Oy vey. What a fantastic way to kill your ED LOS! Send your radiologists/techs to our course (or any of the upcoming point-of-care ultrasound courses out there), and we will be happy to show them how to find the pylorus without any NPO time. http://icahn.mssm.edu/education/continuing-medical-education/coursesSeeing is believing--here's a clip of normal pylorus with no NPO time:http://youtu.be/edddwEIDTm0Here's a video clip of pyloric stenosis, again with no NPO time.http://youtu.be/PA4_7nprI8MLiterature in pubmed:http://www.ncbi.nlm.nih.gov/pubmed/23781883http://www.ncbi.nlm.nih.gov/pubmed/18572347 Happy scanning!Jim Tsung, MD, MPHMount Sinai HospitalNew York, NY
> Date: Fri, 20 Feb 2015 08:49:06 -0500
> From: [log in to unmask]
> Subject: NPO for Pyloric Stenosis Ultrasound?
> To: [log in to unmask]
> Hello All,
> I am curious to know if other institutions have NPO requirements in order
> to do an ultrasound for pyloric stenosis? I recently started a job at a
> new hospital and was told that we have to keep babies NPO for 3 hours
> before radiology will do the ultrasound, which was something I had never
> heard before. Not only does this delay time to diagnosis, but also
> distresses families with young babies who scream for that last hour before
> they can have the test done. I looked up the literature and it seems like
> this used to be the standard, but based on the measurements that need to be
> obtained it seems somewhat unnecessary.
> Questions for the group:
> - Do your institutions have a policy about keeping babies NPO prior to US
> for pyloric stenosis, or will they do it at any point in time?
> - If they require NPO, for how long?
> - Does anyone have literature that substantiates this practice, or more
> importantly, literature that states this practice is unnecessary?
> Thanks in advance,
> Matt Thornton
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