Novosti
Khirurgii

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Year 2019 Vol. 27 No 3

REVIEWS

V.S. MATSKEVICH 1, A.N. KIZIMENKO 2

FEATURES OF MICROELEMENTS EXCHANGE IN CRITICALLY ILL CHILDREN

Mogilev Regional Children's Hospital 1, Mogilev,
Vitebsk State Medical University 2, Vitebsk,
The Republic of Belarus

Objective. To study the publications, regarding effectiveness and safe usage of microelements during intensive care in children in critical state.
Methods. PubMed databases from January, 1998 to January, 2018 have been analyzed. The number of articles concerning this subject increased every 5 years in the mentioned period, which testifies to the interest to this problem in the scientific field.
Results. ESPEN and ASPEN recommendations as well as WHO regional recommendations for the European Union countries are given in the article regarding the usage of microelement dosage for children in the intensive care units. According to the study data, changes in the concentration of certain elements such as calcium, phosphorus, iron, zinc, selenium in the blood of children subjecting to intensive care therapy were registered. Also, the article presents the changes in the level of microelements in children with certain pathologies such as HIV, burn injury, chronic renal insufficiency, bronchial obstruction, multiple organ failure, septic shock.
Conclusions. The consumption of microelements and their dynamics during the course of illness has been almost unstudied. There are some incomplete works dedicated to the problem of microelement metabolism in healthy children and in pathology. There are no data about the deficiency of some microelements, which have a significant influence on the disease outcome; therefore, they require a constant control.

Keywords: microelements, children, intensive care, enteral nutrition, parenteral nutrition
p. 328-336 of the original issue
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Address for correspondence:
212025, The Republic of Belarus,
Mogilev, Byalynitsky-Birulya Str., 9,
Mogilev Regional Children’s Hospital,
Anesthesiology and Intensive Care Unit.
Tel. office: 8 0222 41-74-69,
e-mail: domenika31@yandex.by,
Veranika S. Matskevich
Information about the authors:
Matskevich Veranika S., Physician of the Anesthesiology and Intensive Care Unit, Mogilev Regional Children’s Hospital, Mogilev, Republic of Belarus.
https://orcid.org/0000-0002-7435-3648
Kizimenko Andrei N., PhD, Associate Professor, Department of Anesthesiology and Resuscitation with the Course of Advanced Training and Retraining of Specialists, Vitebsk State Medical University, Vitebsk, Republic of Belarus.
https://orcid.org/0000-0001-8468-1269
Contacts | ©Vitebsk State Medical University, 2007-2023