TY  - CHAP
M1  - Book, Section
TI  - Chapter 175. Necrotizing Enterocolitis
A1  - Houck, Philipp J.
A2  - Atchabahian, Arthur
A2  - Gupta, Ruchir
Y1  - 2013
N1  - 
T2  - The Anesthesia Guide
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  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2024/04/23
UR  - accessanesthesiology.mhmedical.com/content.aspx?aid=57263263
ER  -