A new intestinal ultrasound integrated approach for the management of neonatal gut injury.
Clinical management of gut injury has been a challenge to the clinician since the first description of necrotizing enterocolitis (NEC) about 50 years ago, and it is still poorly defined. Most of the diagnostic markers are non-specific, and there is no consensus yet on a reliable gold standard for di...
| Publicado en: | European Journal of Pediatrics Vol. 181; no. 4; pp. 1739 - 1750 |
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| Autores principales: | , |
| Formato: | review Journal Article |
| Publicado: |
Springer Nature
Apr2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=156023631&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 156023631 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03406199 CR1 jtl: European Journal of Pediatrics issn: 03406199 maglogo: N pubinfo: dt: Apr2022 vid: 181 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 156023631 154474057 156023631 NLM34981184 156023631 10.1007/s00431-021-04353-z NLM34981184 156023631 ppf: 1739 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: A new intestinal ultrasound integrated approach for the management of neonatal gut injury. aug: au: Elsayed, Yasser Seshia, Mary affil: Section of Neonatology, Department of Pediatrics and Child Health, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada sug: subj: Enterocolitis, Necrotizing Therapy Enterocolitis, Necrotizing Infant, Newborn, Diseases Infant, Newborn Ultrasonography Scales Ferrans and Powers Quality of Life Index Infant, Newborn: birth-1 month ab: Clinical management of gut injury has been a challenge to the clinician since the first description of necrotizing enterocolitis (NEC) about 50 years ago, and it is still poorly defined. Most of the diagnostic markers are non-specific, and there is no consensus yet on a reliable gold standard for diagnosis. This report describes our approach to integrating point of care intestinal ultrasound (IUS) as the primary radiological assessment modality with other clinical and biochemical markers.Conclusions: This is the first clinical guideline integrating point of care IUS as a routine assessment of the gut injury. This integrated algorithm improves the quality of care of the gut injury, provides a more accurate diagnosis of NEC, and differentiates other categories of gut injury.What Is Known: • Necrotizing enterocolitis is a poorly defined disease, and the routine assessment relying on AXR does not differentiate NEC from other categories of gut injury.What Is New: • Integrating point of care IUS with the routine clinical assessment of gut injury enables the gut injury to be classified according to the triggering factors and severity; this helps target the appropriate management. pubtype: Academic Journal doctype: review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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