RESUMEN
Aims: To present a novel method of securing nasogastric (NGT) feeding tubes in pediatric burn patients. Presentation of Case: We have developed an arrangement of tube, twill tie and suture, to secure a feeding tube in position, in which a twill tie is secured around the patient’s head and interwoven into the burn dressing. The NGT is secured to the twill tie via a locking suture. Discussion: Nasogastric feeding tubes are important in pediatric burn patients to facilitate the healing process by meeting their increased metabolic demand for protein and calories. These tubes are typically secured via tape to the face, but in patients with facial burns tape may not adequately anchor the feeding tube, allowing for unintended dislodgement of the NGT. Inadvertent removal of nasogastric tubes places patients at risk for complications including prolonged healing time and aspiration, as well as the need for replacement of the NGT. Conclusion: We present a novel method of securing nasogastric feeding tubes in pediatric burn patients, which has decreased the inadvertent dislodgement of NGTs in the pediatric burn patients.
RESUMEN
We present the case of a 6-week-old male infant with Neonatal Abstinence Syndrome (NAS) in which DonnatalTM (phenobarbital, hyoscyamine, atropine, hyoscine) Elixir was used as an adjunct therapy. The infant was born to a mother taking 130mg of methadone per day since conception. Due to NAS, he was treated with a methadone taper and oral clonidine. Yet, despite the majority of symptoms being suppressed with these medications, he remained stricken with colicky pain, unresponsive to supplemental opioids. A trial of DonnatalTM resulted in relief of symptoms and completion of his opioid taper. We recommend DonnatalTM as part of the treatment plan for refractory abdominal symptoms in cases of NAS.