Infant extracorporeal membrane oxygenation support for the nutritional management during treatment.docVIP

 PAGE \* MERGEFORMAT 13 Infant extracorporeal membrane oxygenation support for the nutritional management during treatment [Keywords:] Infant; extracorporeal membrane oxygenation support; nutritional support Extracorporeal membrane oxygenation support (extracorporeal membrane oxygenation, ECMO) as an effective means of treatment was first used in 1974 newborns. To date, over 30,000 children have respiratory system, cardiac system and for other reasons were given ECMO supportive care [1]. ECMO support treatment almost completely replaced the lungs work done and nearly 80% of the cardiac work, and the regulation of body temperature is through the temperature boxes to achieve, so some people think that ECMO is a metabolic resting state, the supply of nutrients only maintain the basic metabolism of infants and growth can be. but the large number of clinical studies found that although the vein patterns of ECMO in respiratory and circulatory system when the rest may reduce the energy needs, but children in a state of severe stress, and its and energy metabolism in various tissues and organs also change accordingly. 1 ECMO during the digestive and metabolic changes in children 1.1 are used for severe digestive ECMO cardiopulmonary failure in children and the traditional treatment fails, so the ECMO treatment will have different degrees of hypoxemia; ECMO treatment, and the disappearance of pulsatile flow during vasoactive drug application can affect the internal organs of the blood supply to the cause of intestinal ischemia; ECMO stop enteral nutrition can be caused during the intestinal villous atrophy, intestinal immune function, increased permeability of intestinal mucosa, which can increase the translocation of intestinal flora the promotion of the probability of necrotizing enterocolitis, and sepsis [2]. 1.2 The majority of energy metabolism in postoperative patients increased resting energy consumption is only 20%, and is usually returned to norm