Courtney Posted September 12, 2007 Share Posted September 12, 2007 We are starting to make babies in our NICU NPO during blood transfusions to reduce the risk of NEC. Does anyone have any opinions on this matter, or follow the same practice? Link to comment Share on other sites More sharing options...
Guest Agnieszka Domanska Posted September 14, 2007 Share Posted September 14, 2007 Could you explain what "NPO" means? Link to comment Share on other sites More sharing options...
Courtney Posted September 14, 2007 Author Share Posted September 14, 2007 Sure, I'm sorry. NPO means nothing to eat either by mouth or NG tube. Link to comment Share on other sites More sharing options...
Stefan Johansson Posted September 16, 2007 Share Posted September 16, 2007 We do not change feeding during transfusions. Link to comment Share on other sites More sharing options...
Guest Agnieszka Domanska Posted September 17, 2007 Share Posted September 17, 2007 We also don't. And we do not observe higher incidence of NEC that could be connected with feeding during blood transfusion. Link to comment Share on other sites More sharing options...
manberbenitez Posted September 27, 2007 Share Posted September 27, 2007 we dont stop feeding during transfusions Link to comment Share on other sites More sharing options...
hehady Posted September 27, 2007 Share Posted September 27, 2007 As far as I know there is no evidence that keeping babies NPO during blood transfusion will reduce the incidence of NEC. Are you intersted in doing a RCT? do you have some lab animal data or observational studies? Link to comment Share on other sites More sharing options...
Guest bittybabygrower Posted October 11, 2007 Share Posted October 11, 2007 We continue feeds. Link to comment Share on other sites More sharing options...
Guest Agnieszka Domanska Posted October 11, 2007 Share Posted October 11, 2007 And btw , what is the theoretical background for not feeding the baby during blood transfusion? I mean, why should it cause NEC? Link to comment Share on other sites More sharing options...
Guest JoannieO Posted March 29, 2009 Share Posted March 29, 2009 We continue to feed babies during a blood transfusion also. As far as I know there is no reason why the baby should develop NEC. However, if the baby is being transfused for increasing apneas and bradys and is unwell, we do check the crypt antigen status before transfusing, since a positive crypt antigen can indicate that the baby already has NEC. Joan Link to comment Share on other sites More sharing options...
Guest fishmanetc Posted April 4, 2009 Share Posted April 4, 2009 We have also started with keeping babies NPO 3 hours prior to and 6 hours post transfusion. I believe the theory which has been theorized but no actual clinical trials performed, is that of a reperfusion injury to the gut. We have had several cases in our NICU of otherwise stable kids developing bloody stools and a pneumatosis picture on UB hours to even several days post transfusion, We have adopted an NPO approach in our practice. Link to comment Share on other sites More sharing options...
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