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Does nasogastric feeding reduce distress after cleft palate repair in infants?

Julie Hughes1, Melanie Lindup, Sally Wright

  • 1Great Ormond Street Hospital for Children, London.

Nursing Children and Young People
|November 9, 2013
PubMed

Insights

Nasogastric (NG) feeding improved enteral intake post-cleft palate repair compared to oral feeding. Pain and morphine needs were similar between groups, but NG feeding reduced the need for IV fluids.

Area of Science:

  • Pediatric Surgery
  • Anesthesiology
  • Nutritional Support

Background:

  • Cleft palate repair is a common pediatric surgical procedure.
  • Postoperative pain management and adequate nutrition are critical for recovery.
  • Nasogastric (NG) feeding and oral feeding are potential methods for nutritional support after surgery.

Purpose of the Study:

  • To compare the effectiveness of nasogastric (NG) feeding versus oral feeding on morphine requirements after primary cleft palate repair.
  • To assess the secondary outcomes of enteral intake and fluid balance.

Main Methods:

  • A pilot randomized controlled trial involving 50 infants (5-10 months) undergoing cleft palate repair.
  • Infants were assigned to either NG or oral feeding post-surgery.
  • Morphine consumption, painful episodes, and fluid/feed volumes were monitored in the first 24 hours.

Main Results:

  • Morphine consumption and painful episodes were comparable between NG and oral feeding groups.
  • Infants receiving NG feeding consumed significantly more feed volume (approximately three times) than the oral group.
  • None of the NG-fed infants required intravenous fluids, compared to nine in the oral feeding group.

Conclusions:

  • Nasogastric feeding is more effective for ensuring adequate enteral intake in the initial 24 hours after cleft palate repair.
  • While pain and morphine requirements were similar, NG feeding reduced the need for intravenous fluid support.
  • Further research is warranted to fully elucidate the benefits of NG feeding in this patient population.
Abstract

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