Clinical practice insight: vasoactive-inotropic drugs do not impede early enteral nutrition in pediatric ECMO support

Vasoactive-inotropic drug use does not impede the early initiation of EN in pediatric ECMO patients. However, higher VIS in the initial 48 h is associated with suboptimal energy delivery. These findings suggest that while EN can be started early despite vasoactive support, closer monitoring of hemodynamic status is warranted to optimize nutritional adequacy.

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Publication Details

Journal
Frontiers in Nutrition
Published
2025-10-13
DOI
https://doi.org/10.3389/fnut.2025.1676280
Primary Topic
Clinical Nutrition and Gastroenterology
Type
article
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article

Clinical practice insight: vasoactive-inotropic drugs do not impede early enteral nutrition in pediatric ECMO support

Hongxing Dang, Chengjun Liu, Run Zhou, Jing Li et al.
Frontiers in Nutrition
Clinical Nutrition and Gastroenterology
article

Clinical practice insight: vasoactive-inotropic drugs do not impede early enteral nutrition in pediatric ECMO support

Hongxing Dang, Chengjun Liu, Run Zhou, Jing Li, Yueqiang Fu, Ye Ren
article en

Abstract

Vasoactive-inotropic drug use does not impede the early initiation of EN in pediatric ECMO patients. However, higher VIS in the initial 48 h is associated with suboptimal energy delivery. These findings suggest that while EN can be started early despite vasoactive support, closer monitoring of hemodynamic status is warranted to optimize nutritional adequacy.

Frontiers in NutritionVol. 12
China International Science and Technology Cooperation (CN), Chongqing Maternal and Child Health Hospital (CN), Children's Hospital of Chongqing Medical University (CN), Chongqing Medical University (CN)
Openalex Percentile: Top 65%
Clinical Nutrition and Gastroenterology
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