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Chapter 2
50
Element
A.S.P.E.N. (2009)
7
ESPEN/ESPGHAN (2005)
8
Our survey
3. Lipids
(parenteral)
Most centers start at 1 g/kg/day and advance
over a period of days to 2-4 g/kg/day with
monitoring of TG levels
All children: infants max. 3-4 g/kg/day lipids,
older children 2-3 g/kg/day. In PICU: more
frequent monitoring and adjustment to TG
levels
Lipid target predominantly 1.5-2.5 g/kg/
day, adjusted to TG levels
Route of nutrition
EN preferred, if tolerated. PN if EN is insufficient.
Insufficient data to recommend appropriate site.
Gastric route is preferred, postpyloric may be
indicated to improve caloric intake or in children
at high risk of aspiration or intolerant to gastric
feeds
No recommendations on EN
EN preferred. PN if EN is insufficient.
Gastric route is preferred in ventilated
(67%) and nonventilated (88%) patients.
Prokinetics are used if a patient is not
tolerating feeds
Immunonutrition
Not recommended based on available literature
at moment of publication
Not recommended based on available
literature at moment of publication
No data
PICU= Pediatric Intensive Care Unit, NST= Nutritional Support Team, EN= Enteral Nutrition, PN= Parenteral Nutrition, REE= Resting Energy Expenditure, TG=
triglycerides, IC= Indirect Calorimetry
Supplementary Table 2
. Continued