Critical Care of Children with Heart Disease by Unknown

Author:Unknown
Language: eng
Format: epub
ISBN: 9783030218706
Publisher: Springer International Publishing

34.9.12 Management of Gastrointestinal Issues

Early enteral feeding, at least for trophic stimulation is not contraindicated, unless patients have low cardiac output syndrome that predisposes to splanchnic hypoperfusion and increases the theoretical risk for necrotizing enterocolitis. NIRS may be a useful tool to assess risks and tolerance to feeding in these neonates and infants. Patients who cannot be enterally fed should be started on early total parenteral nutrition. H2-antagonists or proton-pump inhibitors are recommended during the acute phase. Hepatic and pancreatic function should be carefully monitored, particularly once feeding is resumed.

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