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Had the hardest time convincing the docs to order Reglan a couple months ago when we had a refluxing kid that circled the drain every time we fed him via ngt. They finally wrote the order, and the kid was immediately better.
You guys still use Reglan, Bortaz? I didn't think any NICUs used it anymore...from the FDA warning about it causing tardive dyskinesia. Actually, our docs are getting away from Zantac and moving more towards Prevacid these days as well...
Reflex is the most likely cause. If it is reflex the heart rate will drop followed by apnea than desat related to vagal response by the infant. the NG tube should always be a 5 french in size to aid with not having higher risk of reflex. Reflex is common in preemies but the NG leaves a small opening that allows feeding to regurgitate causing an increas in reflex and vagal response by the infant. if it conts ask to try Prevacid we dont use Regalan in our unit so what ever your neonatologist decides. Also increase your time on you feeding pump can help.