rss
Evid Based Nurs 11:39-40 doi:10.1136/ebn.11.2.39
  • EBN notebook

When should we start oral intake in children with severe acute pancreatitis?

  1. Nilton Y Carreazo1,2,
  2. Karim Ugarte1,
  3. Carlos Bada1,2
  1. 1
    Critical Appraisal Skills Programme Perú. Servicio de Pediatría - Hospital de Emergencias Pediátricas
  2. 2
    Unidad de Post Grado. Facultad de Medicina Humana Universidad de San Martín de Porres, Lima, Perú

      This Notebook was previously published in Evidence-Based Medicine. It provides an example of how 3 clinicians used evidence-based decision making in a hospital setting. We welcome submissions of similar examples of using evidence in clinical decision making.

      Last year, 2 children recovering from acute severe pancreatitis were transferred from the intensive care unit (ICU) to our care in the paediatric ward.

      Patient 1 was a 9-year old girl diagnosed with acute severe pancreatitis (Imrie score  =  5, computed tomography [CT] abdomen staging  =  Balthazar E, which included pancreatic necrosis).12 She received antibiotics (ceftriaxone, metronidazole), analgesics (pethidine, fentanyl), anti-acid therapy (ranitidine), and nasojejunal feeding. She had been in hospital for 25 days (16 in ICU) and had received nasojejunal tube feeding for 20 days.

      Patient 2 was a 9-year old boy, again with acute severe pancreatitis (Imrie score  =  4, CT abdomen staging  =  Balthazar E). In the Emergencias Pediátricas Hospital, he was admitted to the ICU, where he received antibiotic therapy (ciprofloxacin, metronidazole), analgesics (pethidine), anti-acid therapy (ranitidine), and nasojejunal feeding. He had been in hospital for 9 days (7 days in ICU) and had been feeding by nasojejunal tube for 4 days. He asked during the ward round, “When are …

      No Related Web Pages

      Free Sample

      This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of EBN.
      View free sample issue >>

      EBN Journal Chat

      The EBN Journal Chat offers readers the opportunity to participate in discussion about research articles and commentaries from Evidence Based Nursing (EBN).

      How to participate >>

      Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

      Navigate This Article