Key Strategies for Optimizing Pediatric Perioperative Nutrition—Insight from a Multidisciplinary Expert Panel

Mehul V. Raval; Megan A. Brockel; Sanja Kolaček; Kathleen E. Simpson; Elizabeth Spoede; Kathryn N.Porter Starr; Karyn L. Wulf

doi:10.3390/nu15051270

Key Strategies for Optimizing Pediatric Perioperative Nutrition—Insight from a Multidisciplinary Expert Panel

Mehul V. Raval^*, Megan A. Brockel, Sanja Kolaček, Kathleen E. Simpson, Elizabeth Spoede, Kathryn N.Porter Starr, Karyn L. Wulf

^*Corresponding author for this work

Surgery

Research output: Contribution to journal › Review article › peer-review

Abstract

Adequate nutrition is an essential factor in healing and immune support in pediatric patients undergoing surgery, but its importance in this setting is not consistently recognized. Standardized institutional nutrition protocols are rarely available, and some clinicians may be unaware of the importance of assessing and optimizing nutritional status. Moreover, some clinicians may be unaware of updated recommendations that call for limited perioperative fasting. Enhanced recovery protocols have been used in adult patients undergoing surgery to ensure consistent attention to nutrition and other support strategies in adult patients before and after surgery, and these are now under evaluation for use in pediatric patients as well. To support better adoption of ideal nutrition delivery, a multidisciplinary panel of experts in the fields of pediatric anesthesiology, surgery, gastroenterology, cardiology, nutrition, and research have gathered and reviewed current evidence and best practices to support nutrition goals in this setting.

Original language	English (US)
Article number	1270
Journal	Nutrients
Volume	15
Issue number	5
DOIs	https://doi.org/10.3390/nu15051270
State	Published - Mar 2023

Keywords

nutrition therapy
nutritional assessment
nutritional status

ASJC Scopus subject areas

Food Science
Nutrition and Dietetics

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10.3390/nu15051270

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title = "Key Strategies for Optimizing Pediatric Perioperative Nutrition—Insight from a Multidisciplinary Expert Panel",

abstract = "Adequate nutrition is an essential factor in healing and immune support in pediatric patients undergoing surgery, but its importance in this setting is not consistently recognized. Standardized institutional nutrition protocols are rarely available, and some clinicians may be unaware of the importance of assessing and optimizing nutritional status. Moreover, some clinicians may be unaware of updated recommendations that call for limited perioperative fasting. Enhanced recovery protocols have been used in adult patients undergoing surgery to ensure consistent attention to nutrition and other support strategies in adult patients before and after surgery, and these are now under evaluation for use in pediatric patients as well. To support better adoption of ideal nutrition delivery, a multidisciplinary panel of experts in the fields of pediatric anesthesiology, surgery, gastroenterology, cardiology, nutrition, and research have gathered and reviewed current evidence and best practices to support nutrition goals in this setting.",

keywords = "nutrition therapy, nutritional assessment, nutritional status",

author = "Raval, {Mehul V.} and Brockel, {Megan A.} and Sanja Kola{\v c}ek and Simpson, {Kathleen E.} and Elizabeth Spoede and Starr, {Kathryn N.Porter} and Wulf, {Karyn L.}",

note = "Funding Information: This research was supported by the U.S. Department of Veterans Affairs Rehabilitation Research and Development Service Program (IK2 RX002348 to K.N.P.S.). Abbott Nutrition and Abbott Nutrition Health Institute provided funding for the organization of the Expert Meeting that resulted in this publication. The authors received no financial support for the research, authorship, and/or publication of this article. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript; or in the decision to publish the results. Publisher Copyright: {\textcopyright} 2023 by the authors.",

year = "2023",

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doi = "10.3390/nu15051270",

language = "English (US)",

volume = "15",

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AU - Simpson, Kathleen E.

AU - Spoede, Elizabeth

AU - Starr, Kathryn N.Porter

AU - Wulf, Karyn L.

N1 - Funding Information: This research was supported by the U.S. Department of Veterans Affairs Rehabilitation Research and Development Service Program (IK2 RX002348 to K.N.P.S.). Abbott Nutrition and Abbott Nutrition Health Institute provided funding for the organization of the Expert Meeting that resulted in this publication. The authors received no financial support for the research, authorship, and/or publication of this article. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript; or in the decision to publish the results. Publisher Copyright: © 2023 by the authors.

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Key Strategies for Optimizing Pediatric Perioperative Nutrition—Insight from a Multidisciplinary Expert Panel

Abstract

Keywords

ASJC Scopus subject areas

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