Document Detail

Does nasogastric feeding reduce distress after cleft palate repair in infants?
MedLine Citation:
PMID:  24200186     Owner:  NLM     Status:  MEDLINE    
AIMS: To determine the effect of nasogastric (NG) feeding compared with oral feeding on morphine requirements after primary cleft palate repair, and secondarily on enteral intake.
METHODS: This was a pilot study involving 50 infants, aged five to ten months, who were randomised to receive NG or oral feeding after palate repair. All infants received the same anaesthetic and analgesic management. Post-operatively, paracetamol and ibuprofen were administered regularly and intravenous (IV) morphine was given on demand using a nurse-controlled analgesia device. The primary outcome measure was the total morphine consumption in the first 24 hours. Secondary outcome measures included the numbers of painful episodes and the volumes of IV fluid and enteral feed administered.
RESULTS: Of the 50 infants enrolled, 18 and 23 received either NG or oral feeding, respectively, and completed the study. Numbers of painful episodes and morphine consumption in the first 24 hours were similar in each group. Volumes of feed administered in the first 24 hours were significantly different: the NG group received approximately three times more than the oral group. Nine of the oral group required IV fluids in the 24 hours compared with none in the NG group.
CONCLUSION: NG feeding was more effective than oral feeding in the first 24 hours after surgery, but numbers of painful episodes recorded were similar. Further research is required.
Julie Hughes; Melanie Lindup; Sally Wright; Monica Naik; Rosepal Dhesi; Richard Howard; Brian Sommerlad; Loshan Kangesu; Michael Sury
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Nursing children and young people     Volume:  25     ISSN:  2046-2336     ISO Abbreviation:  Nurs Child Young People     Publication Date:  2013 Nov 
Date Detail:
Created Date:  2013-11-08     Completed Date:  2014-02-04     Revised Date:  2014-05-07    
Medline Journal Info:
Nlm Unique ID:  101554473     Medline TA:  Nurs Child Young People     Country:  England    
Other Details:
Languages:  eng     Pagination:  26-30     Citation Subset:  N    
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MeSH Terms
Cleft Palate / physiopathology,  surgery*
Feeding Methods*
Intubation, Gastrointestinal*
Stress, Physiological*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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