Nutrition considerations in the neonatal extracorporeal life support patient.

Extracorporeal life support (ECLS) is a type of heart-lung bypass commonly used to support neonates with life-threatening respiratory or cardiac failure. These patients are among the most critically ill patients in the neonatal intensive care unit and are at significant nutritional risk. Unfortunately, there is a paucity of literature regarding guidelines for nutrition support of the neonatal ECLS patient. The purpose of this article is to provide an overview of the indications, techniques, and complications of ECLS and to address the approach to nutrition support of these patients. Emphasis will be placed on issues unique to the neonatal ECLS patient.

[1]  T. Tracy,et al.  Nitrogen balance in patients treated with extracorporeal membrane oxygenation. , 1993, Journal of pediatric surgery.

[2]  R. Shaddy,et al.  Cholelithiasis in infants receiving furosemide: a prospective study of the incidence and one-year follow-up. , 1992, Journal of perinatology : official journal of the California Perinatal Association.

[3]  H. Jeffery,et al.  Risk factors for necrotising enterocolitis: the influence of gestational age. , 1992, Archives of disease in childhood.

[4]  R. Arensman,et al.  Calculous disease of the biliary tract in infants after neonatal extracorporeal membrane oxygenation. , 1992, Journal of perinatology : official journal of the California Perinatal Association.

[5]  S. Kleinhaus,et al.  Necrotizing enterocolitis in infancy. , 1992, The Surgical clinics of North America.

[6]  R. Truog,et al.  A Prospective Analysis of Cholestasis in Infants Supported with Extracorporeal Membrane Oxygenation , 1991, Journal of pediatric gastroenterology and nutrition.

[7]  R. L. Shanbhogue,et al.  Operation does not increase resting energy expenditure in the neonate. , 1991, Journal of pediatric surgery.

[8]  R H Bartlett,et al.  Extracorporeal membrane oxygenation and neonatal respiratory failure: experience from the extracorporeal life support organization. , 1991, Journal of pediatric surgery.

[9]  E. Deitch,et al.  Immediate enteral feeding in burn patients is safe and effective. , 1991, Annals of surgery.

[10]  B. Shneider,et al.  Cholestasis in infants supported with extracorporeal membrane oxygenation. , 1989, The Journal of pediatrics.

[11]  R. Truog,et al.  Exposure to di(2-ethylhexyl)phthalate in infants receiving extracorporeal membrane oxygenation. , 1989, The New England journal of medicine.

[12]  K. Lally,et al.  Measured energy expenditure in critically ill infants and young children. , 1988, The Journal of surgical research.

[13]  J. Wesley,et al.  Gas exchange measurements in neonates treated with extracorporeal membrane oxygenation. , 1988, Journal of pediatric surgery.

[14]  B. Myhre.  Toxicological quandary of the use of bis (2-diethylhexyl) phthalate (DEHP) as a plasticizer for blood bags. , 1988, Annals of clinical and laboratory science.

[15]  Y. Brans,et al.  Tolerance of fat emulsions in very-low-birth-weight neonates. , 1988, American journal of diseases of children.

[16]  C. Shanley,et al.  Hypertension during extracorporeal membrane oxygenation: cause, effect, and management. , 1987, Surgery.

[17]  R. Polin,et al.  Total Parenteral Nutrition with Intralipid in Pr Infants Receiving TPN with Heparin , 1987, Journal of Pediatric Gastroenterology and Nutrition.

[18]  H. Helge,et al.  Impaired fat utilization in parenterally fed low-birth-weight infants suffering from sepsis. , 1986, JPEN. Journal of parenteral and enteral nutrition.

[19]  R. Bartlett,et al.  Intracranial hemorrhage during extracorporeal membrane oxygenation in neonates. , 1986, Pediatrics.

[20]  R. Pildes,et al.  Hypoglycemia and hyperglycemia in tiny infants. , 1986, Clinics in perinatology.

[21]  V. Stallings,et al.  Total parenteral nutrition in children. , 1985, Pediatric clinics of North America.

[22]  S. Zlotkin.  Intravenous nitrogen intake requirements in full-term newborns undergoing surgery. , 1984, Pediatrics.

[23]  J. Volpe.  Neonatal intraventricular hemorrhage. , 1981, The New England journal of medicine.

[24]  W. Gooch,et al.  1110 EFFECTS OF ACUTE HYPERGLYCEMIA ON THE CNS OF NEONATAL PUPPIES , 1978, Pediatric Research.

[25]  R. Bartlett,et al.  Extracorporeal circulation (ECMO) in neonatal respiratory failure. , 1977, The Journal of thoracic and cardiovascular surgery.

[26]  R. Bartlett,et al.  Extracorporeal membrane oxygenator support for cardiopulmonary failure. Experience in 28 cases. , 1977, The Journal of thoracic and cardiovascular surgery.

[27]  H. Thiessen,et al.  DISPLACEMENT OF ALBUMIN‐BOUND BILIRUBIN BY FATTY ACIDS , 1972, Acta paediatrica Scandinavica.

[28]  E. Shafrir,et al.  Displacement of albumin-bound bilirubin by free fatty acids. Implications for neonatal hyperbilirubinemia. , 1970, Clinica chimica acta; international journal of clinical chemistry.

[29]  G. Ceriotti,et al.  An improved proceure for blood glucose determination with o-toluidine. , 1969, Clinica chimica acta; international journal of clinical chemistry.

[30]  L. Finberg,et al.  Dangers to infants caused by changes in osmolal concentration. , 1967, Pediatrics.

[31]  E. Quigley,et al.  Hepatobiliary complications of total parenteral nutrition. , 1993, Gastroenterology.

[32]  R. Polin,et al.  Effect of heparin dose and infusion rate on lipid clearance and bilirubin binding in premature infants receiving intravenous fat emulsions. , 1988, The Journal of pediatrics.