Nutritional management and the multisystem organ failure/systemic inflammatory response syndrome in critically ill preterm neonates.
Current information and concepts regarding unique features and practical aspects of metabolism and the nutritional management of critically ill, very low birthweight neonates are reviewed in this article. The use of "gut priming" (early hypocaloric minimal enteral feeding) and parenteral nutrition and their application to the treatment of specific disease states is discussed. The concepts of critical oxygen delivery and multiorgan failure and their impact on nutritional management in adults show striking similarities to metabolic observations of progressively deteriorating, sick neonates.
Adan
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Department of Pediatrics, State University of New York at Stony Brook, USA.
La Gamma
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Browne
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LE
D000328:Adult; D016638:Critical Illness; D006801:Humans; D007227:Infant Nutritional Physiological Phenomena; D007231:Infant, Newborn; D007234:Infant, Premature; D019102:Infant, Very Low Birth Weight; D009102:Multiple Organ Failure / Q000378:metabolism / Q000628:therapy*; D009751:Nutritional Requirements; D018529:Nutritional Support / Q000379:methods*; D010101:Oxygen Consumption; D018746:Systemic Inflammatory Response Syndrome / Q000378:metabolism / Q000628:therapy*