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Optimising nutrition during therapeutic hypothermia

Ojha, Shalini; Dorling, Jon; Battersby, Cheryl; Longford, Nicholas; Gale, Chris

Authors

SHALINI OJHA Shalini.Ojha@nottingham.ac.uk
Professor of Neonatal Medicine

Jon Dorling

Cheryl Battersby

Nicholas Longford

Chris Gale



Abstract

There is little evidence to inform provision of enteral or parenteral nutrition to infants with hypoxic ischaemic encephalopathy (HIE) during and soon after therapeutic hypothermia; as a consequence, clinical practice is both variable and changing. A 2014 UK survey found that 79% (33 of 42) of responding neonatal units routinely withheld enteral nutrition during cooling; 3?years later, a similar survey found that 41% (20 of 49) of responding units reported withholding enteral nutrition.1 The latter study also reports wide variation in how, when and how much to feed, and in the use of parenteral nutrition. Internationally, practice is even more variable: withholding enteral feeds is practised almost universally2 in some countries, while in others, milk feeding during hypothermia is routine.3 Here we discuss the limited evidence available to inform enteral and parenteral nutrition during therapeutic hypothermia.

Citation

Ojha, S., Dorling, J., Battersby, C., Longford, N., & Gale, C. (2019). Optimising nutrition during therapeutic hypothermia. Archives of Disease in Childhood. Fetal and Neonatal Edition, 104(3), F230-F231. https://doi.org/10.1136/archdischild-2018-315393

Journal Article Type Article
Acceptance Date Sep 20, 2018
Online Publication Date Oct 15, 2018
Publication Date 2019-05
Deposit Date Jun 6, 2019
Publicly Available Date Mar 28, 2024
Journal Archives of Disease in Childhood - Fetal and Neonatal Edition
Electronic ISSN 1468-2052
Publisher BMJ Publishing Group
Peer Reviewed Peer Reviewed
Volume 104
Issue 3
Pages F230-F231
DOI https://doi.org/10.1136/archdischild-2018-315393
Keywords Obstetrics and gynaecology; Pediatrics, Perinatology, Child health; General medicine
Public URL https://nottingham-repository.worktribe.com/output/1882075
Publisher URL https://fn.bmj.com/content/104/3/F230

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