TY - JOUR T1 - When should we start oral intake in children with severe acute pancreatitis? JF - Evidence Based Nursing JO - Evid Based Nurs SP - 39 LP - 40 DO - 10.1136/ebn.11.2.39 VL - 11 IS - 2 AU - Nilton Y Carreazo AU - Karim Ugarte AU - Carlos Bada Y1 - 2008/04/01 UR - http://ebn.bmj.com/content/11/2/39.abstract N2 - 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).1–2 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 … ER -