{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T18:10:17Z","timestamp":1791828617170,"version":"4.3.4"},"reference-count":10,"publisher":"Cambridge University Press (CUP)","issue":"8","license":[{"start":{"date-parts":[[2021,10,14]],"date-time":"2021-10-14T00:00:00Z","timestamp":1634169600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2022,8]]},"abstract":"Abstract<\/jats:title>\n Delivery of enteral nutrition in critical infants post-paediatric cardiac surgery is sometimes hampered, necessitating direct feeding into the small intestine. This study is highlighting the role of ultrasound-guided post-pyloric feeding tube insertion performed by the paediatric cardiac ICU intensivist in critically ill infants.<\/jats:p>\n \n Methods:<\/jats:title>\n We carried out a prospective pilot observational experimental study in peri-operative cardiac infants with feeding intolerance between 2019 and 2021. Feeding tube insertion depends on a combination of ultrasound and gastric insufflation with air-saline mixture. Insertion was confirmed by bedside abdominal X-ray.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Out of 500 peri-operative cardiac infants, 15 needed post-pyloric feeding tube insertion in median 15 postoperative day. All were under 6 months of age with average weight of 3 \u00b1 0.2 kg. Median Risk Adjustment for Congenital Heart Surgery Categories was 4. Median insertion time was 15 minutes. No complications have been reported. First pass success rate was 87%, while a second successful insertion attempt was needed in 2 cases (13%). Target daily calorie intake was achieved within average of 3.5 \u00b1 0.4 days. Mean post-pyloric feeding tube stay was 20 \u00b1 3 days. Out of 15 infants, 3 patients died, 1 patient needed gastrostomy tube, and 11 patients were discharged home on oral feeds.<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Ultrasound-guided post-pyloric feeding tube insertion using gastric insufflation with air-saline mixture in peri-operative cardiac infants with feeding intolerance is a useful and practical bedside tool, and it can be performed by a trained paediatric cardiac ICU intensivist. It may have potential positive effects on morbidity and outcome.<\/jats:p>\n <\/jats:sec>","DOI":"10.1017\/s1047951121004182","type":"journal-article","created":{"date-parts":[[2021,10,14]],"date-time":"2021-10-14T03:15:37Z","timestamp":1634181337000},"page":"1316-1319","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":6,"title":["Ultrasound-guided post-pyloric feeding tube insertion in peri-operative cardiac infants"],"prefix":"10.1017","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7297-9137","authenticated-orcid":false,"given":"Hussam K.","family":"Hamadah","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9723-0264","authenticated-orcid":false,"given":"Ahmed R.F","family":"Elsaoudi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad A.","family":"Faraji","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed S.","family":"Kabbani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2021,10,14]]},"reference":[{"key":"S1047951121004182_ref7","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-200006000-00060"},{"key":"S1047951121004182_ref9","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-005-2791-1"},{"key":"S1047951121004182_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.medin.2018.09.016"},{"key":"S1047951121004182_ref4","doi-asserted-by":"publisher","DOI":"10.1177\/0884533614567714"},{"key":"S1047951121004182_ref1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.98.2.242"},{"key":"S1047951121004182_ref2","doi-asserted-by":"publisher","DOI":"10.1177\/0310057X0503300212"},{"key":"S1047951121004182_ref6","doi-asserted-by":"publisher","DOI":"10.4103\/jcis.JCIS_42_17"},{"key":"S1047951121004182_ref3","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951116002845"},{"key":"S1047951121004182_ref10","doi-asserted-by":"publisher","DOI":"10.1177\/145749691210100302"},{"key":"S1047951121004182_ref5","doi-asserted-by":"publisher","DOI":"10.1002\/sono.12054"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951121004182","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,16]],"date-time":"2022-08-16T04:42:06Z","timestamp":1660624926000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951121004182\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,14]]},"references-count":10,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2022,8]]}},"alternative-id":["S1047951121004182"],"URL":"https:\/\/doi.org\/10.1017\/s1047951121004182","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,14]]},"assertion":[{"value":"\u00a9 The Author(s), 2021. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}