title: [Nutritive provision of children during intensive therapy in the early post-aggressive period].
abstract: The purpose of the study conducted at the intensive care units (ICI) of a Tushino children's city hospital (CCH), Moscow, in 2000-2005, was to enhance the efficiency of treatment in children with brain injuries, severe pneumonias, or appendicitis-induced peritonitis in the early postaggression period, by optimizing their feeding. Examination of 224 patients aged 1 month to 15 years, treated at the ICI of the Tushino CCH for brain injuries, severe pneumonias, or appendicitis-induced peritonitis in 2000-2005, indicated that mixed (parenteral and enteral) feeding was more effective in children in the early postaggression period than enteral feeding. Consideration of the size of protein losses and the amount of dietary protein and energy and estimation of nitrogen balance revealed that, by increasing the amount of dietary protein and energy, lowering protein losses, and thus producing positive changes in nitrogen balance, higher blood glucose decrease rates, and in a number of anthropometric and somatometric indices, mixed (parenteral and enteral) feeding is an effective method of nutritive provision in children at an intensive care unit.
authors.forename: A K
authors.initials: AK
authors.lastname: Uglitskikh
mesh_terms: D000293:Adolescent; D001835:Body Weight; D002648:Child; D015362:Child Nutrition Disorders / Q000517:prevention & control*; D002675:Child, Preschool; D003422:Critical Care / Q000191:economics / Q000379:methods*; D004750:Enteral Nutrition / Q000191:economics / Q000379:methods; D006801:Humans; D007223:Infant; D015278:Intensive Care Units, Pediatric / Q000191:economics / Q000592:standards*; D015596:Nutrition Assessment; D010288:Parenteral Nutrition / Q000191:economics / Q000379:methods; D012885:Skinfold Thickness