Kelly Driver1, Rebecca Schilling2, Annie Goodwin3, Denise Martinez4, Ernest Amankwah4, Fauzia Shakeel2, Michael Wilsey5. 1. Department of Neonatology, Morsani College of Medicine, University of South Florida, Tampa. 2. Division of Neonatology, Department of Pediatrics, Johns Hopkins All Children's Hospital, St. Petersburg, FL. 3. Baylor College of Medicine Section of Pediatric Gastroenterology, Hepatology, and Nutrition Fellowship, Houston, TX. 4. Clinical and Translational Research Organization. 5. Division of Gastroenterology, Department of Pediatrics, Johns Hopkins All Children's Hospital, St. Petersburg, FL.
Abstract
OBJECTIVE: The aim of the study is to describe the safety and efficacy of bedside percutaneous endoscopic gastrostomy (PEG) placement in a level 3 neonatal intensive care unit (NICU). METHODS: A retrospective chart review was performed on 106 infants with a birthweight ≤6 kg receiving bedside PEG placement at Johns Hopkins All Children's Hospital between 2007 and 2013. Preprocedure, postprocedure, and demographic data were collected. The main safety outcome was postprocedure complication rate and the main efficacy outcome was time to initiate feeds and time on respiratory support. RESULTS: The mean birth weight and mean gestational age of our population at the time of procedure were 2.2 kg and 33 weeks, respectively. There were 9 total complications (8.5%) with major complications being only 2 (1.8%). There were no instances of blood stream infections. The mean length of time to initiate feeds was 1.2 days (standard deviation [SD] = 1.2). Ninety-three percent of patients were extubated within 24 hours. CONCLUSIONS: Bedside PEG placement is safe with minimal complications. It is associated with little need for ventilator support and allows for early re-initiation of feeds and early success at reaching goal feedings.
OBJECTIVE: The aim of the study is to describe the safety and efficacy of bedside percutaneous endoscopic gastrostomy (PEG) placement in a level 3 neonatal intensive care unit (NICU). METHODS: A retrospective chart review was performed on 106 infants with a birthweight ≤6 kg receiving bedside PEG placement at Johns Hopkins All Children's Hospital between 2007 and 2013. Preprocedure, postprocedure, and demographic data were collected. The main safety outcome was postprocedure complication rate and the main efficacy outcome was time to initiate feeds and time on respiratory support. RESULTS: The mean birth weight and mean gestational age of our population at the time of procedure were 2.2 kg and 33 weeks, respectively. There were 9 total complications (8.5%) with major complications being only 2 (1.8%). There were no instances of blood stream infections. The mean length of time to initiate feeds was 1.2 days (standard deviation [SD] = 1.2). Ninety-three percent of patients were extubated within 24 hours. CONCLUSIONS: Bedside PEG placement is safe with minimal complications. It is associated with little need for ventilator support and allows for early re-initiation of feeds and early success at reaching goal feedings.
Authors: Jacquelin Peck; Anh Thy H Nguyen; Aditi Dey; Ernest K Amankwah; Mohamed Rehman; Michael Wilsey Journal: Pediatr Gastroenterol Hepatol Nutr Date: 2021-01-08