ヘルスケア : 現在のレビュー

概要

Bilious vomiting on neonatal intensive care units: What to do and when to refer!

Simone Ragazzi

Background: Management of babies who develop bilious vomiting is sometimes confusing as many patients with this presentation are affected by sepsis. As the result of this many critically sick patients who have a surgical condition such malrotation with volvulus are delayed in their diagnosis and will suffer lifelong morbidity and or mortality.
Aim: Understating a simple algorithm on to interpret and manage babies with sudden onset of green vomit is aimed to minimize complications.
Material and Methods: Practical workshop lasting 1 hour where all participants are continuously involved in the discussion by the speaker. This is to ensure that the level of attention is always at high. This workshop will explain the epidemics, differential diagnoses, pathophysiology of neonatal bowel obstruction, prenatal and post natal management of the sick infant, imaging and contrast studies interpretation and indication for tertiary centre referral. The workshop ends with a special focus on malrotation and volvulus as its complication.
Conclusion: To make sure that all participants are not only confident but also happy to managing a baby with bilious vomiting.