Table 2 Clinical reasoning for continuing treatment in patients without pneumatosis on AUS
From: Utilizing ultrasound in suspected necrotizing enterocolitis with equivocal radiographic findings
US Findings | Clinical Reasoning for NEC Treatment |
|---|---|
Pneumatosis Absent | • Persistent abdominal distension with increasing pressor requirements |
• Persistent bloody stools | |
• Persistent abdominal distension with episodes of bradycardia and desaturation | |
• Clinical deterioration with respiratory distress requiring intubation | |
• Persistent abdominal distension with metabolic acidosis | |
• Clinical deterioration requiring intubation and persistent thrombocytopenia | |
Equivocal | • Clinical deterioration requiring intubation |