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3. Challenges in body composition assessment using air-displacement plethysmography by BOD POD in pediatric and young adult patients

Author

Bijlsma, Alja, van Beijsterveldt, Inge A.L.P., Vermeulen, Marijn J., Beunders, Victoria A.A., Dorrepaal, Demi J., Boeters, Sanne C.M., van den Akker, Erica L.T., Vlug, Lotte E., de Koning, Barbara A.E., Bracké, Katrien F.M., Dieleman, Gwen C., Scheffers, Linda E., Hagenaar, Doesjka A., Affourtit, Philine, Bindels-de Heus, Karen G.C.B., Hokken-Koelega, Anita C.S., and Joosten, Koen F.M.

Published
2023
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5. Nutritional intake and gastro-intestinal symptoms in critically ill COVID-19 patients

Author

P.L.M. Lakenman, J.C. van Schie, B. van der Hoven, S.J. Baart, R.D. Eveleens, J. van Bommel, J.F. Olieman, K.F.M. Joosten, Internal Medicine, Intensive Care, Epidemiology, and Pediatric Surgery

Subjects
Adult, Male, Diarrhea, Nutrition and Dietetics, Gastrointestinal Diseases, Critical Illness, COVID-19, Middle Aged, Critical Care and Intensive Care Medicine, Intensive Care Units, Eating, SDG 3 - Good Health and Well-being, Humans, Female
Abstract

Background & aims: Critically ill COVID-19 patients seem hypermetabolic and difficult to feed enterally, due to gastro-intestinal (GI) symptoms such as high gastric residual volumes (GRV) and diarrhea. Our aim was to describe the association of nutritional intake and GI symptoms during first 14 days of ICU admission. Methods: Observational study including critically ill adult COVID-19 patients. Data on nutritional intake [enteral nutrition (EN) or parenteral nutrition] and GI symptoms were collected during 14 days after ICU admission. Target energy and protein feeding goals were calculated conform ESPEN guidelines. GI symptoms included GRV (ml/d), vomiting, abdominal distension, and faeces (ml/d). High GRV's were classified as ≥2 times ≥150 ml/d and diarrhea as Bristol stool chart ≥6. GI symptoms were defined as mild if at least one symptom occurred and as moderate when ≥2 symptoms occurred. Acute gastrointestinal injury (AGI) grades of III were classified as GI dysfunction and grades of IV were considered as GI failure with severe impact on distant organs. Linear mixed model analysis was performed to explore the development of nutritional intake and GI symptoms over time at day (D) 0, 4, 10, and 14. Results: One hundred and fifty patients were included [75% male; median age 64 years (IQR 54–70)]. BMI upon admission was 28 kg/m2 (IQR 25–33), of which 43% obese (BMI > 30 kg/m2). Most patients received EN during admission (98% D4; 96% D10-14). Mean energy goals increased from 87% at D4 to 93% D10-14 and protein goals (g/kg) were increasingly achieved during admission (84% D4; 93% D10-14). Presence of moderate GI symptoms decreased (10% D0; 6% D4-10; 5% D14), reversely mild GI symptoms increased. Occurrence of GI dysfunction fluctuated (1% D0; 18% D4; 12% D10; 8% D14) and none of patients developed grade IV GI failure. Development of high GRV fluctuated (5% D0; 23% D4; 14% D10; 8% D14) and occurrence of diarrhea slightly increased during admission (5% D0; 22% D4; 25% D10; 27% D14). Linear mixed models showed only an association between AGI grades III and lower protein intake at day 10 (p = 0.020). Conclusion: Occurrence of GI symptoms was limited and seems no major barrier for EN in our group of critically COVID-19 patients. Nutritional intake was just below requirements during the first 14 days of ICU admission. The effect on nutritional status remains to be studied.

Published
2022

11. Disease associated malnutrition correlates with length of hospital stay in children

Author

Hecht, Christina, Weber, Martina, Grote, Veit, Daskalou, Efstratia, Dell'Era, Laura, Flynn, Diana, Gerasimidis, Konstantinos, Gottrand, Frederic, Hartman, Corina, Hulst, Jessie, Joosten, Koen, Karagiozoglou-Lampoudi, Thomais, Koetse, Harma A., Kolaček, Sanja, Książyk, Janusz, Niseteo, Tena, Olszewska, Katarzyna, Pavesi, Paola, Piwowarczyk, Anna, Rousseaux, Julien, Shamir, Raanan, Sullivan, Peter B., Szajewska, Hania, Vernon-Roberts, Angharad, and Koletzko, Berthold

Published
2015
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14. Intermittent fasting in paediatric critical illness

Author

Karlien Veldscholte, Koen F.M. Joosten, Arnout B.G. Cramer, and Sascha Verbruggen

Subjects
Time Factors, Critical Care, Critical Illness, Physiology, Intensive Care Units, Pediatric, Critical Care and Intensive Care Medicine, Eating, SDG 3 - Good Health and Well-being, Intensive care, Severity of illness, Intermittent fasting, medicine, Humans, Endocrine system, Circadian rhythm, Critical Care Outcomes, Nutrition and Dietetics, Nutritional Support, Surrogate endpoint, business.industry, Fasting, medicine.disease, Circadian Rhythm, Mitochondrial biogenesis, business, Reperfusion injury
Abstract

Summary Although evidence for the superiority of continuous feeding over intermittent feeding is lacking, in most paediatric intensive care units (PICU) artificial feeding is administered continuously for 24 h per day. Until now, studies in PICU on intermittent feeding have primarily focused on surrogate endpoints such as nutritional intake and gastro-intestinal complaints and none have studied the effects of an extended fasting period. Intermittent fasting has been proven to have many health benefits in both animal and human studies. The observed beneficial effects are based on multiple metabolic and endocrine changes that are presumed crucial in critical illness as well. One key element is the transition to ketone body metabolism, which, among others, contributes to the stimulation of several cellular pathways involved in stress resistance (neuro)plasticity and mitochondrial biogenesis, and might help preserve brain function. Secondly, the fasting state stimulates the activation of autophagy, a process that is crucial for cellular function and integrity. Of the different intermittent fasting strategies investigated, time-restricted feeding with a daily extended fasting period appears most feasible in the PICU. Moreover, planning the fasting period overnight could help maintain the circadian rhythm. Although not investigated, such an overnight intermittent fasting strategy might improve the metabolic profile, feeding tolerance and perhaps even have beneficial effects on tissue repair, reperfusion injury, muscle weakness, and the immune response. Future studies should investigate practical implications in critically ill children and the optimal duration of the fasting periods, which might be affected by the severity of illness and by age.

Published
2021

15. Early hypophosphatemia in critically ill children and the effect of parenteral nutrition: A secondary analysis of the PEPaNIC RCT

Author

Veldscholte, K., primary, Veen, M.A.N., additional, Eveleens, R.D., additional, de Jonge, R.C.J., additional, Vanhorebeek, I., additional, Gunst, J., additional, Casaer, M.P., additional, Wouters, P.J., additional, Guerra, Gonzalo Garcia, additional, Van den Berghe, G., additional, Joosten, K.F.M., additional, and Verbruggen, S.C.A.T., additional

Published
2022
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17. Pedi-R-MAPP: The development of a nutritional awareness tool for use in remote paediatric consultations using a modified Delphi consensus

Author

Marino, L.V., primary, Collaço, N.C., additional, Ashton, J.J., additional, Cader, S., additional, Cooke, M.L., additional, Cooke, L.H., additional, Gerasimidis, K., additional, Guz-Mark, A., additional, Hulst, J.M., additional, Vranesic Bender, D., additional, Huysentruyt, K., additional, Joosten, K., additional, Kolacek, S., additional, Krznaric, Z., additional, Meyer, R., additional, Nemet, D., additional, Niseteo, T., additional, Selimoglu, M.A., additional, Shamir, R., additional, Darlington, A.S.E., additional, and Beattie, R.M., additional

Published
2022
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18. Definitions, predictors and outcomes of feeding intolerance in critically ill children: A systematic review

Author

Sascha Verbruggen, R.D. Eveleens, Koen F. M. Joosten, B. de Koning, Jessie M. Hulst, Pediatric Surgery, and Pediatrics

Subjects
Diarrhea, 0301 basic medicine, Pediatrics, medicine.medical_specialty, Gastrointestinal Diseases, Vomiting, Critical Illness, MEDLINE, 030209 endocrinology & metabolism, Critical Care and Intensive Care Medicine, 03 medical and health sciences, Enteral Nutrition, 0302 clinical medicine, Severity of illness, Humans, Medicine, Child, 030109 nutrition & dietetics, Nutrition and Dietetics, Critically ill, business.industry, Discontinuation, Treatment Outcome, Parenteral nutrition, Gastric Emptying, Observational study, medicine.symptom, business, Feeding Intolerance
Abstract

Summary Background & aims Clinicians and researchers often use feeding intolerance (FI) as main cause for insufficient enteral nutrition (EN). However, there is no uniform definition for FI. A uniform definition is essential for future studies focusing on predictors and outcomes of FI and enteral nutrition. A systematic review was performed to investigate the definitions, prevalence, predictors and outcomes of FI in critically ill children. Methods The databases Medline, Embase, Cochrane CENTRAL, Web of Science were searched. Inclusion criteria were interventional, observational or case-control studies (>10 patients) in which a definition of FI was reported in critically ill children (0–21 years). Results FI was defined in 31 unique studies performed in 2973 critically ill children. FI was most commonly defined as presence of gastrointestinal (GI) symptoms and/or large gastric residual volume (GRV) (n = 21), followed by discontinuation of EN due to GI symptoms (n = 7) and inadequate delivery of EN (n = 3). Median prevalence of FI was 20.0% [IQR 7.4%–33.0%]. Large GRV, abdominal distention, diarrhoea and vomiting/emesis, were the predominantly reported GI symptoms to define FI. FI was associated with severity of illness, mortality and nosocomial infections. Conclusions Feeding intolerance is inconsistently defined in the current literature, but appears to be a prevalent concern in critically ill children. FI is most frequently defined by the presence of GI symptoms. A standardized definition is needed for both clinical and research purpose to determine the consequences of FI in relation to short-term and long-term outcomes. The new proposed definition for FI entails the inability to achieve enteral nutrition target intakes in combination with the presence of GI symptoms indicating GI dysfunction. Protocol registration PROSPERO registration number: CRD42018092967. Registered on 07 June 2018.

Published
2020

19. Considerations for nutrition support in critically ill children with COVID-19 and paediatric inflammatory multisystem syndrome temporally associated with COVID-19

Author

Luise V. Marino, Frédéric V. Valla, Lyvonne N Tume, C. Moullet, L. Latten, Koen F.M. Joosten, C. Jotterand-Chaparro, Sascha Verbruggen, Pediatric Surgery, and Pediatrics

Subjects
0301 basic medicine, Paediatric intensive care, ARDS, medicine.medical_specialty, Coronavirus disease 2019 (COVID-19), Critical Care, Short Communication, Critically ill children, Critical Illness, Enteral feeding, Nutritional Status, 030209 endocrinology & metabolism, Intensive Care Units, Pediatric, Critical Care and Intensive Care Medicine, Sepsis, 03 medical and health sciences, 0302 clinical medicine, Enteral Nutrition, Intensive care, Medicine, Humans, Intensive care medicine, Child, Nutrition, 030109 nutrition & dietetics, Nutrition and Dietetics, business.industry, Critically ill, Nutritional Support, SARS-CoV-2, COVID-19, medicine.disease, Systemic Inflammatory Response Syndrome, Nutrition support, Kawasaki disease, Nutrition management, business
Abstract

There are reports of children COVID-19 or COVID-19 like symptoms with hyperinflammatory multisystem syndrome, ARDS, gastrointestinal and atypical Kawasaki disease presenting to PICU worldwide temporally associated with COVID-19, for which there are important nutrition support considerations. As a result, the European Society of Pediatric and Neonatal Intensive Care - Metabolism, Endocrine and Nutrition group (ESPNIC-MEN) and paediatric nutritionists working in PICUs are being consulted regarding nutrition management of critically ill children with COVID-19 or COVID-19 like symptoms. Therefore, the aim of this short report is to provide a summary of nutrition support recommendations for critically ill children with COVID-19. They are based on the ESPNIC-MEN section recommendations published in January 2020 and surviving sepsis recommendations from February 2020.

Published
2020

24. ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition: Amino acids

Author

Johannes B. van Goudoever, Virgilio Carnielli, Dominique Darmaun, Miguel Sainz de Pipaon, Christian Braegger, Jiri Bronsky, Wei Cai, Cristina Campoy, Tamás Decsi, Magnus Domellöf, Nicholas Embleton, Mary Fewtrell, Nataša Fidler Mis, Axel Franz, Olivier Goulet, Corina Hartman, Susan Hill, Iva Hojsak, Silvia Iacobelli, Frank Jochum, Koen Joosten, Sanja Kolaček, Berthold Koletzko, Janusz Ksiazyk, Alexandre Lapillonne, Szimonetta Lohner, Dieter Mesotten, Krisztina Mihályi, Walter A. Mihatsch, Francis Mimouni, Christian Mølgaard, Sissel J. Moltu, Antonia Nomayo, Jean Charles Picaud, Christine Prell, John Puntis, Arieh Riskin, Miguel Saenz De Pipaon, Thibault Senterre, Raanan Shamir, Venetia Simchowitz, Peter Szitanyi, Merit M. Tabbers, Chris H.B. Van Den Akker, Johannes B. Van Goudoever, Anne Van Kempen, Sascha Verbruggen, Jiang Wu, Weihui Yan, University of Amsterdam [Amsterdam] (UvA), Salesi Hospital, Partenaires INRAE, Physiopathologie des Adaptations Nutritionnelles (PhAN), Université de Nantes (UN)-Institut National de la Recherche Agronomique (INRA), Universidad Autonoma de Madrid (UAM), Neonatology, ARD - Amsterdam Reproduction and Development, AGEM - Digestive immunity, Paediatric Gastroenterology, AGEM - Re-generation and cancer of the digestive system, ACS - Diabetes & metabolism, AGEM - Endocrinology, metabolism and nutrition, Amsterdam Reproduction & Development (AR&D), Pediatrics, and Pediatric surgery

Subjects
0301 basic medicine, Parenteral Nutrition, medicine.medical_specialty, Critical Care and Intensive Care Medicine, 03 medical and health sciences, 0302 clinical medicine, 030225 pediatrics, medicine, Humans, Amino Acids, requirements, Child, Intensive care medicine, ComputingMilieux_MISCELLANEOUS, 2. Zero hunger, chemistry.chemical_classification, 030109 nutrition & dietetics, Nutrition and Dietetics, business.industry, pediatric parenteral nutrition, Infant, Newborn, toxicity, Infant, deficiency, 3. Good health, Amino acid, Parenteral nutrition, chemistry, Child, Preschool, Child Nutritional Physiological Phenomena, business, [SDV.AEN]Life Sciences [q-bio]/Food and Nutrition, [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology, Infant, Premature
Abstract

International audience

Published
2018

25. ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition: Venous access

Author

Nicholas D. Embleton, Merit M. Tabbers, Thibault Senterre, Sissel J. Moltu, Christine Prell, Jean Charles Picaud, Olivier Goulet, Peter Szitanyi, Christian Mølgaard, Christian Braegger, Nataša Fidler Mis, Lohner Szimonetta, Anne A.M.W. van Kempen, Dieter Mesotten, Corina Hartman, Chris H. B. van den Akker, Sascha Verbruggen, Jiri Bronsky, Raanan Shamir, Arieh Riskin, Decsi Tamas, Iva Hojsak, I. Hojsak, Francis B. Mimouni, Wu Jiang, Antonia Nomayo, Magnus Domellöf, Koen F. M. Joosten, Walter A. Mihatsch, Mihalyi Krisztina, Janusz Ksiazyk, Miguel Saenz de Pipaon, Virgilio P. Carnielli, Axel R. Franz, Cristina Campoy, Mary Fewtrell, Cai Wei, Yan Weihui, Frank Jochum, Susan Hill, Sanja Kolaček, Venetia Simchowitz, Silvia Iacobelli, Berthold Koletzko, Johannes B. van Goudoever, John W. L. Puntis, Dominique Darmaun, John W L Puntis, Alexandre Lapillonne, Pediatric surgery, Pediatrics, ACS - Diabetes & metabolism, AGEM - Endocrinology, metabolism and nutrition, Amsterdam Reproduction & Development (AR&D), University of Zagreb, The General Infirmary at Leeds, Children's Hospital Zagreb, Physiopathologie des Adaptations Nutritionnelles (PhAN), Université de Nantes (UN)-Institut National de la Recherche Agronomique (INRA), ARD - Amsterdam Reproduction and Development, AGEM - Digestive immunity, Paediatric Gastroenterology, AGEM - Re-generation and cancer of the digestive system, and Neonatology

Subjects
Catheterization, Central Venous, Parenteral Nutrition, medicine.medical_specialty, Central catheter, Topical treatment, Critical Care and Intensive Care Medicine, central venous catheters, central line, central catheter, central venous access, 03 medical and health sciences, 0302 clinical medicine, 030225 pediatrics, medicine, Central Venous Catheters, Humans, Skin hygiene, 030212 general & internal medicine, Child, Intensive care medicine, ComputingMilieux_MISCELLANEOUS, Nutrition and Dietetics, business.industry, Infant, Newborn, Catheter blockage, Infant, Pediatric parenteral nutrition, Catheter-Related Infections, 3. Good health, Venous access, Parenteral nutrition, Child, Preschool, Intravenous nutrition, Child Nutritional Physiological Phenomena, business, [SDV.AEN]Life Sciences [q-bio]/Food and Nutrition, Infant, Premature, [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology
Abstract

ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition: Venous access

Published
2018

26. ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition: Iron and trace minerals

Author

M. Domellöf, P. Szitanyi, V. Simchowitz, A. Franz, F. Mimouni, Christian Braegger, Jiri Bronsky, Wei Cai, Cristina Campoy, Virgilio Carnielli, Dominique Darmaun, Tamás Decsi, Magnus Domellöf, Nicholas Embleton, Mary Fewtrell, Nataša Fidler Mis, Axel Franz, Olivier Goulet, Corina Hartman, Susan Hill, Iva Hojsak, Silvia Iacobelli, Frank Jochum, Koen Joosten, Sanja Kolaček, Berthold Koletzko, Janusz Ksiazyk, Alexandre Lapillonne, Szimonetta Lohner, Dieter Mesotten, Krisztina Mihályi, Walter A. Mihatsch, Francis Mimouni, Christian Mølgaard, Sissel J. Moltu, Antonia Nomayo, Jean Charles Picaud, Christine Prell, John Puntis, Arieh Riskin, Miguel Saenz De Pipaon, Thibault Senterre, Raanan Shamir, Venetia Simchowitz, Peter Szitanyi, Merit M. Tabbers, Chris H.B. Van Den Akker, Johannes B. Van Goudoever, Anne Van Kempen, Sascha Verbruggen, Jiang Wu, Weihui Yan, Umeå University, Charles University in Prague, Partenaires INRAE, Great Ormond Street Hospital for Children NHS Foundation Trust, University Children's Hospital of Tübingen, Tel Aviv University [Tel Aviv], Physiopathologie des Adaptations Nutritionnelles (PhAN), Université de Nantes (UN)-Institut National de la Recherche Agronomique (INRA), Pediatrics, Pediatric surgery, ACS - Diabetes & metabolism, AGEM - Endocrinology, metabolism and nutrition, Amsterdam Reproduction & Development (AR&D), ARD - Amsterdam Reproduction and Development, AGEM - Digestive immunity, Paediatric Gastroenterology, AGEM - Re-generation and cancer of the digestive system, and Neonatology

Subjects
0301 basic medicine, Parenteral Nutrition, medicine.medical_specialty, Iron, iron, trace minerals, Critical Care and Intensive Care Medicine, 03 medical and health sciences, 0302 clinical medicine, Metals, Heavy, medicine, Humans, Child, Intensive care medicine, ComputingMilieux_MISCELLANEOUS, 2. Zero hunger, 030109 nutrition & dietetics, Nutrition and Dietetics, business.industry, Infant, Newborn, Infant, Iron and trace minerals, Pediatric parenteral nutrition, Iron Deficiencies, Iron deficiency, medicine.disease, Trace Elements, 3. Good health, Parenteral nutrition, Trace Minerals, Child, Preschool, 030211 gastroenterology & hepatology, Child Nutritional Physiological Phenomena, Deficiency Diseases, business, [SDV.AEN]Life Sciences [q-bio]/Food and Nutrition, Infant, Premature, [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology
Abstract

ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition : Iron and trace minerals

Published
2018

30. Role of age of critically ill children at time of exposure to early or late parenteral nutrition in determining the impact hereof on long-term neurocognitive development: A secondary analysis of the PEPaNIC-RCT

Author

Verlinden, Ines, primary, Dulfer, Karolijn, additional, Vanhorebeek, Ilse, additional, Güiza, Fabian, additional, Hordijk, José A., additional, Wouters, Pieter J., additional, Guerra, Gonzalo Garcia, additional, Joosten, Koen F., additional, Verbruggen, Sascha C., additional, and Van den Berghe, Greet, additional

Published
2021
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31. Role of age of critically ill children at time of exposure to early or late parenteral nutrition in determining the impact hereof on long-term neurocognitive development

Author

Verlinden, I. (Ines), Dulfer, K. (Karolijn), Vanhorebeek, I. (Ilse), Güiza, F. (Fabian), Hordijk, J.A. (José), Wouters, P.J. (Pieter), Guerra, G.G. (Gonzalo Garcia), Joosten, K.F.M. (Koen), Verbruggen, S.C.A.T. (Sascha), Van den Berghe, G. (Greet), Verlinden, I. (Ines), Dulfer, K. (Karolijn), Vanhorebeek, I. (Ilse), Güiza, F. (Fabian), Hordijk, J.A. (José), Wouters, P.J. (Pieter), Guerra, G.G. (Gonzalo Garcia), Joosten, K.F.M. (Koen), Verbruggen, S.C.A.T. (Sascha), and Van den Berghe, G. (Greet)

Abstract

Background & aims: Early use of parenteral nutrition (early-PN), as compared with withholding it for one week (late-PN), in the PICU, has shown to slow down recovery from critical illness and impair long-term development of 6 neurocognitive/behavioural/emotional functions assessed 2 years later. Given that key steps in brain maturation occur at different times during childhood, we hypothesised that age at time of exposure determines long-term developmental impact of early-PN. Methods: The 786 children who were neurocognitively tested 2 years after participation in the PEPaNIC-RCT were included in this study. First, for each studied long-term outcome, interaction between randomisation to early-PN versus late-PN and age was assessed with multivariable linear regression analysis. Subsequently, for outcomes with an interaction p ≤ 0.15, the impact of early-PN versus late-PN was analysed, after adjustment for risk factors, for 4 subgroups defined based on developmentally-relevant age at time of exposure [≤28 days (n = 121), 29 days to 11 months (n = 239), 11 months to <5 years (n = 223) and ≥5 years (n = 203)]. Results: Interaction between randomisation and age was present for weight, and parent-reported inhibitory control, cognitive flexibility, working memory, planning/organisation, metacognition, total executive functioning, and internalising and total behavioural/emotional problems. Subgroup analyses revealed that none of the age-groups revealed benefit, whereas children aged 29 days to <11 months were most vulnerable to harm by early-PN for development of inhibitory control (p = 0.008), working memory (p = 0.009), planning/organisation (p = 0.004), metacognition (p = 0.008), and total executive functioning (p = 0.004), and for internalising (p = 0.005) and total behavioural/emotional problems (p = 0.01). Children aged 11 months to <5 years revealed harm by early-PN for development of inhibitory control (p = 0.003). In contrast, children aged ≥5 years and neonates ag

Published
2020
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33. ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition: Lipids

Author

Alexandre Lapillonne, Nataša Fidler Mis, Olivier Goulet, Chris H.P. van den Akker, Jennifer Wu, Berthold Koletzko, Christian Braegger, Jiri Bronsky, Wei Cai, Cristina Campoy, Virgilio Carnielli, Dominique Darmaun, Tamás Decsi, Magnus Domellöf, Nicholas Embleton, Mary Fewtrell, Axel Franz, Corina Hartman, Susan Hill, Iva Hojsak, Silvia Iacobelli, Frank Jochum, Koen Joosten, Sanja Kolaček, Janusz Ksiazyk, Szimonetta Lohner, Dieter Mesotten, Krisztina Mihályi, Walter A. Mihatsch, Francis Mimouni, Christian Mølgaard, Sissel J. Moltu, Antonia Nomayo, Jean Charles Picaud, Christine Prell, John Puntis, Arieh Riskin, Miguel Saenz De Pipaon, Thibault Senterre, Raanan Shamir, Venetia Simchowitz, Peter Szitanyi, Merit M. Tabbers, Chris H.B. Van Den Akker, Johannes B. Van Goudoever, Anne Van Kempen, Sascha Verbruggen, Jiang Wu, Weihui Yan, CHU Necker - Enfants Malades [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Baylor College of Medicine (BCM), University Medical Centre Ljubljana [Ljubljana, Slovenia] (UMCL), University of Amsterdam [Amsterdam] (UvA), Shanghai Jiaotong University, University of Munich Medical Center, Partenaires INRAE, Physiopathologie des Adaptations Nutritionnelles (PhAN), Université de Nantes (UN)-Institut National de la Recherche Agronomique (INRA), Pediatrics, Neonatology, ARD - Amsterdam Reproduction and Development, AGEM - Digestive immunity, Paediatric Gastroenterology, AGEM - Re-generation and cancer of the digestive system, University of Zurich, Lapillonne, Alexandre, Pediatric surgery, ACS - Diabetes & metabolism, AGEM - Endocrinology, metabolism and nutrition, and Amsterdam Reproduction & Development (AR&D)

Subjects
0301 basic medicine, Fat Emulsions, Intravenous, Parenteral Nutrition, medicine.medical_specialty, Critical Illness, 610 Medicine & health, Critical Care and Intensive Care Medicine, 03 medical and health sciences, 0302 clinical medicine, Cholestasis, parenteral nutrition, lipid/fat emulsions, paediatric, fatty acids, LC-PUFA, IFALD, PNALD, cholestasis, 030225 pediatrics, medicine, Humans, Child, Intensive care medicine, ComputingMilieux_MISCELLANEOUS, 030109 nutrition & dietetics, Nutrition and Dietetics, business.industry, Poisoning, Infant, Newborn, Infant, medicine.disease, Lipids, 3. Good health, Parenteral nutrition, 10036 Medical Clinic, Child, Preschool, 2916 Nutrition and Dietetics, lipids (amino acids, peptides, and proteins), Child Nutritional Physiological Phenomena, business, 2706 Critical Care and Intensive Care Medicine, [SDV.AEN]Life Sciences [q-bio]/Food and Nutrition, Infant, Premature, [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology
Abstract

ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition: Lipids

Published
2018

34. First week weight dip and reaching growth targets in early life in preterm infants

Author

Marijn J. Vermeulen, Koen F. M. Joosten, Jessie M. Hulst, Jorine A. Roelants, Brigitte M.A. van der Geest, Irwin K M Reiss, Obstetrics & Gynecology, and Pediatrics

Subjects
0301 basic medicine, Male, Pediatrics, medicine.medical_specialty, Parenteral Nutrition, Birth weight, Population, Nutritional Status, Critical Care and Intensive Care Medicine, Cohort Studies, 03 medical and health sciences, 0302 clinical medicine, Interquartile range, 030225 pediatrics, Intensive care, Intensive Care Units, Neonatal, Weight Loss, medicine, Humans, Infant, Very Low Birth Weight, Prospective Studies, education, Infant Nutritional Physiological Phenomena, education.field_of_study, 030109 nutrition & dietetics, Nutrition and Dietetics, business.industry, Body Weight, Infant, Newborn, Gestational age, Low birth weight, Cohort, Female, medicine.symptom, business, Energy Intake, Infant, Premature, Cohort study
Abstract

Aggressive parenteral nutritional practices were implemented in clinical practice over a decade ago to prevent early growth retardation in preterm infants. We aimed to study adherence to current nutritional recommendations in a population of very preterm infants, and to evaluate growth in early life.Preterm infants (gestational age30 weeks and birth weight1500 g) were included in a prospective observational cohort study. Data on parenteral and enteral intake were collected on days 1-7, 14, 21 and 28 (d28) of life. Growth data were collected at birth, at moment of maximal weight loss (dip), and either at discharge from the neonatal intensive care unit or at d28, whichever came first. Nutritional intakes were compared to recommendations of current guidelines. The target growth rate was 15-20 g/kg/d.Fifty-nine infants (63% male) were included. Median gestational age was 27 3/7 (interquartile range 25 6/7;28 4/7), and birth weight was 920 g (720;1200). Median macronutrient intakes were within or above the targets on all study days, but energy targets were not met before day 5. Median growth rates were 9.5 and 18.1 g/kg/d, when calculated from respectively birth and dip to discharge/d28. Eight (14%) versus 46 (78%) infants met the growth targets, when evaluated from respectively birth and dip to discharge/d28.In this cohort, only energy intake up to day 5 was lower than recommended. Growth targets were achieved in the majority of the infants, but only when evaluated from dip onward, not from birth.

Published
2018

35. ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition

Author

Christine Prell, Dominique Darmaun, Walter A. Mihatsch, Anne A.M.W. van Kempen, Venetia Simchowitz, Corina Hartman, Silvia Iacobelli, Krisztina Mihalyi, Berthold Koletzko, Mary Fewtrell, Sanja Kolaček, Arieh Riskin, Antonia Nomayo, Johannes B. van Goudoever, Dieter Mesotten, Nicholas D. Embleton, Virgilio P. Carnielli, Christian Braegger, Francis B. Mimouni, Frank Jochum, Jiri Bronsky, Chris H. B. van den Akker, Sissel J. Moltu, Olivier Goulet, Weihui Yan, Koen F. M. Joosten, Janusz Ksiazyk, John W L Puntis, Jean-Charles Picaud, Szimonetta Lohner, Alexandre Lapillonne, Ranaan Shamir, Tamas Desci, Hill Susan, Cristina Campoy, Merit M. Tabbers, Magnus Domellöf, Miguel Saenz de Pipaon, Jiang Wu, Thibault Senterre, Iva Hojsak, Axel Franz, Peter Szitanyi, Christian Mølgaard, Nataša Fidler Mis, Sascha Verbruggen, Wei Cai, Universität Ulm - Ulm University [Ulm, Allemagne], University Children’s Hospital Zurich, University Hospital Motol [Prague], Shanghai Jiao Tong University [Shanghai], Universidad de Granada = University of Granada (UGR), Polytechnic University of Marche, Université de Nantes (UN), University of Pecs, Umeå University, University of Newcastle upon Tyne, NHS Foundation Trust, University Medical Centre Ljubljana [Ljubljana, Slovenia] (UMCL), University Children's Hospital, Université Paris Descartes - Paris 5 (UPD5), Schneider Children's Medical Center of Israel, Children's Hospital Zagreb, Centre Hospitalier Universitaire de La Réunion (CHU La Réunion), Evangelisches Waldkrankenhaus Spandau, Partenaires INRAE, Eramus MC-Sophia Children’s Hospital, Ludwig-Maximilians University [Munich] (LMU), The Children’s Memorial Health Institute, Katholieke Universiteit Leuven, Department of Pediatrics-Division of Neonatology, University of Alberta, University of Copenhagen = Københavns Universitet (UCPH), Oslo University Hospital [Oslo], Cardiovasculaire, métabolisme, diabétologie et nutrition (CarMeN), Institut National de la Recherche Agronomique (INRA)-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Hospices Civils de Lyon (HCL)-Institut National de la Santé et de la Recherche Médicale (INSERM), The General Infirmary at Leeds, Bnai Zion Medical Center, Hospital Universitario La Paz, Centre Hospitalier Universitaire de Liège (CHU-Liège), General University Hospital in Prague, Emma Children’s Hospital Academic Medical Centre, OLVG Hospital, Xinhua Hospital, ProdInra, Migration, Pediatrics, Pediatric surgery, ACS - Diabetes & metabolism, AGEM - Endocrinology, metabolism and nutrition, Amsterdam Reproduction & Development (AR&D), University of Granada, Ludwig Maximilians University of Munich, University of Copenhagen = Københavns Universitet (KU), Paediatric Gastroenterology, AGEM - Digestive immunity, AGEM - Re-generation and cancer of the digestive system, ARD - Amsterdam Reproduction and Development, and Neonatology

Subjects
0301 basic medicine, medicine.medical_specialty, Adolescent, MEDLINE, parenteral nutrition, Clinical nutrition, Critical Care and Intensive Care Medicine, 03 medical and health sciences, [SDV.MHEP.PED] Life Sciences [q-bio]/Human health and pathology/Pediatrics, 0302 clinical medicine, 030225 pediatrics, medicine, Humans, Guideline development, Child, [SDV.MHEP.PED]Life Sciences [q-bio]/Human health and pathology/Pediatrics, 030109 nutrition & dietetics, Nutrition and Dietetics, business.industry, Infant, Newborn, Consensus conference, Infant, Guideline, Chinese society, Evidence level, 3. Good health, [SDV.AEN] Life Sciences [q-bio]/Food and Nutrition, Parenteral nutrition, Child, Preschool, Family medicine, Practice Guidelines as Topic, Child Nutritional Physiological Phenomena, business, [SDV.AEN]Life Sciences [q-bio]/Food and Nutrition
Abstract

International audience; Background: Previous guidelines on Paediatric Parenteral Nutrition (PN) were published in 2010, by the European Society of Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) and the European Society for Clinical Nutrition and Metabolism (ESPEN), supported by the European Society of Paediatric Research (ESPR) were published. The aim of the present paper was to provide up-to-date evidence for health professionals working with infants, children and adolescents receiving PN. Methods: The current document is a revision of the 2005 guidelines produced by the same 3 organizations (ESPEN, ESPGHAN, ESPR) together with the Chinese Society of Parenteral and Enteral Nutrition (CSPEN). Experts participating in the guideline updating process were all professionals with extensive experience in managing PN from a wide range of European countries, Israel and China. The guideline development process was coordinated by a guideline steering committee. Each chapter of the guideline was prepared by a separate author group. These author groups were responsible for screening titles and abstracts identified by a systematic literature search for inclusion, for conducting additional expert searches (including secondary sources such as other published valid guidelines), for evaluating the quality of studies included in the given chapter and assigning evidence levels to the literature. Based on the evidence level of included studies experts formulated and graded recommendations. A consensus conference was held in February 2015. All chapter manuscripts were revised following the recommendations of the consensus conference and then reviewed and edited by the project steering committee. Final consensus on each individual guideline and its individual recommendations was achieved and assessed by online voting. This process lasted until January 2018. Funding for the consensus conference (including travel expenses for participants) was provided by all participating societies. No other funding was received for the guideline updating process and participants received no payment. Support was provided by the Hungarian Cochrane organization. Results/conclusions: The present document provides guideline for the use of PN across the wide range of pediatric patients, ranging from extremely premature infants up to teenagers weighing up to and over 100 kg [1]. It covers their individual macro- and micronutrient needs [2], [3], [4], [5], [6], [7], [8], fluid requirements [9], venous access [10], organizational aspects [11], home parenteral nutrition [12], standardized vs. individualized PN [13], and last but not least a wide range of safety considerations for prevention and management of complications such central line associated bloodstream infections (CLABSI)

Published
2018

38. ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition: Energy

Author

Joosten, K., primary, Embleton, N., additional, Yan, W., additional, Senterre, T., additional, Braegger, Christian, additional, Bronsky, Jiri, additional, Cai, Wei, additional, Campoy, Cristina, additional, Carnielli, Virgilio, additional, Darmaun, Dominique, additional, Decsi, Tamás, additional, Domellöf, Magnus, additional, Embleton, Nicholas, additional, Fewtrell, Mary, additional, Fidler Mis, Nataša, additional, Franz, Axel, additional, Goulet, Olivier, additional, Hartman, Corina, additional, Hill, Susan, additional, Hojsak, Iva, additional, Iacobelli, Silvia, additional, Jochum, Frank, additional, Joosten, Koen, additional, Kolaček, Sanja, additional, Koletzko, Berthold, additional, Ksiazyk, Janusz, additional, Lapillonne, Alexandre, additional, Lohner, Szimonetta, additional, Mesotten, Dieter, additional, Mihályi, Krisztina, additional, Mihatsch, Walter A., additional, Mimouni, Francis, additional, Mølgaard, Christian, additional, Moltu, Sissel J., additional, Nomayo, Antonia, additional, Picaud, Jean Charles, additional, Prell, Christine, additional, Puntis, John, additional, Riskin, Arieh, additional, Saenz De Pipaon, Miguel, additional, Senterre, Thibault, additional, Shamir, Raanan, additional, Simchowitz, Venetia, additional, Szitanyi, Peter, additional, Tabbers, Merit M., additional, Van Den Akker, Chris H.B., additional, Van Goudoever, Johannes B., additional, Van Kempen, Anne, additional, Verbruggen, Sascha, additional, Wu, Jiang, additional, and Yan, Weihui, additional

Published
2018
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39. ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition: Carbohydrates

Author

Mesotten, D., primary, Joosten, K., additional, van Kempen, A., additional, Verbruggen, S., additional, Braegger, Christian, additional, Bronsky, Jiri, additional, Cai, Wei, additional, Campoy, Cristina, additional, Carnielli, Virgilio, additional, Darmaun, Dominique, additional, Decsi, Tamás, additional, Domellöf, Magnus, additional, Embleton, Nicholas, additional, Fewtrell, Mary, additional, Fidler Mis, Nataša, additional, Franz, Axel, additional, Goulet, Olivier, additional, Hartman, Corina, additional, Hill, Susan, additional, Hojsak, Iva, additional, Iacobelli, Silvia, additional, Jochum, Frank, additional, Joosten, Koen, additional, Kolaček, Sanja, additional, Koletzko, Berthold, additional, Ksiazyk, Janusz, additional, Lapillonne, Alexandre, additional, Lohner, Szimonetta, additional, Mesotten, Dieter, additional, Mihályi, Krisztina, additional, Mihatsch, Walter A., additional, Mimouni, Francis, additional, Mølgaard, Christian, additional, Moltu, Sissel J., additional, Nomayo, Antonia, additional, Picaud, Jean Charles, additional, Prell, Christine, additional, Puntis, John, additional, Riskin, Arieh, additional, Saenz De Pipaon, Miguel, additional, Senterre, Thibault, additional, Shamir, Raanan, additional, Simchowitz, Venetia, additional, Szitanyi, Peter, additional, Tabbers, Merit M., additional, Van Den Akker, Chris H.B., additional, Van Goudoever, Johannes B., additional, Van Kempen, Anne, additional, Verbruggen, Sascha, additional, Wu, Jiang, additional, and Yan, Weihui, additional

Published
2018
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40. Validation of ventilator-derived VCO2 measurements to determine energy expenditure in ventilated critically ill children

Author

Koen F. M. Joosten, Joost van Rosmalen, Dorian Kerklaan, Marjolein E. Augustus, Sascha Verbruggen, Jessie M. Hulst, Pediatrics, Epidemiology, and Pediatric Surgery

Subjects
Pediatrics, medicine.medical_specialty, Nutrition and Dietetics, business.industry, Critically ill, Limits of agreement, 030208 emergency & critical care medicine, Carbon dioxide production, Gold standard (test), Critical Care and Intensive Care Medicine, Clinical Practice, 03 medical and health sciences, Voltage-controlled oscillator, 0302 clinical medicine, 030228 respiratory system, Energy expenditure, Statistics, Medicine, Resting energy expenditure, business, human activities
Abstract

Summary Background & aims Indirect calorimetry (IC) is considered the gold standard to determine resting energy expenditure (REE) but its availability in PICUs worldwide is limited. Ventilator-derived VCO 2 could potentially improve the possibility of performing REE measurements. We investigated whether ventilator-derived VCO 2 values are comparable to IC-derived VCO 2 values and can clinically be used in clinical practice to determine REE. Methods VCO 2 -values were simultaneously collected in mechanically ventilated children from IC (Deltatrac ® ) and Servo-I ® ventilator on a minute base over at least 10 min period of steady state. REE was calculated using the modified Weir formula (for IC) or REE = 5.5*VCO 2 (L/min)*1440 (for the Servo-I values) and compared with frequently used predictive equations by Schofield and the WHO to calculate REE. Results Measurements were performed in 41 children; median age 2 years. The mean relative difference between VCO 2 measured by IC and Servo-I ® was 15.6% (p = 0.002), and limits of agreement in the Bland–Altman analysis were wide. Comparable measurements, defined as a difference ≤10% between IC and Servo-I ® VCO 2 values, were seen in 18 (44%) children, but this proportion was 70% in children ≥15 kg. In this group, REE could be accurately predicted using Servo-I ® derived VCO 2 values and this method was superior to the use of predictive equations. The Servo-I ® derived VCO 2 values were not sufficiently accurate for the large proportion of children weighing Conclusions In children ≥15 kg, VCO 2 measurements of the Servo-I ® seem sufficiently accurate for use in clinical practice and may be used to determine energy expenditure in the future.

Published
2017

42. ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition: Guideline development process for the updated guidelines

Author

Mihatsch, W., primary, Shamir, R., additional, van Goudoever, J.B., additional, Fewtrell, M., additional, Lapillonne, A., additional, Lohner, S., additional, Mihályi, K., additional, Decsi, T., additional, Braegger, Christian, additional, Bronsky, Jiri, additional, Cai, Wei, additional, Campoy, Cristina, additional, Carnielli, Virgilio, additional, Darmaun, Dominique, additional, Decsi, Tamás, additional, Domellöf, Magnus, additional, Embleton, Nicholas, additional, Fewtrell, Mary, additional, Fidler Mis, Nataša, additional, Franz, Axel, additional, Goulet, Olivier, additional, Hartman, Corina, additional, Hill, Susan, additional, Hojsak, Iva, additional, Iacobelli, Silvia, additional, Jochum, Frank, additional, Joosten, Koen, additional, Kolaček, Sanja, additional, Koletzko, Berthold, additional, Ksiazyk, Janusz, additional, Lapillonne, Alexandre, additional, Lohner, Szimonetta, additional, Mesotten, Dieter, additional, Mihályi, Krisztina, additional, Mihatsch, Walter A., additional, Mimouni, Francis, additional, Mølgaard, Christian, additional, Moltu, Sissel J., additional, Nomayo, Antonia, additional, Picaud, Jean Charles, additional, Prell, Christine, additional, Puntis, John, additional, Riskin, Arieh, additional, Saenz De Pipaon, Miguel, additional, Senterre, Thibault, additional, Shamir, Raanan, additional, Simchowitz, Venetia, additional, Szitanyi, Peter, additional, Tabbers, Merit M., additional, Dirk, Vlasselaers, additional, Van Den Akker, Chris H.B., additional, Van Goudoever, Johannes B., additional, Van Kempen, Anne, additional, Verbruggen, Sascha, additional, Wu, Jiang, additional, and Yan, Weihui, additional

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2018
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43. ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition: Complications

Author

Hartman, Corina, primary, Shamir, Raanan, additional, Simchowitz, Venetia, additional, Lohner, Szimonetta, additional, Cai, Wei, additional, Decsi, Tamás, additional, Braegger, Christian, additional, Bronsky, Jiri, additional, Campoy, Cristina, additional, Carnielli, Virgilio, additional, Darmaun, Dominique, additional, Domellöf, Magnus, additional, Embleton, Nicholas, additional, Fewtrell, Mary, additional, Fidler Mis, Nataša, additional, Franz, Axel, additional, Goulet, Olivier, additional, Hartman, Corina, additional, Hill, Susan, additional, Hojsak, Iva, additional, Iacobelli, Silvia, additional, Jochum, Frank, additional, Joosten, Koen, additional, Kolaček, Sanja, additional, Koletzko, Berthold, additional, Ksiazyk, Janusz, additional, Lapillonne, Alexandre, additional, Mesotten, Dieter, additional, Mihályi, Krisztina, additional, Mihatsch, Walter A., additional, Mimouni, Francis, additional, Mølgaard, Christian, additional, Moltu, Sissel J., additional, Nomayo, Antonia, additional, Picaud, Jean Charles, additional, Prell, Christine, additional, Puntis, John, additional, Riskin, Arieh, additional, Saenz De Pipaon, Miguel, additional, Senterre, Thibault, additional, Szitanyi, Peter, additional, Tabbers, Merit M., additional, Van Den Akker, Chris H.B., additional, Van Goudoever, Johannes B., additional, Van Kempen, Anne, additional, Verbruggen, Sascha, additional, Wu, Jiang, additional, and Yan, Weihui, additional

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2018
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44. ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition: Organisational aspects

Author

Puntis, JWL., primary, Hojsak, I., additional, Ksiazyk, J., additional, Braegger, Christian, additional, Bronsky, Jiri, additional, Cai, Wei, additional, Campoy, Cristina, additional, Carnielli, Virgilio, additional, Darmaun, Dominique, additional, Decsi, Tamás, additional, Domellöf, Magnus, additional, Embleton, Nicholas, additional, Fewtrell, Mary, additional, Fidler Mis, Nataša, additional, Franz, Axel, additional, Goulet, Olivier, additional, Hartman, Corina, additional, Hill, Susan, additional, Hojsak, Iva, additional, Iacobelli, Silvia, additional, Jochum, Frank, additional, Joosten, Koen, additional, Kolaček, Sanja, additional, Koletzko, Berthold, additional, Ksiazyk, Janusz, additional, Lapillonne, Alexandre, additional, Lohner, Szimonetta, additional, Mesotten, Dieter, additional, Mihályi, Krisztina, additional, Mihatsch, Walter A., additional, Mimouni, Francis, additional, Mølgaard, Christian, additional, Moltu, Sissel J., additional, Nomayo, Antonia, additional, Picaud, Jean Charles, additional, Prell, Christine, additional, Puntis, John, additional, Riskin, Arieh, additional, Saenz De Pipaon, Miguel, additional, Senterre, Thibault, additional, Shamir, Raanan, additional, Simchowitz, Venetia, additional, Szitanyi, Peter, additional, Tabbers, Merit M., additional, Van Den Akker, Chris H.B., additional, Van Goudoever, Johannes B., additional, Van Kempen, Anne, additional, Verbruggen, Sascha, additional, Wu, Jiang, additional, and Yan, Weihui, additional

Published
2018
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45. ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition: Home parenteral nutrition

Author

Hill, Susan, primary, Ksiazyk, Janusz, additional, Prell, Christine, additional, Tabbers, Merit, additional, Braegger, Christian, additional, Bronsky, Jiri, additional, Cai, Wei, additional, Campoy, Cristina, additional, Carnielli, Virgilio, additional, Darmaun, Dominique, additional, Decsi, Tamás, additional, Domellöf, Magnus, additional, Embleton, Nicholas, additional, Fewtrell, Mary, additional, Fidler Mis, Nataša, additional, Franz, Axel, additional, Goulet, Olivier, additional, Hartman, Corina, additional, Hill, Susan, additional, Hojsak, Iva, additional, Iacobelli, Silvia, additional, Jochum, Frank, additional, Joosten, Koen, additional, Kolaček, Sanja, additional, Koletzko, Berthold, additional, Lapillonne, Alexandre, additional, Lohner, Szimonetta, additional, Mesotten, Dieter, additional, Mihályi, Krisztina, additional, Mihatsch, Walter A., additional, Mimouni, Francis, additional, Mølgaard, Christian, additional, Moltu, Sissel J., additional, Nomayo, Antonia, additional, Picaud, Jean Charles, additional, Puntis, John, additional, Riskin, Arieh, additional, Saenz De Pipaon, Miguel, additional, Senterre, Thibault, additional, Shamir, Raanan, additional, Simchowitz, Venetia, additional, Szitanyi, Peter, additional, Tabbers, Merit M., additional, Van Den Akker, Chris H.B., additional, Van Goudoever, Johannes B., additional, Van Kempen, Anne, additional, Verbruggen, Sascha, additional, Wu, Jiang, additional, and Yan, Weihui, additional

Published
2018
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46. ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition: Lipids

Author

Lapillonne, Alexandre, primary, Fidler Mis, Nataša, additional, Goulet, Olivier, additional, van den Akker, Chris H.P., additional, Wu, Jennifer, additional, Koletzko, Berthold, additional, Braegger, Christian, additional, Bronsky, Jiri, additional, Cai, Wei, additional, Campoy, Cristina, additional, Carnielli, Virgilio, additional, Darmaun, Dominique, additional, Decsi, Tamás, additional, Domellöf, Magnus, additional, Embleton, Nicholas, additional, Fewtrell, Mary, additional, Franz, Axel, additional, Hartman, Corina, additional, Hill, Susan, additional, Hojsak, Iva, additional, Iacobelli, Silvia, additional, Jochum, Frank, additional, Joosten, Koen, additional, Kolaček, Sanja, additional, Ksiazyk, Janusz, additional, Lapillonne, Alexandre, additional, Lohner, Szimonetta, additional, Mesotten, Dieter, additional, Mihályi, Krisztina, additional, Mihatsch, Walter A., additional, Mimouni, Francis, additional, Mølgaard, Christian, additional, Moltu, Sissel J., additional, Nomayo, Antonia, additional, Picaud, Jean Charles, additional, Prell, Christine, additional, Puntis, John, additional, Riskin, Arieh, additional, Saenz De Pipaon, Miguel, additional, Senterre, Thibault, additional, Shamir, Raanan, additional, Simchowitz, Venetia, additional, Szitanyi, Peter, additional, Tabbers, Merit M., additional, Van Den Akker, Chris H.B., additional, Van Goudoever, Johannes B., additional, Van Kempen, Anne, additional, Verbruggen, Sascha, additional, Wu, Jiang, additional, and Yan, Weihui, additional

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2018
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47. ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition: Fluid and electrolytes

Author

Jochum, F., primary, Moltu, S.J., additional, Senterre, T., additional, Nomayo, A., additional, Goulet, O., additional, Iacobelli, S., additional, Braegger, Christian, additional, Bronsky, Jiri, additional, Cai, Wei, additional, Campoy, Cristina, additional, Carnielli, Virgilio, additional, Darmaun, Dominique, additional, Decsi, Tamás, additional, Domellöf, Magnus, additional, Embleton, Nicholas, additional, Fewtrell, Mary, additional, Fidler Mis, Nataša, additional, Franz, Axel, additional, Goulet, Olivier, additional, Hartman, Corina, additional, Hill, Susan, additional, Hojsak, Iva, additional, Iacobelli, Silvia, additional, Jochum, Frank, additional, Joosten, Koen, additional, Kolaček, Sanja, additional, Koletzko, Berthold, additional, Ksiazyk, Janusz, additional, Lapillonne, Alexandre, additional, Lohner, Szimonetta, additional, Mesotten, Dieter, additional, Mihályi, Krisztina, additional, Mihatsch, Walter A., additional, Mimouni, Francis, additional, Mølgaard, Christian, additional, Moltu, Sissel J., additional, Nomayo, Antonia, additional, Picaud, Jean Charles, additional, Prell, Christine, additional, Puntis, John, additional, Riskin, Arieh, additional, Saenz De Pipaon, Miguel, additional, Senterre, Thibault, additional, Shamir, Raanan, additional, Simchowitz, Venetia, additional, Szitanyi, Peter, additional, Tabbers, Merit M., additional, Van Den Akker, Chris H.B., additional, Van Goudoever, Johannes B., additional, Van Kempen, Anne, additional, Verbruggen, Sascha, additional, Wu, Jiang, additional, and Yan, Weihui, additional

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2018
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48. ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition: Standard versus individualized parenteral nutrition

Author

Riskin, Arieh, primary, Picaud, Jean-Charles, additional, Shamir, Raanan, additional, Braegger, Christian, additional, Bronsky, Jiri, additional, Cai, Wei, additional, Campoy, Cristina, additional, Carnielli, Virgilio, additional, Darmaun, Dominique, additional, Decsi, Tamás, additional, Domellöf, Magnus, additional, Embleton, Nicholas, additional, Fewtrell, Mary, additional, Fidler Mis, Nataša, additional, Franz, Axel, additional, Goulet, Olivier, additional, Hartman, Corina, additional, Hill, Susan, additional, Hojsak, Iva, additional, Iacobelli, Silvia, additional, Jochum, Frank, additional, Joosten, Koen, additional, Kolaček, Sanja, additional, Koletzko, Berthold, additional, Ksiazyk, Janusz, additional, Lapillonne, Alexandre, additional, Lohner, Szimonetta, additional, Mesotten, Dieter, additional, Mihályi, Krisztina, additional, Mihatsch, Walter A., additional, Mimouni, Francis, additional, Mølgaard, Christian, additional, Moltu, Sissel J., additional, Nomayo, Antonia, additional, Picaud, Jean Charles, additional, Prell, Christine, additional, Puntis, John, additional, Riskin, Arieh, additional, Saenz De Pipaon, Miguel, additional, Senterre, Thibault, additional, Simchowitz, Venetia, additional, Szitanyi, Peter, additional, Tabbers, Merit M., additional, Van Den Akker, Chris H.B., additional, Van Goudoever, Johannes B., additional, Van Kempen, Anne, additional, Verbruggen, Sascha, additional, Wu, Jiang, additional, and Yan, Weihui, additional

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2018
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49. ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition: Venous access

Author

Kolaček, S., primary, Puntis, J.W.L., additional, Hojsak, I., additional, Braegger, Christian, additional, Bronsky, Jiri, additional, Cai, Wei, additional, Campoy, Cristina, additional, Carnielli, Virgilio, additional, Darmaun, Dominique, additional, Decsi, Tamás, additional, Domellöf, Magnus, additional, Embleton, Nicholas, additional, Fewtrell, Mary, additional, Fidler Mis, Nataša, additional, Franz, Axel, additional, Goulet, Olivier, additional, Hartman, Corina, additional, Hill, Susan, additional, Hojsak, Iva, additional, Iacobelli, Silvia, additional, Jochum, Frank, additional, Joosten, Koen, additional, Kolaček, Sanja, additional, Koletzko, Berthold, additional, Ksiazyk, Janusz, additional, Lapillonne, Alexandre, additional, Lohner, Szimonetta, additional, Mesotten, Dieter, additional, Mihályi, Krisztina, additional, Mihatsch, Walter A., additional, Mimouni, Francis, additional, Mølgaard, Christian, additional, Moltu, Sissel J., additional, Nomayo, Antonia, additional, Picaud, Jean Charles, additional, Prell, Christine, additional, Puntis, John, additional, Riskin, Arieh, additional, Saenz De Pipaon, Miguel, additional, Senterre, Thibault, additional, Shamir, Raanan, additional, Simchowitz, Venetia, additional, Szitanyi, Peter, additional, Tabbers, Merit M., additional, Van Den Akker, Chris H.B., additional, Van Goudoever, Johannes B., additional, Van Kempen, Anne, additional, Verbruggen, Sascha, additional, Wu, Jiang, additional, and Yan, Weihui, additional

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2018
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50. ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition: Iron and trace minerals

Author

Domellöf, M., primary, Szitanyi, P., additional, Simchowitz, V., additional, Franz, A., additional, Mimouni, F., additional, Braegger, Christian, additional, Bronsky, Jiri, additional, Cai, Wei, additional, Campoy, Cristina, additional, Carnielli, Virgilio, additional, Darmaun, Dominique, additional, Decsi, Tamás, additional, Domellöf, Magnus, additional, Embleton, Nicholas, additional, Fewtrell, Mary, additional, Fidler Mis, Nataša, additional, Franz, Axel, additional, Goulet, Olivier, additional, Hartman, Corina, additional, Hill, Susan, additional, Hojsak, Iva, additional, Iacobelli, Silvia, additional, Jochum, Frank, additional, Joosten, Koen, additional, Kolaček, Sanja, additional, Koletzko, Berthold, additional, Ksiazyk, Janusz, additional, Lapillonne, Alexandre, additional, Lohner, Szimonetta, additional, Mesotten, Dieter, additional, Mihályi, Krisztina, additional, Mihatsch, Walter A., additional, Mimouni, Francis, additional, Mølgaard, Christian, additional, Moltu, Sissel J., additional, Nomayo, Antonia, additional, Picaud, Jean Charles, additional, Prell, Christine, additional, Puntis, John, additional, Riskin, Arieh, additional, Saenz De Pipaon, Miguel, additional, Senterre, Thibault, additional, Shamir, Raanan, additional, Simchowitz, Venetia, additional, Szitanyi, Peter, additional, Tabbers, Merit M., additional, Van Den Akker, Chris H.B., additional, Van Goudoever, Johannes B., additional, Van Kempen, Anne, additional, Verbruggen, Sascha, additional, Wu, Jiang, additional, and Yan, Weihui, additional

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2018
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