NUTRITIONAL SUPPORT IN PEDIATRICS
The purpose of the study was to evaluate the organization of enteral clinical nutrition in the pediatric intensive care unit of Tyumen-city and analysis of major trends and development prospects of this treatment over time. Evaluated the timing of the beginning, the qualitative composition and characteristics of the organization nutritional support offices in 3 intensive care units in Tyumen-city in 200 children with severe thermal injury, congenital heart disease, and sepsis of various etiologies and severe blood disease. The observation was made in real time, and included two time slots. Studies have shown that the use of infant formula and enteral diets for adult patients in 2010 ceased to dominate in the structure of vehicles used for clinical nutrition in resuscitation and intensive therapy. To replace them out specialized formulas for children's nutrition in critical conditions. It is established that the attempt to adapt non-specialized enteral diet for the nutritional support for children of 8% leads to an unwanted giperalimentatsii, and in 29% of cases does not satisfy the energy needs of sick children by more than 50%. Important role in nutritional support for children is education of physicians. In particular, the ongoing cycles of improvement of knowledge of physicians, their comprehensive training on current issues of Clinical Nutrition brings to the declared standards of technology to clinical practice.