6533b7defe1ef96bd1276703
RESEARCH PRODUCT
Bedside surgery in the newborn infants: Survey of the Italian society of pediatric surgery
Marcello CimadorCarmine Del RossiPiergiorgio GambaMario MessinaDiego FalchettiDomenico SalernoErnesto LevaLuigi AvolioFrancesco LicciardiDenis A. CozziGiovanna RiccipetitoniAlessandro SettimiBruno NoccioliAlfonso PapparellaJurgen SchleefMariagrazia AcetiMaurizio CheliVito BrigantiValeria CalcaterraLuigi Dall’ OglioAscanio MartinoGiuseppe PiazzaFabio ChiarenzaEnnio ClementeCiro EspositoGirolamo MattioliCarmelo RomeoFrancesco Saverio CamoglioSebastiano CacciaguerraValerio GentilinoF BartoliPierluca CeccarelliEnrico CiardiniMario MilazzoMaria NobiliAlessandro InserraAlessio Pini PratoG ParadiesDaniele AlbertiPietro BagolanMario AndermarcherUgo De LucaSilvana FedericiMario LimaGloria PelizzoFrancesco MoriniPierluigi Lelli ChiesaFabio RossiPaola Midriosubject
Neonatal intensive care unitmedicine.medical_treatmentPractice PatternsReviewBedside surgeryNeonatal intensive care unit Bedside surgery Operative room Intrahospital transport Critically ill neonates0302 clinical medicineInformed consentNeonatalSurveys and QuestionnairesPediatric surgeryPractice Patterns Physicians'Societies MedicalBedside surgery; Critically ill neonates; Intrahospital transport; Neonatal intensive care unit; Operative roomlcsh:RJ1-570Operative roomOperativeCritically ill neonatesIntensive Care UnitsPneumothoraxItaly030220 oncology & carcinogenesisSurgical Procedures OperativeCentral venous catheterInfant Prematuremedicine.medical_specialtyPerforation (oil well)Critically ill neonate03 medical and health sciencesNeonatal intensive care unitMedical030225 pediatricsIntensive careIntensive Care Units NeonatalmedicineHumansPrematureContraindicationPhysicians'Surgical Proceduresbusiness.industryBedside surgery Critically ill neonates Intrahospital transport Neonatal intensive care unit Operative room Humans; Infant Newborn Infant Premature Italy Practice Patterns Physicians' Societies Medical Surveys and Questionnaires Intensive Care Units Neonatal Surgical Procedures OperativeInfant NewbornInfantlcsh:PediatricsIntrahospital transportNewbornmedicine.diseaseSurgeryOperative room.Settore MED/20Societiesbusinessdescription
Abstract Introduction This is the report of the first official survey from the Italian Society of Pediatric Surgery (ISPS) to appraise the distribution and organization of bedside surgery in the neonatal intensive care units (NICU) in Italy. 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.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2020-09-01 |