8. Efficacy of early enteral nutrition in children after ventricular septal defect surgery at the Viet Nam National Pediatric Hospital
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Abstract
This research evaluated the feasibility, safety, and efficacy of early enteral nutrition to improve nutritional intake and outcomes (duration of mechanical ventilation, length of PICU, and length of hospitalization) ofin post-ventricular septal defect repair surgery patients at the Viet Nam National Pediatric Hospital. It was Quasi - RCT in 39 pediatrics from 2 to 12 months old. Participants were divided into 2 groups paring by age group (2-6 months old and 6-12 months old). In the intervention group, patients received early enteral nutrition with hydrolyzed milk within 24 hours after surgery. Besides, members in the control group received parenteral nutrition for the first 3 days combined with late enteral nutrition. We recorded information on clinical outcomes, symptoms regarding gastrointestinal intolerance, and nutritional intake for the first 3 days after surgery. According to the research, the initial enteral nutrition time in the intervention group was 20.0 ± 7.4 hours, earlier than the control group (55.0 ± 46.6) (hours) (p < 0.05). Vomitting was the most popular symptom of gastrointestinal intolerance, and there was no statistical significance between intervention and control group. Intolerance rates in the intervention group and control group were insignificant, there was no statistical significance between intervention and control groupwas no difference between the two groups, and vomiting was the most popular. The initial enteral nutrition time has a positive correlation with the duration of mechanical ventilation, the duration of the vasoactive drug, and the length of PICU with p was 0.00 and r was 0.62 respectively; 0.89 and 0.66. All in all, early enteral nutrition is safe and feasible, improving nutritional intake, and outcomes in pediatrics after ventricular septal defect repair surgery.
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Keywords
Early enteral nutrition, ventricular septal defect, ERAS
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