Proefschrift Kerklaan

Chapter 8

8. Children receiving <80% of caloric goals by the enteral route after one week of PICU stay can be provided with supplemental PN (Fig. 1) 9. Macronutrient intake after the acute phase should ideally be guided by REE, preferably by IC- or ventilator-derived measurements, or, in absence of such a device, by use of predictive equations without use of correction factors. The upper limit of caloric intake varies with the route of nutrition and phase of critical illness (Table 1)

In conclusion, while enteral nutrition should ideally be initiated early during PICU stay, during the acute phase of critical illness less parenteral nutrition is more!

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