title: The pragmatics of feeding the pediatric patient with acute respiratory distress syndrome.
abstract: Acute respiratory distress syndrome (ARDS) represents the ultimate pulmonary response to a wide range of injuries, from septicemia to trauma. Optimal nutrition is vital to enhancing oxygen delivery, supporting adequate cardiac contractility and respiratory musculature, eliminating fluid and electrolyte imbalances, and supporting the proinflammatory response. Research is providing a better understanding of nutrients that specifically address the complex physiologic changes in ARDS. This article highlights the pathophysiology of ARDS as it relates to nutrition, relevant nutritional assessment, and important enteral and parenteral considerations for the pediatric patient who has ARDS.
authors.affiliation: School of Nursing, University of Pennsylvania, Children's Hospital of Philadelphia, Philadelphia, PA, USA. jtv@nursing.upenn.edu
authors.forename: Judy T
authors.initials: JT
authors.lastname: Verger
authors.forename: Darla J
authors.initials: DJ
authors.lastname: Bradshaw
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Henry
authors.forename: Kathryn E
authors.initials: KE
authors.lastname: Roberts
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D002648:Child; D015362:Child Nutrition Disorders / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D002675:Child, Preschool; D003422:Critical Care / Q000379:methods*; D002149:Energy Intake; D006801:Humans; D007223:Infant; D007225:Infant Food; D041943:Infant Formula; D007231:Infant, Newborn; D015596:Nutrition Assessment; D009751:Nutritional Requirements; D009752:Nutritional Status; D018529:Nutritional Support / Q000379:methods* / Q000451:nursing; D018579:Patient Selection; D010371:Pediatric Nursing / Q000379:methods*; D012128:Respiratory Distress Syndrome / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D012307:Risk Factors