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Andersons pediatric cardiology 2226

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feeding in Prostaglandin (PGE) dependent neonates: is it safe practice? J Pediatr 2008;153(6):867–869 This study looked at neonates older than 35 weeks gestational age and younger than 28 days of age, admitted to the cardiovascular intensive care unit at Children's Hospital of Denver with PGE-dependent cardiac defects between March 2007 and December 2007 The purpose of the study was to determine the safety of enteral feeding neonates on PGE; 33 of 34 (97%) infants who met criteria and were fed enterally exhibited normal enteral feeding intolerance preoperatively This was a small retrospective review, and therefore no conclusions can be drawn; however, it was encouraging that these results suggest neonates with PGE-dependent cardiac lesions may be fed safely on PGE Del Castillo SL, McCulley ME, Khemani RG, et al Reducing the incidence of necrotizing enterocolitis in neonates with hypoplastic left heart syndrome with the introduction of an enteral feed protocol Pediatr Crit Care Med 2010;11(3):373–377 The objective of this study was to investigate the impact of a standardized feeding protocol on the incidence of NEC and overall postoperative gastrointestinal morbidity on neonates with hypoplastic left heart syndrome admitted to the cardiac intensive care unit after stage 1 palliation These authors found the use of the standardized feeding protocol helped to reduce practice variation and resulted in a reduction of NEC rates at their institution Braudis NJ, Curley MA, Beaupre K, et al Enteral feeding algorithm for infants with hypoplastic left heart syndrome poststage 1 palliation Pediatr Crit Care Med 2009;10(4):46–466 This study was designed to test the safety and efficacy of an enteral feeding algorithm in infants with HLHS following stage 1 palliation They found the use of an enteral feeding algorithm to be safe and effective for initiating and advancing nutrition for infants with HLHS post stage 1 palliation Goldberg DL, Becker PJ, Brigham K, et al Identifying malnutrition in preterm and neonatal populations: recommended indicators J Acad Nutr Diet In Press These guidelines were created to be able to identify and document malnutrition in the preterm infant (

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