Bedside surgery in the newborn infants: survey of the Italian society of pediatric surgery.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Pelizzo Gloria, Bagolan Pietro, Morini Francesco, Aceti Mariagrazia, Alberti Daniele, Andermarcher Mario, Avolio Luigi, Bartoli Fabio, Briganti Vito, Cacciaguerra Sebastiano, Camoglio Francesco S, Ceccarelli Pierluca, Cheli Maurizio, Chiarenza Fabio, Ciardini Enrico, Cimador Marcello, Clemente Ennio, Cozzi Denis A, Dall' Oglio Luigi, De Luca Ugo, Del Rossi Carmine, Esposito Ciro, Falchetti Diego, Federici Silvana, Gamba Piergiorgio, Gentilino Valerio, Mattioli Girolamo, Martino Ascanio, Messina Mario, Noccioli Bruno, Inserra Alessandro, Lelli Chiesa Pierluigi, Leva Ernesto, Licciardi Francesco, Midrio Paola, Nobili Maria, Papparella Alfonso, Paradies Guglielmo, Piazza Giuseppe, Pini Prato Alessio, Rossi Fabio, Riccipetitoni Giovanna, Romeo Carmelo, Salerno Domenico, Settimi Alessandro, Schleef Jurgen, Milazzo Mario, Calcaterra Valeria, Lima Mario
Аннотация
METHODS: A questionnaire requesting general data, staff data and workload data of the centers was developed and sent by means of an online cloud-based software instrument to all Italian pediatric surgery Units.
RESULTS: The survey was answered by 34 (65%) out of 52 centers. NICU bedside surgery is reported in 81.8% of the pediatric surgery centers. A lower prevalence of bedside surgical practice in the NICU was reported for Southern Italy and the islands than for Northern Italy and Central Italy (Southern <Northern<Central, p < 0.03). The most frequent clinical characteristics of neonates was preterm neonates with birthweight < 1200 g, with cardiorespiratory instability and/or ventilatory dependence. The most frequently selected indications to surgery were pneumothorax, pleural effusion, pericardial effusion, central venous catheter (CVC) positioning, intestinal perforation, patent ductus arteriosus ligation and congenital diaphragmatic hernia. More than 60% of respondents report no institutional recommendations and dedicated informed consent on bedside surgical procedures. The lack of dedicated areas and infrastructures is considered a relative contraindication to the performance of bedside surgery.
CONCLUSION: Bedside surgery is performed in the majority of the Italian pediatric surgery centers included in this census. The introduction of a national set of surgery guidelines would be widely welcomed.