Dokument: Ernährungsregime gekühlter Neugeborener nach perinataler Asphyxie
| Titel: | Ernährungsregime gekühlter Neugeborener nach perinataler Asphyxie | |||||||
| Weiterer Titel: | Fluid supply and feeding practices in cooled asphyxiated newborns | |||||||
| URL für Lesezeichen: | https://docserv.uni-duesseldorf.de/servlets/DocumentServlet?id=63939 | |||||||
| URN (NBN): | urn:nbn:de:hbz:061-20231102-104920-5 | |||||||
| Kollektion: | Dissertationen | |||||||
| Sprache: | Deutsch | |||||||
| Dokumententyp: | Wissenschaftliche Abschlussarbeiten » Dissertation | |||||||
| Medientyp: | Text | |||||||
| Autor: | Markus, Mona Sophia [Autor] | |||||||
| Dateien: |
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| Beitragende: | PD Dr. med. Sabir, Hemmen [Gutachter] Dr. med. univ. Babor, Florian [Gutachter] | |||||||
| Dewey Dezimal-Klassifikation: | 600 Technik, Medizin, angewandte Wissenschaften » 610 Medizin und Gesundheit | |||||||
| Beschreibung: | Therapeutic hypothermia (TH) for 72 h is the standard treatment to reduce neurological
deficits in term newborns with hypoxic-ischemic encephalopathy. There is a large variability regarding nutritional supply during TH treatment in asphyxiated newborns. We performed a retrospective multicentre study in four level I (highest level of care in Germany) NICUs, including 135 asphyxiated term newborns undergoing TH. We analyzed enteral and parenteral nutritional supply during and after TH. We correlated nutritional supply with risk factors for encephalopathy, pH, Sarnat score, mechanical ventilation, seizures, and sedation. A total of 120 of 135 neonates received enteral nutritional supply within the first 24 h, and the majority of children were fully enterally fed within the first 10 days. The grade of encephalopathy and mechanical ventilation had a significant influence on the amount of enteral fluids (p = 0.01), whereas the pH and appearance of seizures did not affect the amount of nutritional supply significantly. Furthermore, we did not observe any correlation between enteral intake and abdominal complications such as necrotizing enterocolitis. We observed a large variability of feeding regimes in the four participating NICUs. Early enteral feeding among newborns undergoing TH was performed in each NICU and was well tolerated without increased rates of complications. | |||||||
| Lizenz: |  Dieses Werk ist lizenziert unter einer Creative Commons Namensnennung 4.0 International Lizenz | |||||||
| Fachbereich / Einrichtung: | Medizinische Fakultät | |||||||
| Dokument erstellt am: | 02.11.2023 | |||||||
| Dateien geändert am: | 02.11.2023 | |||||||
| Promotionsantrag am: | 12.06.0023 | |||||||
| Datum der Promotion: | 19.10.0023 |
