Arun Thanain
7 statements · 1 topic · summaries given as host listed separately
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There doesn't really seem to be much supporting evidence in the literature for checking gastric residuals
opinion ·
Necrotizing Enterocolitis
High gastric residuals were presumed to be a risk for aspiration or ventilator associated pneumonia
clinical ·
Necrotizing Enterocolitis
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Arun's statements about Necrotizing Enterocolitis 7 statements
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Should we be checking gastric residuals in premature infants?
Quotation
evaluating gastric residuals has been sort of standard of care in most NICUs probably for decades
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Statement
Evaluating gastric residuals has been standard of care in most NICUs probably for decades
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Statement
There doesn't really seem to be much supporting evidence in the literature for checking gastric residuals
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Quotation
looking through the literature, there doesn't really seem to be much supporting evidence for it
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Statement
High gastric residuals were presumed to be a risk for aspiration or ventilator associated pneumonia
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Summaries Arun gave as host · 9 summaries
Recaps of other experts' statements, not Arun's own clinical position.
Summaries Arun gave as host · Necrotizing Enterocolitis 9 summaries
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Should we be checking gastric residuals in premature infants?
Host summary
Arun Thanain summarizing the discussion: The Parker et al. study was a prospective randomized control trial in a level 4 NICU with about 140 patients
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Arun Thanain summarizing the discussion: Half the group continued to check gastric residuals right before each feeding and the other group stopped checking them
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Arun Thanain summarizing the discussion: Babies were followed for 6 weeks to determine how quickly they increased feeding on a daily and weekly basis
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Arun Thanain summarizing the discussion: The group in which they didn't check gastric residuals advanced feeds much quicker
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Arun Thanain summarizing the discussion: The no-check group got to full feeds quicker, usually by 5 weeks
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Arun Thanain summarizing the discussion: There was no difference in odds of developing necrotizing enterocolitis or ventilator associated pneumonia between the two groups
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Arun Thanain summarizing the discussion: The no-check group got discharged from the NICU about 8 days earlier on average
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Arun Thanain summarizing the discussion: The study excluded babies that had any GI conditions or cardiac disease or were post-op
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Arun Thanain summarizing the discussion: Study subjects were very low birth weight infants who might be on the ventilator or have respiratory issues but were otherwise fine
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