Purpose: The current study aimed to evaluate the effect of non-gastric residual aspiration on preterm infant health statusMethods: The study utilized a quasi-experimental (control and intervention) design. Sixty premature infants were cared for at El Manial University Hospital and Elmonira Pediatric Hospital NICUS. Four tools were utilized: (I) Neonatal personal data; (II) gastric residual observational checklist; (III) the Fenton Growth Weight Chart; and (IV) Modified Bell's Staging Criteria for Necrotizing EnterocolitisResults: The mean gastric amount in the intervention group was 1.45 ± 0.35, while the control group was 2.53 ± 0.49, with a p-value <0.05. The mean days to full enteral intake of 120 ml kg per day of the intervention group was 7.21±0.66, while the control group was 9.72±0.85, with a slightly significant difference at p-value <0.05. The minority of the intervention group suffered from sepsis, while about one-quarter at the control group. According to NEC, the minority of the intervention group suffered definite.Conclusion: Eliminating routine prefeed gastric aspirate monitoring decreases late-onset sepsis, permits preterm infants to receive complete enteral feeds sooner, and allows them to leave the hospital sooner. It also did not affect the likelihood of mortality or NEC.
Background: Gastric residuals (GR) aspiration is considered standard practice for preterm infants in the neonatal intensive care unit (NICU). Unfortunately, there is little information about the dangers and advantages of this routine procedure. Various care procedures, such as the measurement of gastric residual volume (GRV), may contribute to the problem of inadequate calorie intake in preterm newborns. Aim: The current study aimed to evaluate the effect of non-gastric residual aspiration on preterm infant weight, necrotizing enterocolitis, and time to reach full enteral feeding. Methods: A quasi-experimental (control and intervention) design was used in the study. El-Manial University Hospital and Elmonira Pediatric Hospital NICUS cared for sixty preterm infants. Four different tools were used: (I) Neonatal personal information; (II) a gastric residual observational checklist; (III) the Fenton Growth Weight Chart; and (IV) Modified Bell's Staging Criteria for Necrotizing Enterocolitis. The results: The mean number of days required to achieve full enteral intake of 120 ml kg per day in the intervention group was 7.21 ± 0.66, whereas, in the control group, it was 9.72 ± 0.85, a difference that was slightly significant at the p-value < 0.05.
Introduction Medical thoracoscopy is an invasive procedure that may be performed by physicians for the investigation of exudative pleural effusion using local anesthesia, conscious sedation, and a rigid thoracoscope. Objective The aim was to evaluate the outcome of thoracoscopy in Abbassia Chest Hospital, Cairo. Patients and methods A retrospective study was conducted. The results of histopathological diagnosed was statistically analyzed. Results A total of 123 patients were available for analysis. Their mean age was 58.63 (22-80) years, and 64 (52%) were male. The mean duration of chest drain after procedure was 9.79 (3-41) days, and the duration of hospital stay was 24.54 (10-55) days. Malignant histology was reported in 108 (87.8%) patients, with 75 (61%) cases of mesothelioma. In 108 (87.8%) patients, pleurodesis was performed. The incidence of complications among the patients was 12.2% of all patients. The most common complications were blocked drain and empyema; other complications included subcutaneous emphysema, drain dislodgement, and bronchopleural fistula; and the least common complications were respiratory failure and atrial fibrillation. Conclusion Thoracoscopy is a minimally invasive procedure that allows visualization of the pleural space and intrathoracic structures. It enables taking pleural biopsies under direct vision, therapeutic drainage of effusions, and pleurodesis in one sitting.
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