Nutrition Support for Children Undergoing Congenital Heart Surgeries: A Narrative Review.

Published

Journal Article (Review)

Energy imbalance in infants and children with congenital heart disease (CHD) is common and influenced by age, underlying cardiac diagnoses, and presence or absence of congestive heart failure. During the surgical hospitalization period, these children are prone to nutritional deterioration due to stress of surgery, anesthetic/perfusion techniques, and postoperative care. Poor nutrition is associated with increased perioperative morbidity and mortality. This review aims to examine various aspects of nutrition in critically ill children with CHD, including (1) energy expenditure, (2) perioperative factors that contribute to energy metabolism, (3) bedside practices that are potentially able to optimize nutrient delivery, and (4) medium- to long-term impact of energy balance on clinical outcomes. We propose a nutrition algorithm to optimize nutrition of these children in the perioperative period where improvements in nutrition status will likely impact surgical outcomes.

Full Text

Duke Authors

Cited Authors

  • Wong, JJM; Cheifetz, IM; Ong, C; Nakao, M; Lee, JH

Published Date

  • July 2015

Published In

Volume / Issue

  • 6 / 3

Start / End Page

  • 443 - 454

PubMed ID

  • 26180163

Pubmed Central ID

  • 26180163

Electronic International Standard Serial Number (EISSN)

  • 2150-136X

International Standard Serial Number (ISSN)

  • 2150-1351

Digital Object Identifier (DOI)

  • 10.1177/2150135115576929

Language

  • eng