hypoglycemia in a neonate is defined as blood sugar value below 40 mg/dL. It is commonly associated with a variety of neonatal conditions like prematurity, intrauterine growth restriction and maternal diabetes. Screening for hypoglycemia in high-risk situations is recommended. Supervised breast-feeding may be an initi...

    journal_title:Indian journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s12098-010-0175-1

    authors: Jain A,Aggarwal R,Jeeva Sankar M,Agarwal R,Deorari AK,Paul VK

    更新日期:2010-10-01 00:00:00

  • Neonatal Sepsis: Mortality and Morbidity in Neonatal Sepsis due to Multidrug-Resistant (MDR) Organisms: Part 1.

    abstract::The major causes of emergence of multidrug-resistant organisms (MDRO) in neonatal sepsis include empiric antibiotic prescriptions, unregulated use of over-the-counter drugs, high incidence of healthcare associated infections (HAI), lack of awareness about antibiotic stewardship program and under staffing of neonatal i...

    journal_title:Indian journal of pediatrics

    pub_type: 杂志文章,评审

    doi:10.1007/s12098-019-03106-z

    authors: Wattal C,Kler N,Oberoi JK,Fursule A,Kumar A,Thakur A

    更新日期:2020-02-01 00:00:00

  • Approach to a Child with Functional Abdominal Pain.

    abstract::Functional abdominal pain (FAP) is one of the most common functional gastrointestinal disorders (FGIDs) of childhood. Only a minority of patients with FAP seek medical attention, often presenting to the primary care physician while symptoms are still evolving. The bio-psychosocial model of treatment not only aims to a...

    journal_title:Indian journal of pediatrics

    pub_type: 杂志文章,评审

    doi:10.1007/s12098-016-2111-5

    authors: Sood MR,Matta SR

    更新日期:2016-11-01 00:00:00

  • Allergenicity of common foods restricted in respiratory allergy.

    abstract::Although hypersensitivity to foods is often linked to exacerbations of symptoms of respiratory allergy, no such information is available regarding the foods traditionally considered to play a probable etiological role in respiratory allergy in India, which are in fact quite different from the ones implicated in the We...

    journal_title:Indian journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/BF02723925

    authors: Sharman J,Kumar L,Singh S

    更新日期:2000-10-01 00:00:00

  • Adverse Drug Reactions in Hospitalized Pediatric Patients: A Prospective Observational Study.

    abstract:OBJECTIVES:To determine the incidence, pattern, causality, preventability, severity and predictors of adverse drug reactions (ADRs) in pediatric population. METHODS:It was a prospective, observational study that included patients of either sex, of any age treated in the pediatric wards of a tertiary care hospital. Stu...

    journal_title:Indian journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s12098-015-2002-1

    authors: Kurian J,Mathew J,Sowjanya K,Chaitanya KR,Ramesh M,Sebastian J,Narayanappa D

    更新日期:2016-05-01 00:00:00

  • Separation of thoraco-omphalopagus Siamese twin.

    abstract::A pair of female thoraco-omphalopagus twins, with two pairs of lungs, common diaphragm and separate pleural cavities was separated at the age of 5(1/2) months after a parasitic relationship had developed between them. Before separation both the babies developed recurrent respiratory tract infection and frequent diarrh...

    journal_title:Indian journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/BF02730669

    authors: Ray AK,Mukherjee NN,Mukherjee G,Patra R,Ghosh DK

    更新日期:2004-08-01 00:00:00

  • Taurine in infant nutrition.

    abstract::The importance of taurine in diet is poorly understood. The present evidence suggests that it is a conditionally essential aminoacid in man wherein deficiency states may result in adverse changes which will be improved with supplementation. It has a role in fat absorption in preterm infants and children with cystic fi...

    journal_title:Indian journal of pediatrics

    pub_type: 杂志文章,评审

    doi:10.1007/BF02754955

    authors: Karan S

    更新日期:1991-05-01 00:00:00

  • Outcome and prognostic factors seen in pediatric oncology patients admitted in PICU of a developing country.

    abstract:OBJECTIVE:To evaluate the outcome and prognostic factors for oncology patients in the PICU of a tertiary care centre in a developing country. METHODS:A retrospective chart review was done to assess the outcome of children with cancer in the pediatric intensive care unit (PICU) of a developing country from January 2000...

    journal_title:Indian journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s12098-011-0391-3

    authors: Akhtar N,Fadoo Z,Panju S,Haque A

    更新日期:2011-08-01 00:00:00