Open AccessRetrospective Cohort Study on the Optimal Timing of Orogastric Tube/Nasogastric Tube Insertion in Infants With Pyloric Stenosis
Author(s) -
Lisa Lee,
Rebekah Burns,
Rajvinder Singh Dhamrait,
Harmony F. Carter,
Marissa G. Vadi,
Tristan Grogan,
David Elashoff,
Richard L. Applegate,
Marc Iravani
Publication year - 2019
Publication title -
anesthesia and analgesia/anesthesia and analgesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.404
H-Index - 201
eISSN - 1526-7598
pISSN - 0003-2999
DOI - 10.1213/ane.0000000000003805
Subject(s) - medicine , pyloromyotomy , hypertrophic pyloric stenosis , pyloric stenosis , retrospective cohort study , exacerbation , logistic regression , intubation , cohort , hazard ratio , surgery , stenosis , cohort study , anesthesia , stomach , confidence interval , pylorus
Hypertrophic pyloric stenosis in infants can cause a buildup of gastric contents. Orogastric tubes (OGTs) or nasogastric tubes (NGTs) are often placed in patients with pyloric stenosis before surgical management to prevent aspiration. However, exacerbation of gastric losses may lead to electrolyte abnormalities that can delay surgery, and placement has been associated with increased risk of postoperative emesis. Currently, there are no evidence-based guidelines regarding OGT/NGT placement in these patients. This study examines whether OGT/NGT placement before arrival in the operating room was associated with a longer time to readiness for surgery as defined by normalization of electrolytes. Secondary outcomes included time from surgery to discharge and ability to tolerate feeds by 6 hours postoperatively in patients with and without early OGT/NGT placement.