Fasting for critically ill children?

[S11m]

The National Institute for Clinical Excellence (NICE) and The Lancet might be the last place you would look for support for fasting - and the last category of people you would think of advocating fast to might be critically ill children, but See:

thelancet.com/journals/lanr...

[MissisB]

I have not paid to read the full article but I cannot find references to fasting, only the timing of parenteral nutrition.

Have you accessed the full article and found something different?

[S11m Volunteer 70lb IF20 in reply to MissisB]

Hi, MissisB

I found the study by searching for "Fasting Autophagy", and I think they thought that:

"withholding supplemental parenteral nutrition" equated to fasting.

[MissisB in reply to S11m]

It says it is a study of the benefits of late versus early parenteral nutrition. There is no mention of fasting or enteral nutrition in the synopsis, which was why I was asking if you had read the full text to clarify.

[S11m Volunteer 70lb IF20 in reply to MissisB]

It says:

"...withholding supplemental parenteral nutrition for 1 week... reduced infections and accelerated recovery from critical illness in children."

[MissisB in reply to S11m]

It says withholding supplemental parenteral nutrition, not all parenteral nutrition. Hence my query for clarification.

[Stoozie Administrator]

Hi both

I've just read the article and the cut-off to receive either early or late parenteral feeding was 80% or below target caloric intake. So this was anyone from 0% enteral intake up to 80%.

Our paeds intensive care may be atypical but I was quoted approximately half of patients able to feed enterally at all.

[MissisB in reply to Stoozie]

That’s interesting - thanks Stoozie.