The Berlin Heart device is used in children whose hearts are no longer strong enough to pump enough blood around their bodies. There are many different types of conditions which can cause this need for support such as a weak heart muscle (cardiomyopathy) or an infected heart muscle (myocarditis).
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.
The purpose of this guideline is to provide guidance of how to correctly carry out Train of Four (TOF) monitoring on a patient within the ICU environment taking into account nursing considerations and indications/contraindications for use.
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.
The purpose of this guideline is to provide guidance on the care and use of long term Central Venous Access Devices (CVAD) including advice on dealing with any problems encountered. For the purpose of this guideline, devices that are required to remain insitu greater than a month will be considered a long term CVAD.
Note: While this guideline refers to the 'child' throughout, all activities are applicable to young people
This guideline is intended to guide and facilitate the care of patients under the care of the clinical teams at Great Ormond Street Hospital for Children NHS Trust (GOSH). It has been approved by the Guideline Approval Group and is for use by staff of all disciplines and levels in these health care teams. The guidance contained here in is not intended to replace individual assessment and personalised treatment of the patient.
Enteral feeding is a very useful method of ensuring adequate intake of fluid and nutrients in patients who, for a variety of reasons, are unable to use the oral route, or are unable to take sufficient nutrients to maintain growth and development.
This clinical guideline from Great Ormond Street Hospital (GOSH) discusses nutritional requirements for preterm infants receiving enteral nutrition. It does not give guidance on the prescription of parenteral nutrition (PN).