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Assessing, prescribing and delivering nutrition to critically ill children is crucial to optimize outcomes, but it remains a significant challenge, as presenters detailed during a session at the ASPEN20 Virtual Conference. "Younger patients are the most susceptible population in terms of malnourishment," Ann-Marie Brown, Ph.D., an assistant clinical professor at Emory University Nell Hodgson Woodruff School of Nursing, in Atlanta, and a session presenter, said. Indeed, growing evidence indicates that without an adequate plan for providing proper feeding, the nutritional status of sick children deteriorates during the course of hospitalization. Determining the best feeding protocol, including when to initiate enteral nutrition (EN) versus parenteral nutrition (PN), is difficult due to limitations, such as inconsistencies in published outcomes. "While there is evidence to say a feeding protocol helps, there’s not enough evidence to show the best starting point," Brown said.
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