Ok all you experienced NICU nurses, I have a dilemma. I am a new grad and been in NICU for about 4 months. I typically take care of Level III babies but for the past 3 nights I was taking care of some feeder/growers. I had this 36 week discordinate twin that I have been taking care of when she was first born and had her for about 6 nights now. She is staying because she had some apneic episodes but her main problem right now is feeding. She is an ad lib demand w/ a minimum of 12cc/hr. She nipples well but she absolutely will not burp. And if she doesn't burp she ends up puking up most of her feeding. I put an NG down the other night the see if venting it between feedings would help. No such luck. After having done everything but hang her upside down to try and get her to burp, I finally resorted to burping her through the NG and got about 15cc of air out of her belly.
Could it possible that she has pyloric stenosis? One of the other nurses mentioned that but I've never seen a kid with it.
