Topics

@mosarrat we do not use this practise but I don't know why. I searched pubmed but could not find any references on decompression. Anyone else knowing more about this?

Hi Stefan, My question is on the lines of NEC. Is gastric decompression routinely dobe in NEC/suspected NEC cases? If not why not? Some references would be appreciated? We were trained to do it to prevent perforation but some people don't seem to believe in it. Thanks for your feedback Mosarrat Qureshi

Wonderful Stefan, Have registered. Just told the way to update on recent evidence. THANKYOU.

To reduce trauma related to frequent nasal suctioning, a noninvasive method of nasopha­ryngeal suctioning has been found to be very effective and without side effects. Sterile 0.9% saline solution is instilled drop wise into one nostril from a 5-mL syringe and suctioned from the other nostril using a Neotech little sucker or De Lee suction catheter, attached to a central vacuum source (suction pressure of 100 mmHg). This results in passage of fluid and sticky secretions from one nostril and nasopharynx to the other nostril which gets aspirated. We have stopped inserting catheters into nostrils for suctioning for over a decade in our unit.   See chapter 34 "Nursing Care and Endotracheal Suction in: https://www.amazon.in/Essentials-Neonatal-Ventilation-1st-book-ebook/dp/B07LBTC95N/ref=tmm_kin_title_0?_encoding=UTF8&amp&qid=&amp&sr= Prakash Manikoth, FRCPCH

Anchoring tubing can be a hazard. When the infant’s head is elevated (as in GERD care), the baby can slide down the mattress and increase pressure on the septum. Occurs most often at night. Tubing should be free to move with the infant.