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Nutritional management of the critically ill neonate: A position paper of the ESPGHAN committee on nutrition

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Nutritional Guidance for Critically Ill Neonates

This open access position paper from the European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) provides evidence-based recommendations for nutritional management in critically ill neonates. It addresses the complexities of delivering optimal nutrition during intensive care, from initial stabilization to recovery, and outlines strategies for achieving adequate macro- and micronutrient provision tailored to the needs of this vulnerable population.

How This Resource Supports Clinical Practice

You will find clear, practical insights, including:

  • Initiating and progressing enteral and parenteral nutrition in neonatal intensive care.

  • Meeting protein, energy, and micronutrient requirements for optimal growth and recovery.

  • Monitoring and adjusting nutritional plans based on evolving clinical status.

  • Strategies for fluid management and feeding tolerance in fragile infants.

  • Consensus-based recommendations for transitioning from critical care to standard feeding.

Access the Full ESPGHAN Position Paper

Click "View Content" to read the complete recommendations from a trusted source. The full document provides detailed rationale, evidence summaries, and clinical considerations to help guide decision-making in neonatal intensive care. 

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