RT Book, Section
A1 Houck, Philipp J.
A2 Atchabahian, Arthur
A2 Gupta, Ruchir
SR Print(0)
ID 57263263
T1 Chapter 175. Necrotizing Enterocolitis
T2 The Anesthesia Guide
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-176049-2
LK accessanesthesiology.mhmedical.com/content.aspx?aid=57263263
RD 2024/04/23
AB Disease  of  the  premature  infant:  bowel  ischemia  leads  to  intestinal  mucosal  injuryMortality  up  to  30%Presentation:Abdominal  distensionBilious  vomitingBloody  stoolsPoor  feeding,  vomitingTemperature  instabilityHyperglycemiaToxic  appearanceIn  severe  cases:  hypotension,  DIC,  and  metabolic  acidosisFree  air  may  be  seen  on  abdominal  x-ray  once  perforated;  this  is  an  urgent  indication  for  a  surgical  interventionMedical  management  will  avoid  surgery  in  85%  of  cases:Cessation  of  feeding  with  NG  suctionTPN,  IV  fluidsAntibioticsPRBC  and  platelet  transfusionsIndications  for  surgery:PerforationObstructionPeritonitisWorsening  acidosis