Posted April 17, 200915 yr What are yuor experience about enteral feeding in the case when baby are terated buy dopamine,dou you give enteral feeding . THANK YOU
April 18, 200915 yr Once the child is hemodynamically sstable with dopamine and or other ionotopic support, we start enteral feeds, they are increased gradually depending on neonate,s tolerance. No problems are encountered of feeding with baby on inotopes in our unit.
April 19, 200915 yr I worked in different units, most of them do not feed during inotropic infusion, but some are feeding. I did not notice any difference in the outcome or NEC incidence.
April 19, 200915 yr Once the child is hemodynamically sstable with dopamine and or other ionotopic support, we start enteral feeds, they are increased gradually depending on neonate,s tolerance... We have the same policy.
April 26, 200915 yr High dose dopamine is known to cause vasoconstriction of the arteries all over the body including the gut vessels. once the baby is hemodynamic stable on low or moderate dose of dopamine ie not exceeding 10 microgram/kg/min i do start the baby on minimal enteral feeding ( trophic feeding that does not excced 20ml/kg/day ) but i will not upgrade the volume of the feeding until the baby is off dopamine or the dose is less than 5 microgram/kg/min -that is our policy of feeding sick preterm
April 26, 200915 yr We feed on low dose dopamine in stable infants. Of course, if the baby is stable and well enough to feed, does he really need dopamine?
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