Optimising nutrition during therapeutic hypothermia

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

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: Jun 7, 2019
• 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
• Contract Date: Jun 7, 2019