Proefschrift Kerklaan

Chapter 2

No recommendations on EN EN preferred. PN if EN is insufficient. Gastric route is preferred in ventilated

Element A.S.P.E.N. (2009) 7 ESPEN/ESPGHAN (2005) 8 Our survey 3. Lipids (parenteral)

Lipid target predominantly 1.5-2.5 g/kg/ day, adjusted to TG levels No data

(67%) and nonventilated (88%) patients. Prokinetics are used if a patient is not tolerating feeds

All children: infants max. 3-4 g/kg/day lipids, older children 2-3 g/kg/day. In PICU: more frequent monitoring and adjustment to TG levels

Not recommended based on available literature at moment of publication

Supplementary Table 2 . Continued

Most centers start at 1 g/kg/day and advance over a period of days to 2-4 g/kg/day with monitoring of TG levels

Route of nutrition EN preferred, if tolerated. PN if EN is insufficient. Insufficient data to recommend appropriate site. Gastric route is preferred, postpyloric may be

indicated to improve caloric intake or in children at high risk of aspiration or intolerant to gastric feeds

Immunonutrition Not recommended based on available literature at moment of publication

PICU= Pediatric Intensive Care Unit, NST= Nutritional Support Team, EN= Enteral Nutrition, PN= Parenteral Nutrition, REE= Resting Energy Expenditure, TG= triglycerides, IC= Indirect Calorimetry

50