Necrotising Enterocolitis_flashcards

Question 1

What is the initial management for necrotising enterocolitis (NEC)?

Answer 1

Stop enteral feeding and medications, TPN may be required if feeds stopped >24 hours, feeds stopped for 7 days for confirmed NEC cases.

Question 2

What is the purpose of an NG tube in NEC management?

Answer 2

Used to drain fluid and gas from the gut, monitor hourly gastric aspirates.

Question 3

What type of antibiotics are used in NEC management?

Answer 3

Broad-spectrum IV antibiotics covering both aerobic and anaerobic organisms, e.g., cefotaxime and vancomycin.

Question 4

Why are IV fluids used in NEC management?

Answer 4

For cardiovascular support, may require addition of inotropes.

Question 5

When is surgery indicated in NEC management?

Answer 5

If perforation or failure to respond to medical treatment.

Question 6

What surgical procedure is performed in NEC?

Answer 6

Laparotomy with resection of necrosed bowel with either a primary anastomosis or a defunctioning stoma.