Materiały źródłowe

• #1 Hypertrophic Pyloric Stenosis (HPS) Interventions for Nursing RN

  https://www.picmonic.com/pathways/nursing/courses/standard/pediatric-nursing-372/congenital-abnormalities-1745/hypertrophic-pyloric-stenosis-hps-interventions_1825

  The primary goal of caring for the newborn with HPS is to correct electrolyte and fluid balance prior to surgical treatment to relieve the obstruction. […] It is important to stabilize the hydration status and monitor intake and output of the newborn. Furthermore, the fluid and electrolyte imbalances should be corrected and you should administer fluids intravenously (as prescribed) for rehydration. This includes correcting metabolic alkalosis, which can develop from repeated vomiting. […] Preoperatively, you should monitor feeding and observe if vomiting occurs. Depending on how far out from surgery the newborn is, they may be prescribed to be NPO. […] Postoperatively, you should begin small, frequent feedings as prescribed. Mothers may begin formula feedings or breastfeeding within 24 hours of pyloromyotomy.

• #1 Pyloric Stenosis.pptx

  https://www.slideshare.net/slideshow/pyloric-stenosispptx-255908056/255908056

  Hypertrophic pyloric stenosis occurs when the pyloric sphincter muscle thickens, narrowing the stomach outlet. […] Nursing care focuses on maintaining nutrition, hydration and family support until surgery can be performed. […] Nursing considerations include weight on admission, recorded as baseline, blood pressure (at least a baseline recording), 2 hourly aspiration of NGT, and 4 hourly observations (or as clinical needs dictate) including temperature, heart rate, and respiratory rate. […] The patient is to remain Nil-By-Mouth and is to be nursed with an apnea monitor. […] Nursing assessment in a child with pyloric stenosis includes assessing the child’s history of vomiting, elimination, and physical exam for signs of dehydration. […] Major nursing diagnoses are imbalanced nutrition: less than body requirements related to inability to retain food, and deficient fluid volume related to frequent vomiting. […] Nursing interventions include maintaining adequate nutrition and fluid intake, providing mouth care, promoting skin integrity, and promoting family coping.

• #1 Pyloric stenosis – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/pyloric-stenosis/diagnosis-treatment/drc-20351421

  Your baby’s healthcare professional will ask you questions about symptoms and do a physical exam. […] Sometimes, an olive-shaped lump can be felt on the baby’s belly. This lump is the enlarged pyloric muscle. This is more common in later stages of the condition. […] Surgery is needed to treat pyloric stenosis. Before surgery, fluids and electrolytes are given through a tube placed in a vein. Proper hydration and electrolyte balance are needed before the procedure. This may take 24 to 48 hours. […] After surgery: Your baby will be carefully watched for at least 24 hours. Recommendations for feeding after surgery may vary. In most cases, feeding can begin 12 to 24 hours after the procedure. Your healthcare team may recommend feeding when your baby is hungry, or they may recommend a schedule. Some vomiting may occur after surgery. During follow-up appointments, your care team will check your baby’s weight, growth and development. […] Possible complications from pyloric stenosis surgery include bleeding and infection. However, complications aren’t common, and the results of surgery are generally excellent.

• #1 Pre-Operative Care of Infants with Pyloric Stenosis – PAEDIATRIC INNOVATION, EDUCATION & RESEARCH NETWORK

  https://www.piernetwork.org/pyloric-stenosis.html

  Observations and Nursing considerations

• #1 Pyloric stenosis | PPT

  https://www.slideshare.net/slideshow/pyloric-stenosis-250084820/250084820

  Pyloric stenosis is a narrowing of the pylorus, the valve between the stomach and small intestine, causing projectile vomiting after feeding. It most commonly affects young male infants and is treated with surgery to widen the pylorus. Nursing care involves correcting dehydration pre-operatively through IV fluids and monitoring for complications like infection or persistent vomiting post-operatively. […] Nursing management includes preoperative management where vital signs of the infant are observed and recorded to help detect electrolyte imbalance. […] Post operative nursing care includes observing for signs of complications, management of pain, provision of adequate fluid and nutrition, parental education, and follow up after surgery. […] Nursing diagnosis includes fluid volume deficit related to frequent vomiting as evidenced by dry skin and mucous membrane, imbalanced nutrition less than body requirement related to vomiting as evidenced by weight loss, impaired skin integrity related to surgery as evidenced by observation, anxiety of parents related to hospitalization and surgery of child as evidenced by frequent questioning of parents, and risk for injury related to post operative complication.

• #1 Infant with Pyloric Stenosis care plan – help – Nursing Student Assistance

  https://allnurses.com/infant-pyloric-stenosis-care-plan-t473589/

  I am writing a care plan for a 3 week old child diagnosed with pyloric stenosis. […] My short term goal is: patient will consume adequate nourishment within 6 hours postop, have 2 interventions for it and need one more. […] My long term goal: patient will be free of signs of malnutrition by discharge. […] Under the „Nutrition, less than body requirements, imbalanced” section, everything is about people who dont WANT to eat, not someone who physically cant because of vomiting. […] Pyloric stenosis is one of the causes of pediatric vomiting. These infants often suffer from failure to thrive and dehydration. […] So your main concerns are….dehydration (fluid) and failure to thrive (nutrition). […] Nutrition is the right problem to focus on but „infant will take adequate nutrition within 6 hours” is not measurable the way you have worded it and is likely not attainable. […] It seems clear that nursing assessments and interventions would address fluid intake and output […] and nutrition (this doesn’t have to be in the first few hours postop– nutrition and weight gain won’t happen today, so think of a long(er) term goal).

• #1 Pre-Operative Care of Infants with Pyloric Stenosis – PAEDIATRIC INNOVATION, EDUCATION & RESEARCH NETWORK

  https://www.piernetwork.org/pyloric-stenosis.html

  Fluid Regimen and Electrolyte Correction

• #1 Pre-Operative Care of Infants with Pyloric Stenosis – PAEDIATRIC INNOVATION, EDUCATION & RESEARCH NETWORK

  https://www.piernetwork.org/pyloric-stenosis.html

  Care of an Infant with Pyloric StenosisReferral Process Referrals should be made when there is a confirmed diagnosis of pyloric stenosis. This is to avoid unnecessary transfers as far as possible. The diagnosis may be made clinically (strongly suspected on history with palpable pyloric mass) or with positive ultrasound. […] The baby will not have any surgery until the blood biochemistry is normalised. […] Prior to transfer, all babies should: Be made Nil By Mouth, Have a nasogastric tube (at least 8fr) inserted and left on free drainage, Have IV access established, Start IV fluids (see section – Fluid Regimen and Electrolyte Correction). […] The STOPP tool (Safe Transfer of Paediatric Patient) must be completed before surgical referral to ensure a safe transfer process (available on the PIER website).Initial Treatment Insert a nasogastric tube (NGT) (following local guidelines).

• #1 Pyloric Stenosis (HPS): Symptoms & Causes

  https://my.clevelandclinic.org/health/diseases/4524-pyloric-stenosis-hps

  Your baby will likely need to stay in the hospital for one to three days after surgery. Heres what you can expect: Your baby will start drinking formula or breast milk a few hours after surgery. Theyll have small amounts at first. Your babys surgeon will discuss their feeding plan with you. […] If your baby continues to vomit a lot, they may need more tests. Their care team will continue to work to correct any vomiting problems. […] When you go home from the hospital: Your baby will be eating normally, so you can feed them without problems. Use medication such as acetaminophen (Tylenol) if your baby experiences any pain. Give your baby a sponge bath the day after surgery. At three days post-surgery, you can bathe them in the tub. […] Bring your baby back to their provider seven to 10 days after surgery. Their provider will examine the surgical area and see how your baby is recovering.

• #1 Hypertrophic Pyloric Stenosis (HPS) Interventions for Nursing RN

  https://www.picmonic.com/pathways/nursing/courses/standard/pediatric-nursing-372/congenital-abnormalities-1745/hypertrophic-pyloric-stenosis-hps-interventions_1825

  Gradually, the amount and intervals of feeding should increase. It is recommended that feedings occur every 4-6 hours, and these feedings should include glucose, water, or electrolyte solution. The infant should be fed slowly, burped frequently and the infant should be handled minimally after feedings. […] The parents should be educated that within 2 days, the infant should have full feeding. This diet should be maintained, and the infant should be monitored for abdominal distention.

• #1 UC San Diego Health Health Library | San Diego Hospital, Healthcare

  https://myhealth.ucsd.edu/Library/HealthSheets/3,S,86456

  Pyloric stenosis is a thickening of the pylorus muscle. The treatment for this condition is surgery called pyloromyotomy. Heres what you need to know about home care for your baby after surgery. […] Keep your babys incision clean and dry. Dont use lotion, powder, oil, alcohol, or cream on it. […] You can give your baby sponge baths for 2 days after the surgery. After that, you can give your baby baths. Make sure to keep the incision out of the water. […] Dont remove the white sticky strips on your babys incision. Let them fall off on their own. If surgical glue was used, it will peel off on its own in 5 to 10 days. […] Talk with your child’s health care provider about what signs to watch for to know if your baby is in pain. […] Make a follow-up appointment as directed by your child’s health care provider.

• #1

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uz1954

  The pylorus is the part of the stomach that connects to the small intestine. Pyloric stenosis is a condition in which a baby’s pylorus gets thick and swollen. This keeps food from moving through the stomach to the intestine. […] Your child will recover quickly. They probably will not have any long-term problems. […] Follow the steps below to help your child get better as quickly as possible. […] Do not be afraid to hold or handle your child. Your child may need extra closeness in the first few days after surgery. […] Give your child frequent small feedings of breast milk or formula. Follow your doctor’s instructions. […] Your doctor will tell you if and when your child can restart any medicines. The doctor will also give you instructions about any new medicines. […] Follow-up care is a key part of your child’s treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line if your child is having problems.

• #1 UC San Diego Health Health Library | San Diego Hospital, Healthcare

  https://myhealth.ucsd.edu/library/HealthSheets/3,S,86456

  Make a follow-up appointment as directed by your child’s health care provider. […] Contact your child’s health care provider or get medical care right away if any of the following occur: Fever of 100.4F ( 38C) or higher, or as directed by your provider. Redness, swelling, bleeding, or smelly fluid at the incision site. Pain that is not helped by medicine. Signs of fluid loss (dehydration), such as fewer wet diapers, no tears when crying, or sunken soft spot (fontanel) on your babys head. Vomiting more than 3 times in a row, or vomiting that lasts more than 48 hours after discharge. Your baby’s belly appears to be swelling.

• #1 Pyloric Stenosis Nursing Care Planning and Management

  https://nurseslabs.com/pyloric-stenosis/

  Nursing management in a child with pyloric stenosis include: […] Assessment in a child with pyloric stenosis include: […] Based on the assessment data, the major nursing diagnoses are: […] The major nursing care planning goals for a child with pyloric stenosis are: […] Nursing interventions are: […] Goals are met as evidenced by: […] Documentation in a child with pyloric stenosis includes:

• #1 Pyloric Stenosis | Children’s Hospital of Philadelphia

  https://www.chop.edu/conditions-diseases/pyloric-stenosis

  After your baby wakes up, she’ll go to the recovery room for several hours, then to her own hospital room. […] A few hours after the surgery, your child will be able to start feeding again. She may start off with Pedialyte or go right to formula or breast milk. Either case will start with a small amount and increase slowly. […] Your baby will be discharged one or two days after surgery if she doesn’t have a fever, is eating and not vomiting, and her incision isn’t red or draining.

• #1 Pyloric Stenosis | Treatment & Management | Point of Care

  https://www.statpearls.com/point-of-care/28099

  Consultation with a neonatal surgeon should begin as soon as the radiologist diagnoses. […] Healthcare professionals should educate parents about the strong risk of pyloric stenosis in the family. There is a nearly 200-fold increased risk among identical twins and a 20-fold increase among siblings. So, parents should be vigilant in identifying symptoms in their future offspring as early as possible. […] Promptly diagnosing and treating infants with pyloric stenosis requires cooperation among several in-hospital medical professionals operating as an interprofessional healthcare team. First, the emergency room physicians must assess the infant and begin intravenous fluids as needed. The emergency physicians request an emergent abdominal ultrasound. The radiologist should promptly diagnose using a stat pediatric ultrasound by a trained sonographer. A surgeon with expertise in neonatal pyloric stenosis surgery must be consulted as soon as the diagnosis is made. A pharmacist can help with electrolytes and other medication orders, and nurses administer these and provide an important backstop to prevent errors and report on patient response. This interprofessional approach leads to improved patient outcomes.

• #1 Pediatric Pyloric Stenosis – Conditions and Treatments | Children’s National Hospital

  https://www.childrensnational.org/get-care/health-library/pyloric-stenosis

  Your baby will stay in the hospital for two to three days. Most babies get better quickly after surgery. […] Most babies will be able to have normal feedings by the time they leave the hospital. […] Babies who have surgery for this condition often have no long-term problems. Pyloric stenosis usually doesn’t reoccur.

• #1 Mothers’ Knowledge and Practice regarding Post-Operative Care of Infants with Pyloromyotomy.

  https://jnsbu.journals.ekb.eg/article_363771.html

  Infantile hypertrophic pyloric stenosis is one of the most frequently treated surgical conditions in pediatrics and characterized by muscular hypertrophy of the pyloric sphincter, causing obstruction of the gastric out let and projectile vomiting in the new born. […] The majority (80.0%) of studied mothers had poor knowledge about pyloric stenosis and pyloromyotomy operation. More than three-quarters (76.7%) of studied mothers had unsatisfactory level reported practices regarding postoperative care of infants with pyloromyotomy. […] There was highly significant correlation between mothers knowledge and their practice. […] Designing and implementing educational programs for mothers of infants with pyloric stenosis to support them emotionally and to minimize their stress regarding pyloromyotomy.

• #2 Pyloric stenosis

  https://www.rch.org.au/clinicalguide/guideline_index/Pyloric_stenosis/

  Pyloric stenosis is caused by hypertrophy and hyperplasia of the muscular layers of the pylorus leading to gastric outlet obstruction. It usually presents between 2 and 6 weeks of chronological age with progressive non-bilious vomiting. It is unlikely after 12 weeks of age. Definitive treatment is by pyloromyotomy. […] Correction of dehydration, electrolyte disturbances and acid-base abnormalities is the priority of early management. […] Surgical management can be delayed until the above are corrected. […] Gain IV access. […] Correction of dehydration, electrolyte disturbances and acid-base abnormalities. […] Stop oral feeds. […] Insert a nasogastric tube if profuse vomiting continues despite stopping feeds. […] Surgical correction of pyloric stenosis is usually delayed until after correction of dehydration, electrolyte disturbances and acid-base abnormalities.

• #2 Pyloric stenosis – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/pyloric-stenosis/diagnosis-treatment/drc-20351421

  Your baby’s healthcare professional will ask you questions about symptoms and do a physical exam. […] Sometimes, an olive-shaped lump can be felt on the baby’s belly. This lump is the enlarged pyloric muscle. This is more common in later stages of the condition. […] Surgery is needed to treat pyloric stenosis. Before surgery, fluids and electrolytes are given through a tube placed in a vein. Proper hydration and electrolyte balance are needed before the procedure. This may take 24 to 48 hours. […] After surgery: Your baby will be carefully watched for at least 24 hours. Recommendations for feeding after surgery may vary. In most cases, feeding can begin 12 to 24 hours after the procedure. Your healthcare team may recommend feeding when your baby is hungry, or they may recommend a schedule. Some vomiting may occur after surgery. During follow-up appointments, your care team will check your baby’s weight, growth and development. […] Possible complications from pyloric stenosis surgery include bleeding and infection. However, complications aren’t common, and the results of surgery are generally excellent.

• #2 Pyloric Stenosis.pptx

  https://www.slideshare.net/slideshow/pyloric-stenosispptx-255908056/255908056

  Hypertrophic pyloric stenosis occurs when the pyloric sphincter muscle thickens, narrowing the stomach outlet. […] Nursing care focuses on maintaining nutrition, hydration and family support until surgery can be performed. […] Nursing considerations include weight on admission, recorded as baseline, blood pressure (at least a baseline recording), 2 hourly aspiration of NGT, and 4 hourly observations (or as clinical needs dictate) including temperature, heart rate, and respiratory rate. […] The patient is to remain Nil-By-Mouth and is to be nursed with an apnea monitor. […] Nursing assessment in a child with pyloric stenosis includes assessing the child’s history of vomiting, elimination, and physical exam for signs of dehydration. […] Major nursing diagnoses are imbalanced nutrition: less than body requirements related to inability to retain food, and deficient fluid volume related to frequent vomiting. […] Nursing interventions include maintaining adequate nutrition and fluid intake, providing mouth care, promoting skin integrity, and promoting family coping.

• #2 Pyloric Stenosis Nursing Care Planning and Management

  https://nurseslabs.com/pyloric-stenosis/

  Nursing management in a child with pyloric stenosis include: […] Assessment in a child with pyloric stenosis include: […] Based on the assessment data, the major nursing diagnoses are: […] The major nursing care planning goals for a child with pyloric stenosis are: […] Nursing interventions are: […] Goals are met as evidenced by: […] Documentation in a child with pyloric stenosis includes:

• #2 Pre-Operative Care of Infants with Pyloric Stenosis – PAEDIATRIC INNOVATION, EDUCATION & RESEARCH NETWORK

  https://www.piernetwork.org/pyloric-stenosis.html

  Care of an Infant with Pyloric StenosisReferral Process Referrals should be made when there is a confirmed diagnosis of pyloric stenosis. This is to avoid unnecessary transfers as far as possible. The diagnosis may be made clinically (strongly suspected on history with palpable pyloric mass) or with positive ultrasound. […] The baby will not have any surgery until the blood biochemistry is normalised. […] Prior to transfer, all babies should: Be made Nil By Mouth, Have a nasogastric tube (at least 8fr) inserted and left on free drainage, Have IV access established, Start IV fluids (see section – Fluid Regimen and Electrolyte Correction). […] The STOPP tool (Safe Transfer of Paediatric Patient) must be completed before surgical referral to ensure a safe transfer process (available on the PIER website).Initial Treatment Insert a nasogastric tube (NGT) (following local guidelines).

• #2 Pyloric Stenosis (HPS): Symptoms & Causes

  https://my.clevelandclinic.org/health/diseases/4524-pyloric-stenosis-hps

  Pyloric stenosis treatment involves a type of pyloroplasty surgery called pyloromyotomy. After diagnosing pyloric stenosis, your babys surgeon will discuss the surgery with you. […] Infants with pyloric stenosis often have dehydration because they vomit so much. Your babys provider will make sure your baby is properly hydrated before performing surgery. Your baby will probably need fluids through an IV, which theyll receive at the hospital. Your baby may need a blood test to check their hydration during this time to make sure its improving. […] During pyloric stenosis surgery, your babys healthcare team will: Give your baby general anesthesia. Your baby will be asleep during the surgery and wont feel any pain. Make a small cut (incision) on the left side of your babys abdomen, higher than their belly button. Perform a pyloromyotomy, making an incision in the thickened pylorus. This procedure allows food and liquid to travel from your babys stomach to their intestines.

• #2 Hypertrophic Pyloric Stenosis (HPS) Interventions for Nursing RN

  https://www.picmonic.com/pathways/nursing/courses/standard/pediatric-nursing-372/congenital-abnormalities-1745/hypertrophic-pyloric-stenosis-hps-interventions_1825

  Gradually, the amount and intervals of feeding should increase. It is recommended that feedings occur every 4-6 hours, and these feedings should include glucose, water, or electrolyte solution. The infant should be fed slowly, burped frequently and the infant should be handled minimally after feedings. […] The parents should be educated that within 2 days, the infant should have full feeding. This diet should be maintained, and the infant should be monitored for abdominal distention.

• #2 Pyloric Stenosis | Causes, Symptoms, Diagnosis & Treatment

  https://www.cincinnatichildrens.org/health/p/pyloric-stenosis

  Pyloric stenosis is treated in two stages. First, fluids are given intravenously to treat dehydration and restore the body’s normal chemistry. […] Once this is done, an operation called a pyloromyotomy is performed. This opens up the tight muscle that has caused the narrowing in the stomach, allowing the passage of food from the stomach to the intestine. […] This surgery is performed using either an open or laparoscopic surgical approach. […] While in the operating room, your baby will receive a pain medicine injected into the incision. This should allow them to feel and appear comfortable for about six to eight hours after surgery. If necessary, you may give acetaminophen (medication such as Tylenol) to help ease discomfort. […] Nothing should be given by mouth for the first two hours after surgery. Two hours after surgery, home feeds (breast milk or formula) are started. Feedings are continued even if the baby has two to three episodes of vomiting. If vomiting continues, all feedings should be held for two hours, and then restart feedings. The baby may be discharged when three consecutive goal feedings are tolerated. Goal feedings are usually 2 to 4 ounces every three hours and based on the amount advised by your primary care physician prior to surgery.

• #2 Pyloric Stenosis (HPS): Symptoms & Causes

  https://my.clevelandclinic.org/health/diseases/4524-pyloric-stenosis-hps

  Your baby will likely need to stay in the hospital for one to three days after surgery. Heres what you can expect: Your baby will start drinking formula or breast milk a few hours after surgery. Theyll have small amounts at first. Your babys surgeon will discuss their feeding plan with you. […] If your baby continues to vomit a lot, they may need more tests. Their care team will continue to work to correct any vomiting problems. […] When you go home from the hospital: Your baby will be eating normally, so you can feed them without problems. Use medication such as acetaminophen (Tylenol) if your baby experiences any pain. Give your baby a sponge bath the day after surgery. At three days post-surgery, you can bathe them in the tub. […] Bring your baby back to their provider seven to 10 days after surgery. Their provider will examine the surgical area and see how your baby is recovering.

• #2 UC San Diego Health Health Library | San Diego Hospital, Healthcare

  https://myhealth.ucsd.edu/Library/HealthSheets/3,S,86456

  Contact your child’s health care provider or get medical care right away if any of the following occur: Fever of 100.4F ( 38C) or higher, or as directed by your provider. Redness, swelling, bleeding, or smelly fluid at the incision site. Pain that is not helped by medicine. Signs of fluid loss (dehydration), such as fewer wet diapers, no tears when crying, or sunken soft spot (fontanel) on your babys head. Vomiting more than 3 times in a row, or vomiting that lasts more than 48 hours after discharge. Your baby’s belly appears to be swelling.

• #2

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uz1954

  Watch closely for any changes in your child’s health, and be sure to contact your doctor or nurse advice line if: Your child continues to vomit beyond 2 to 3 days after surgery. Your child has fewer wet diapers than normal. Your child has a bloated or swollen belly. Your child will not eat or drink. Your child is not gaining weight. Your child is sleepy, hard to wake up, or very fussy. Your child has pain that does not get better after taking pain medicine. Your child has a fever. Your child has signs of infection. These include increasing tenderness, red streaks, or pus from the incision.

• #2 Pyloric stenosis | Great Ormond Street Hospital

  https://www.gosh.nhs.uk/conditions-and-treatments/conditions-we-treat/pyloric-stenosis/

  The child’s abdomen may feel sore for a while after the operation, but wearing loose clothes can help. The child will need to have regular pain relief such as paracetamol for at least three days so please make sure that you have some at home. […] Parents should call their family doctor (GP) or the ward if: the child is in a lot of pain and pain relief does not seem to help; the child is not keeping any fluids down or has signs of dehydration; the child has a high temperature of 37.5C or higher, and paracetamol does not bring it down; the operation site is red or inflamed, and feels hotter than the surrounding skin; there is any oozing from the operation site; the child continues to vomit or bring up milk.

• #2 Pyloric Stenosis | Boston Children’s Hospital

  https://www.childrenshospital.org/conditions/pyloric-stenosis

  Pyloric stenosis is a serious condition that can cause severe dehydration, weakness, and weight loss if not diagnosed and treated effectively. […] Once the diagnosis has been made, the recommended treatment for pyloric stenosis is surgery. […] Our skilled pediatric surgeons and other professionals will manage your infant’s care. Prior to surgery, your baby will be nourished intravenously. […] After surgery, your infant will be monitored closely. […] Our nurses and surgeons will monitor the exact amounts of fluid that your baby has taken. […] Your nurses will monitor your baby for normal urine and bowel movements. […] Make a follow-up appointment with the pediatric surgeon for about two weeks after discharge, as well as with your pediatrician within one week. […] Remember that a small amount of intermittent vomiting with feedings is expected after surgery.

• #2 Clinical Practice Guidelines: Hypertrophic Pyloric Stenosis | Quality and Patient Safety at Monroe Carell

  https://www.vumc.org/childrens-quality-safety/clinical-practice-guidelines-hypertrophic-pyloric-stenosis

  This clinical pathway was developed by a consensus group of MCJCHV pediatric surgeons, advance practice providers, and nurses to standardize the management of children hospitalized for Hypertrophic Pyloric Stenosis. […] This practice guideline addresses the approach to initial evaluation, preoperative optimization, and postoperative management of affected infants. […] Implementation goals are to streamline the management of these patients and provide high-quality care.

• #2 Pyloric Stenosis and Pyloric Atresia | Texas Children’s

  https://www.texaschildrens.org/content/conditions/pyloric-stenosis-and-pyloric-atresia

  Pyloric stenosis is a blockage caused by narrowing of the pylorus, the lower part of the stomach that connects to the small intestines. The narrowing occurs when the muscles in this area are abnormally enlarged and thickened, blocking food and other contents from leaving the stomach. […] Babies with pyloric stenosis require surgery to remove the obstruction. Surgery is typically performed shortly after diagnosis. […] Prior to surgery, if your baby has dehydration or electrolyte needs (mineral imbalance) caused by severe vomiting he or she will be treated with intravenous (IV) fluids. […] Depending on your baby’s condition, his or her postnatal care team may include: Neonatologist, Pediatric anesthesiologist, Pediatric surgeon, Pediatric gastroenterologist.

• #2 Pyloric stenosis | Children’s Wisconsin

  https://childrenswi.org/medical-care/surgery/conditions/pyloric-stenosis

  Feedings are normally started 3 hours after surgery. Your baby will be fed breast milk from a bottle or formula if they are hungry. […] Most babies go home within 24 hours after the surgery. […] Babies who recover from pyloric stenosis do not require a special diet and rarely have long-term problems from the surgery or pyloric stenosis.

• #3 Pyloric Stenosis | Causes, Symptoms, Diagnosis & Treatment

  https://www.cincinnatichildrens.org/health/p/pyloric-stenosis

  Although a baby often vomits for 24 to 48 hours after surgery, this usually disappears without any further treatment. Small amounts of the feeding being spit up is normal. If the baby vomits most or all of their feeding more than two times daily, contact your surgeon. […] Your baby’s incision should be kept clean and dry, and you should not bathe them in a tub for one week after surgery. The incision may be closed with tissue glue or Steri-Strips (bandage-like tape). If Steri-Strips are used, leave them in place and only remove them according to the instructions of your pediatric surgeon. They are generally left in place for seven to 10 days. […] Call Your Child’s Doctor If: Your baby’s temperature is above 101 F (38.6 C), even if it drops below this when acetaminophen is given. There is an increase in redness, swelling or drainage at the incision site or if this site has drainage with a foul odor. Pain is not relieved by medicine. There are signs of dehydration such as fewer wet diapers each day, the absence of tears when crying, or a fontanel (soft spot on the head) appears sunken. Vomiting occurs more than two times daily. Small spit-ups are normal. […] There are no long-term effects of surgery, and there is less than a 1 percent chance that pyloric stenosis will recur.

• #3 Pyloric Stenosis Surgery | Nationwide Children’s Hospital

  https://www.nationwidechildrens.org/conditions/pyloric-stenosis/pyloric-stenosis

  Keep the incision or the dressing clean and dry for 2 days after surgery. You can give your baby a sponge bath instead of a tub bath. […] Call your child’s doctor if your baby has: Swelling of the abdomen, Constant crying or increased pain, Underarm temperature of more than 101 degrees F, Decreased urine or stool, Signs of infections around the incision site, like drainage, pus, odor, or swelling, Increased sleepiness, Constant vomiting, Problems wanting to eat. […] A follow-up appointment should be made with your babys primary care physician in 1 to 2 weeks to make sure your baby is gaining weight.

• #3 UC San Diego Health Health Library | San Diego Hospital, Healthcare

  https://myhealth.ucsd.edu/library/HealthSheets/3,S,86456

  Pyloric stenosis is a thickening of the pylorus muscle. The treatment for this condition is surgery called pyloromyotomy. Heres what you need to know about home care for your baby after surgery. […] Keep your babys incision clean and dry. Dont use lotion, powder, oil, alcohol, or cream on it. […] You can give your baby sponge baths for 2 days after the surgery. After that, you can give your baby baths. Make sure to keep the incision out of the water. […] If you breastfeed, you can breastfeed your baby as normal. […] If you use formula, dont give your baby more than 3 ounces every 3 hours for the first 3 days. After 3 days, you can slowly increase the amount as directed by your child’s health care provider. […] Talk with your child’s health care provider about what signs to watch for to know if your baby is in pain.

• #3 Pediatric Pyloric Stenosis – Conditions and Treatments | Children’s National Hospital

  https://www.childrensnational.org/get-care/health-library/pyloric-stenosis

  Your baby will stay in the hospital for two to three days. Most babies get better quickly after surgery. […] Most babies will be able to have normal feedings by the time they leave the hospital. […] Babies who have surgery for this condition often have no long-term problems. Pyloric stenosis usually doesn’t reoccur.

• #3

  https://www.healthychildren.org/English/health-issues/conditions/abdominal/Pages/Hypertrophic-Pyloric-Stenosis-HPS-Babies-Forceful-Vomiting.aspx

  Pyloric stenosis is a narrowing of the pylorus, a muscular valve at the bottom of the stomach. When it becomes too thick (hypertrophied), breastmilk or formula can’t get through to the small intestines. This leads to excessive, projectile vomiting. […] After surgery, your baby will be allowed to eat by mouth. Infants should be given breast milk or formula every 3 to 4 hours, starting around 4 to 6 hours after the surgery. Your surgeon will discuss the feeding plan with you after surgery. Know your baby may still have some vomiting, but it usually gets better after a few feedings. […] Most babies can go home from the hospital within one day after surgery. However, some may stay longer if they are not eating well. After leaving the hospital, your baby can go back to all normal activities, including tummy time.

• #3 Pyloric Stenosis > Fact Sheets > Yale Medicine

  https://www.yalemedicine.org/conditions/pyloric-stenosis

  Babies can go home eating normally within one to two days and continue to grow. […] Once the diagnosis of pyloric stenosis is confirmed via ultrasound, a child will be admitted to the hospital and hooked up to IV fluids to counteract any dehydration. […] After any dehydration and electrolyte disturbances are corrected, surgery is scheduledusually the next day. […] Laparoscopic surgery for pyloric stenosis is the preferred method at Yale Medicine. […] As soon as the baby awakens, he or she can eat again. […] After that, they can return to regular nursing, and they usually go home the next day. […] A distinguishing factor about Yale Medicines approach is that the surgery is almost universally done with laparoscopic repair, Dr. Caty says. […] Plus, Dr. Caty adds, We have full-time, talented pediatric sonographers who perform the ultrasounds, which leads to fast, accurate diagnoses. […] Additionally, at Yale New Haven Childrens Hospital, babies are treated by anesthesiologists, physicians, surgeons and nurse practitioners who are all highly trained to care for children.

Zobacz więcej