Clinical guidelines

Clinical guidelines are used by the health professionals at Great Ormond Street Hospital for a wide range of conditions, treatments and tests.

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Clinical guidelines

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Extravasation and infiltration

This guideline covers the recognition, management and prevention of infiltration and extravasation injury.

NOTE: We review our guidelines regularly and this guideline is now past its review date. The content of the guideline below may not reflect the most recent evidence based practice. Please use with caution.

Gastrostomy management

A gastrostomy is a feeding tube that is inserted directly into the stomach either surgically under direct vision (open or laproscopic), endoscopically (with a camera), or radiologically (x-ray guidance). A gastrostomy tube allows the delivery of supplemental nutrition and medications directly into the stomach. It also provides a mechanism to drain gastric contents if required. In order for gastrostomy feeding to be successful the child or young person must have a functioning gastrointestinal tract.

Halo traction

A halo-vest is used to immobilize and protect the cervical spine and neck after surgery or accident. The halo is a ring that surrounds the head and is attached by pins to the outer portion of the skull. It is used to stabilise the cervical spine, or to correct its alignment (Rationale 1, Rationale 2).

Halo vest traction is used infrequently for child and young people (CYP). It is usually a planned event, and in children is fitted under a general anaesthetic.