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Critical Care Pediatric Nephrology and Dialysis: A Practical Handbook pp 47–55Cite as

Nutrition in Pediatric AKI and Critical Illness

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Abstract

Critically ill children frequently expressed AKI as a component of their organ dysfunction. This additional metabolic stress is superimposed upon the already altered metabolism of the acute critical illness, hallmarked by the phases of the neuroendocrine axis changes during critical illness.

Recently, a focus on supporting the protein intake during all phases of acute critical illness has occurred. “Protein-energy wasting” which occurs frequently in critical illness has been studied primarily with attention to meet the energy needs of the patient rather than addressing the protein requirements.

Clear recommendations that can be uniformly applied across the broad, heterogeneous group of critically ill children are yet to be developed but consensus of approach when supporting these children has occurred.

This chapter will overview current knowledge domains of nutritional support for critically ill children with AKI, to help give guidance on a methodical approach to assess and support the needs of these children.

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Authors and Affiliations

  1. Pediatric Intensive Care, Children’s Hospital of Richmond at the Virginia Commonwealth University, Richmond, VA, USA

    Norma J. Maxvold

  2. Pediatric Nephrology, Children’s Hospital of Richmond at the Virginia Commonwealth University, Richmond, VA, USA

    Timothy E. Bunchman

Authors
  1. Norma J. Maxvold
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  2. Timothy E. Bunchman
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Corresponding author

Correspondence to Timothy E. Bunchman .

Editor information

Editors and Affiliations

  1. Kidney & Urology Institute, Medanta, The Medicity Kidney & Urology Institute, Gurugram, Haryana, India

    Sidharth Kumar Sethi

  2. Department of Nephrology, Cleveland Clinic Akron General Medical center and Akron Children’s Hospital, Akron, OH, USA

    Rupesh Raina

  3. Red Cross War Memorial Children’s Hospital, University of Cape Town, Cape Town, South Africa

    Mignon McCulloch

  4. Pediatric Nephrology, Children’s Hospital of Richmond at the Virginia Commonwealth University, Richmond, VA, USA

    Timothy E. Bunchman

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Maxvold, N.J., Bunchman, T.E. (2019). Nutrition in Pediatric AKI and Critical Illness. In: Sethi, S., Raina, R., McCulloch, M., Bunchman, T. (eds) Critical Care Pediatric Nephrology and Dialysis: A Practical Handbook. Springer, Singapore. https://doi.org/10.1007/978-981-13-2276-1_5

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  • DOI: https://doi.org/10.1007/978-981-13-2276-1_5

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-2275-4

  • Online ISBN: 978-981-13-2276-1

  • eBook Packages: MedicineMedicine (R0)

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