A Literature Review of Feeding Disorders in Children with Tracheostomies and Ventilators.
A Literature Review of Feeding Disorders in Children with Tracheostomies and Ventilators.
复制标题
气管切开术和呼吸机儿童喂养障碍的文献综述。
DOI：
10.3928/19382359-20220504-05
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发表时间：
2022-07
期刊：
影响因子：
1.1
通讯作者：
Baker CD
中科院分区：
文献类型：
--
作者：
Sobotka SA;Laudon S;Jackson AJ;Harendt SE;Baker CD
由于常见风险因素（如早产、神经系统疾病）和由此产生的经验剥夺（如长期住院、延迟进食），进食障碍和胃造口术的使用在有创机械通气（IMV）儿童中非常普遍。患有IMV的儿童的喂养因气管切开术、肺脆弱性和医疗复杂性而变得复杂。吞咽困难（吞咽困难）和非典型早期进食经历的潜在合并症可导致复杂的进食障碍。在这篇关于有创机械通气（IMV）儿童喂养障碍的综述中，我们确定了该患者人群临床转化研究的差距和改善循证管理的机会。为了改善长期喂养结果，并最大限度地提高这一弱势群体的口服喂养，儿童将受益于关键发育窗口期间的早期喂养机会，促进口服喂养的标准化方案，以及在整个住院期间和幼儿期的强化综合治疗。
Feeding disorders and gastrostomy use are highly prevalent in children with invasive mechanical ventilation (IMV) due to both common risk factors (eg, prematurity, neurological disorders) and resultant experiential deprivation (eg, long hospitalizations, delayed feeding experiences). Feeding in children with IMV is complicated by the presence of a tracheostomy, lung vulnerability, and medical complexity. The potential comorbidity of swallowing difficulties (dysphagia) and atypical early feeding experiences can result in complex feeding disorders. In this review of pediatric feeding disorders in children with invasive mechanical ventilation (IMV), we identify gaps in clinical translational research for this patient population and opportunities for improving evidence-based management. To improve long-term feeding outcomes and maximize oral feeding in this vulnerable population, children would benefit from earlier feeding opportunities during critical developmental windows, standardized protocols for advancing oral feeding, and involvement of intensive, comprehensive therapies throughout hospitalizations and early childhood.
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影响因子：
8
作者：
Cristea, A. Ioana;Carroll, Aaron E.;Ackerman, Veda L.
通讯作者：
Ackerman, Veda L.
影响因子：
4.1
作者：
Graf, Jeanine M.;Montagnino, Barbara A.;McPherson, Mona L.
通讯作者：
McPherson, Mona L.
影响因子：
1.9
作者：
Graham, R. J.;Pemstein, D. M.;Palfrey, J. S.
通讯作者：
Palfrey, J. S.
DOI：
10.1097/00005176-199808000-00003
发表时间：
1998-08-01
影响因子：
2.9
作者：
Burklow, KA;Phelps, AN;Rudolph, C
通讯作者：
Rudolph, C
影响因子：
5.1
作者：
ILLINGWORTH, RS;LISTER, J
通讯作者：
LISTER, J