Arun Thanain

16 timestamped statements across 1 collection — auto-found in recorded discussions, each timestamp jumps to the exact moment.

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▶ Ep 6 · 0:40
evaluating gastric residuals has been sort of standard of care in most NICUs probably for decades
quote · Necrotizing Enterocolitis
▶ Ep 6 · 0:49
looking through the literature, there doesn't really seem to be much supporting evidence for it
quote · Necrotizing Enterocolitis

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Necrotizing Enterocolitis 16 entries

Should we be checking gastric residuals in premature infants?

▶ Ep 6 · 0:40
quote evaluating gastric residuals has been sort of standard of care in most NICUs probably for decades ↗
▶ Ep 6 · 0:40
clinical Evaluating gastric residuals has been standard of care in most NICUs probably for decades ↗
▶ Ep 6 · 0:49
opinion There doesn't really seem to be much supporting evidence in the literature for checking gastric residuals ↗
▶ Ep 6 · 0:49
quote looking through the literature, there doesn't really seem to be much supporting evidence for it ↗
▶ Ep 6 · 0:55
clinical High gastric residuals were presumed to be a risk for aspiration or ventilator associated pneumonia ↗
▶ Ep 6 · 1:09
clinical Gastric residuals were thought to be an early sign of necrotizing enterocolitis ↗
▶ Ep 6 · 1:14
quote Is there any data to support that and should we actually be doing it? ↗
▶ Ep 6 · 1:28
host_summary The Parker et al. study was a prospective randomized control trial in a level 4 NICU with about 140 patients ↗
▶ Ep 6 · 1:39
host_summary Half the group continued to check gastric residuals right before each feeding and the other group stopped checking them ↗
▶ Ep 6 · 1:48
host_summary Babies were followed for 6 weeks to determine how quickly they increased feeding on a daily and weekly basis ↗
▶ Ep 6 · 2:00
host_summary The group in which they didn't check gastric residuals advanced feeds much quicker ↗
▶ Ep 6 · 2:00
host_summary The no-check group got to full feeds quicker, usually by 5 weeks ↗
▶ Ep 6 · 2:08
host_summary There was no difference in odds of developing necrotizing enterocolitis or ventilator associated pneumonia between the two groups ↗
▶ Ep 6 · 2:08
host_summary The no-check group got discharged from the NICU about 8 days earlier on average ↗
▶ Ep 6 · 2:39
host_summary The study excluded babies that had any GI conditions or cardiac disease or were post-op ↗
▶ Ep 6 · 2:48
host_summary Study subjects were very low birth weight infants who might be on the ventilator or have respiratory issues but were otherwise fine ↗