Misconceptions of Acute Pancreatitis: Pancreatic Disease

The other people were divided between NPO until their pain is improved or gone, which was my answer. That's what I was and, and so I already I've learned three things which I'm gonna tell you and then, um, NPO until they're off narcotics was another uh common answer. So can I ask you a question? So, so far I've learned that I was always afraid of opioids, so that's something I don't need to be afraid of anymore. I thought it's gonna cause, make the pancreas worse because the sphincter already spasm. No good data is what I just said. It's really conflicting. That's an important key point to. Send out to the OK. Second thing is, oh, and a new person just answered another one NPO until their lipase and amylase normalize, which is what I see a lot. I think the majority tends to do that, yeah, until pain is improved or lipase and amylase, so OK. In other words, they cooled down the pancreas. They cooled down. That's what I always thought, right? This is why this is so great for me. Everybody's afraid of aggravating the pancreas, right, right? That's right. So what about we keep getting new answers now. So what about how do you feed them? You said enteral nutrition. They're going to throw it right out. Yeah. So what do you do? I, I, I think I'll show you in a second how we incorporated standardized. Every mild pancreatitis case gets the standard management. We made it easy on providers hospital-wide, you know, we are 659 beds or almost 700 beds with the expansion, so it was very, very important to standardize how we manage the cases. Um, these patients are under HMO floors, um, trauma, and obviously that's a different case in some aspects because if the duct is not in continuity then you probably can't feed them, but. Cardiac kids, GI, general peds, so they go all over and it was very important just to say allow the kids to eat. They're going to self-regulate and I'll show you the data in a second, but that was the most easy one. We haven't gone to feed them aggressively now when you get into the severe. They're probably not going to be able to eat, and that's where the art comes to use some internal nutrition mode to really expedite the healing without tipping things over. OK, and so you're going to show us this algorithm on how you, I'll show you some things from our electronic medical record of how we make. Easy on providers to order the standardized management, but this could be again orders on papers elsewhere. This could be used in any other electronic medical record that the other institutions use. I've shared it with a lot of other institutions and I found it very helpful. I would love it. Yeah, sure, you've got to pay money though.