Pediatric icu and nutritional assessments

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2015
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SPRINGER NEW YORK
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Feferbaum, R.; Zamberlan, P.. Pediatric icu and nutritional assessments. In: . DIET AND NUTRITION IN CRITICAL CARE: SPRINGER NEW YORK, 2015. p.325-339.
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The nutritional assessment of children in the pediatric intensive care unit (PICU) is unique in view of the metabolic changes of the underlying disease. The presence of inflammatory activity leads to body composition changes (lean mass reduction) and undernutrition.Nutritional assessment is one of the main aspects of the pediatric intensive care patient and is the most important tool to avoid hospital undernutrition. It must prioritize anthropometric and laboratory markers that can differentiate body composition to detect specific macronutrient and micronutrient deficiencies and assessment of the inflammatory activity.There is currently no gold standard for nutritional assessment in the PICU. The results of anthropometric and laboratory markers must be jointly analyzed but individually interpreted according to disease and metabolic changes, in order to reach a correct diagnosis of the nutritional status and to plan and monitor the nutritional treatment. © Springer Science+Business Media New York 2015.
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