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Nutrition in Critically Ill Children with AKI on Continuous RRT: Consensus Recommendations.

Authors :
Raina R
Suchan A
Sethi SK
Soundararajan A
Vitale VS
Keller GL
Brown AM
Davenport A
Shih WV
Nada A
Irving SY
Mannemuddhu SS
Crugnale AS
Myneni A
Berry KG
Zieg J
Alhasan K
Guzzo I
Lussier NH
Yap HK
Bunchman TE
Source :
Kidney360 [Kidney360] 2024 Feb 01; Vol. 5 (2), pp. 285-309. Date of Electronic Publication: 2023 Dec 19.
Publication Year :
2024

Abstract

Background: Nutrition plays a vital role in the outcome of critically ill children, particularly those with AKI. Currently, there are no established guidelines for children with AKI treated with continuous RRT (CRRT). A thorough understanding of the metabolic changes and nutritional challenges in AKI and CRRT is required. Our objective was to create clinical practice points for nutritional assessment and management in critically ill children with AKI receiving CRRT.<br />Methods: PubMed, MEDLINE, Cochrane, and Embase databases were searched for articles related to the topic. Expertise of the authors and a consensus of the workgroup were additional sources of data in the article. Available articles on nutrition therapy in pediatric patients receiving CRRT through January 2023.<br />Results: On the basis of the literature review, the current evidence base was examined by a panel of experts in pediatric nephrology and nutrition. The panel used the literature review as well as their expertise to formulate clinical practice points. The modified Delphi method was used to identify and refine clinical practice points.<br />Conclusions: Forty-four clinical practice points are provided on nutrition assessment, determining energy needs, and nutrient intake in children with AKI and on CRRT on the basis of the existing literature and expert opinions of a multidisciplinary panel.<br /> (Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Society of Nephrology.)

Details

Language :
English
ISSN :
2641-7650
Volume :
5
Issue :
2
Database :
MEDLINE
Journal :
Kidney360
Publication Type :
Academic Journal
Accession number :
38112754
Full Text :
https://doi.org/10.34067/KID.0000000000000339