Tag: Paediatrics

  • Enteral Feeding in Children

    Indications for enteral feeding in children:

    • neurological damage / prematurity
    • increased metabolic requirements for nutrients – e.g. burns, congenital heart disease
    • fail to achieve nutritional requirements – failure to thrive, cystic fibrosis
    • require unpalatable specialised feeds to treat medical condition – e.g. metabolic or liver disease

    Contraindications to enteral feeding in children:

    • non-functioning gastrointestinal tract

    Types of enteral feeding:

    1. nasogastric – ease of intubation
    2. gastrostomy – long-term feeding
    3. jejunostomy – poor gastric motility / high gastric residues

    Form of enteral feeds:

    • bolus
    • gravity drip
    • pump-assisted continuous

    Full nutritional assessment

    • breast milk
    • infant formula
      • + fortification, > 6 months to 2 years old
        • thereafter, proprietary formula