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Can I read Hypertrophic Pyloric Stenosis Protocol: A Single Center Study on EtoBox?
Hypertrophic Pyloric Stenosis Protocol: A Single Center Study by Nelimar Cruz-Centeno; James A. Fraser; Shai Stewart; Derek R. Marlor; Rebecca M. Rentea; Pablo Aguayo; David Juang; Richard J. Hendrickson; Charles L. Snyder; Shawn D. St Peter; Jason D. Fraser; Tolulope A. Oyetunji is a Medicine article available to read on EtoBox.
What is Hypertrophic Pyloric Stenosis Protocol: A Single Center Study about?
Background Initial treatment of hypertrophic pyloric stenosis (HPS) is correction of electrolyte disturbances with fluid resuscitation. In 2015, our institution implemented a fluid resuscitation protocol based on previous data that focused on minimizing blood draws and allowing immediate ad libitum feeds postoperatively. Our aim was to describe the protocol and subsequent outcomes. Methods We conducted a single-center retrospective review of patients diagnosed with HPS from 2016 to 2023. All patients were given ad libitum feeds postoperatively and discharged home after tolerating three consecutive feeds. The primary outcome was the postoperative hospital length of stay (LOS). Secondary outcomes included the number of preoperative labs drawn, time from arrival to surgery, time from surgery to initiation of feeds, time from surgery to full feeds, and re-admission rate. Results The study included 333 patients. A total of 142 patients (42.6%) had electrolytic disturbances that required fluid boluses in addition to 1.5x maintenance fluids. The median number of lab draws was 1 (IQR 1,2), with a median time from arrival to surgery of 19.5 hours (IQR 15.3,24.9). The median time from surger
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- Author
- Nelimar Cruz-Centeno; James A. Fraser; Shai Stewart; Derek R. Marlor; Rebecca M. Rentea; Pablo Aguayo; David Juang; Richard J. Hendrickson; Charles L. Snyder; Shawn D. St Peter; Jason D. Fraser; Tolulope A. Oyetunji
- Publisher
- SAGE Publications
- Published
- 2023
- Language
- EN
- Field
- Medicine (Health Sciences)