Nutrition in Pediatric AKI and Critical Illness
Critically ill children frequently expressed AKI as a component of their organ dysfunction. This additional metabolic stress is superimposed upon the already altered metabolism of the acute critical illness, hallmarked by the phases of the neuroendocrine axis changes during critical illness.
Recently, a focus on supporting the protein intake during all phases of acute critical illness has occurred. “Protein-energy wasting” which occurs frequently in critical illness has been studied primarily with attention to meet the energy needs of the patient rather than addressing the protein requirements.
Clear recommendations that can be uniformly applied across the broad, heterogeneous group of critically ill children are yet to be developed but consensus of approach when supporting these children has occurred.
This chapter will overview current knowledge domains of nutritional support for critically ill children with AKI, to help give guidance on a methodical approach to assess and support the needs of these children.
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