Clinical Pearls

Abstract

Growth failure and malnutrition are common in neonates with congenital heart disease, and inadequate caloric intake is a major factor. In this issue, Schwalbe-Terilli et al describe their feeding protocol and evaluate caloric intake in these infants. Children with heart defects may need as much as 50% more calories than normal children to achieve normal growth.The feeding protocol dictates the following:The authors also found the following:See Article, pp 52–57Can bath basins harbor microorganisms that are potential sources for health care–acquired infection, even after removal of the possibly contaminated water? In this issue, Johnson et al attempt to answer this question. They note the following:See Article, pp 31–40Is use of the standard pressure dressing after sheath removal with percutaneous transluminal coronary angioplasty (PTCA) procedures necessary? McIe et al reviewed the evidence and made a practice change that resulted in greater patient comfort and improved assessments. They noted:In testing transparent or adhesive dressings in their setting, the authors foundSee Article, pp 14–20Are glucose measurements from fingersticks the same as from a central venous catheter (CVC)? Are they the same as laboratory results? Cook et al investigated these questions and found the following:See Article, pp 65–72