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CONTENTS

PART I.

INTRODUCTION

Chapter 1.

General introduction

9

PART II.

CURRENT NUTRITIONAL PRACTICES

Chapter 2.

Worldwide survey of nutritional practices in PICUs

31

PART III.

ENERGY EXPENDITURE

Chapter 3.

Validation of ventilator-derived VCO

2

measurements to determine

55

energy expenditure in ventilated critically ill children

Chapter 4.

Use of indirect calorimetry to detect overfeeding in critically ill children;

69

finding the appropriate definition

PART IV.

SUPPLEMENTAL PARENTERAL NUTRITION

Chapter 5.

Evidence for the use of parenteral nutrition in the pediatric intensive

87

care unit

Chapter 6.

Impact of withholding early parenteral nutrition completing enteral

105

nutrition in pediatric critically ill patients (PEPaNIC trial):

study protocol for a randomized controlled trial

Chapter 7.

Early versus late parenteral nutrition in critically ill children

123

PART V.

DISCUSSION AND SUMMARY

Chapter 8.

General discussion

153

Chapter 9.

Summary/Samenvatting

177

PART VI.

APPENDICES

List of abbreviations

193

About the author

195

List of publications

197

PhD portfolio

198

Dankwoord

201