@article{Ojha:2019:10.1136/archdischild-2018-315393,
author = {Ojha, S and Dorling, J and Battersby, C and Longford, N and Gale, CRK},
doi = {10.1136/archdischild-2018-315393},
journal = {Archives of Disease in Childhood. Fetal and Neonatal Edition},
pages = {F230--F231},
title = {Optimising nutrition during therapeutic hypothermia},
url = {http://dx.doi.org/10.1136/archdischild-2018-315393},
volume = {104},
year = {2019}
}

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TY  - JOUR
AB  - There is little evidence to inform provision of enteral or parenteral nutrition to infants with hypoxic ischaemic encephalopathy (HIE) during and soon after therapeutic hypothermia; as a consequence, clinical practice is both variable and changing. A 2014 UK survey found that 79% (33 of 42) of responding neonatal units routinely withheld enteral nutrition during cooling; 3 years later, a similar survey found that 41% (20 of 49) of responding units reported withholding enteral nutrition.1 The latter study also reports wide variation in how, when and how much to feed, and in the use of parenteral nutrition. Internationally, practice is even more variable: withholding enteral feeds is practised almost universally2 in some countries, while in others, milk feeding during hypothermia is routine.3 Here we discuss the limited evidence available to inform enteral and parenteral nutrition during therapeutic hypothermia.
AU  - Ojha,S
AU  - Dorling,J
AU  - Battersby,C
AU  - Longford,N
AU  - Gale,CRK
DO  - 10.1136/archdischild-2018-315393
EP  - 231
PY  - 2019///
SN  - 1359-2998
SP  - 230
TI  - Optimising nutrition during therapeutic hypothermia
T2  - Archives of Disease in Childhood. Fetal and Neonatal Edition
UR  - http://dx.doi.org/10.1136/archdischild-2018-315393
UR  - http://hdl.handle.net/10044/1/64976
VL  - 104
ER  - 

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