Congenital Heart Disease Clinical Trial
Official title:
Determination of Protein Needs Using Nitrogen Balance in Infants Immediately Post Cardiothoracic Surgery
The objective is to the amount of protein infants require after cardiopulmonary bypass surgery.
Postoperative neonates are susceptible to the adverse effects of surgery that is
characterized by a breakdown of body stores. Without appropriate nutritional consideration
this process can lead to increased physiological instability. It has been extensively
documented that critically ill patients are typically catabolic. This results in body
nitrogen losses from the breakdown of somatic protein to fuel metabolic processes such as,
gluconeogenesis. The evaluation of this catabolic response is particularly crucial in
infants due to their limited fat and lean body mass reserves. Quantifying the amount of
protein needed to maintain body composition and to meet the demands of surgical stress is of
clinical importance when considering factors associated with postoperative morbidity, such
as delayed wound healing, impaired growth and prolonged hospital stay.
The results obtained from this study will assist with determining an appropriate level of
protein for the development of optimal nutrition prescriptions that are aimed at reducing
catabolism of body stores.
;
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Supportive Care
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