Document Detail


Cryotherapy for threshold retinopathy: perioperative management in a single center.
MedLine Citation:
PMID:  13680504     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Perioperative management and complications during and after surgery were reviewed in a population of premature infants who received cryotherapy because of threshold retinopathy by retrospective analysis of medical, anaesthetic, and ophthalmologic files. Infants (n=31) who received cryotherapy between January 1, 1996 and January 1, 2001 and were treated during the neonatal period in the unit were included in the study. Cryotherapy was performed under general anesthesia on the neonatal ward. Neonatal and preoperative characteristics of this cohort point to a vulnerable group of infants with a preoperative weight of 1622 g (1519 to 1862 g), bronchopulmonary dysplasia criteria applying in 29 of 31 patients and methylxanthins prescribed in 26 of 31 patients. No single cryotherapy session had to be interrupted because of systemic complications. Still marked cardiorespiratory instability was documented until 36 hours postoperative in 8 patients. Performing surgical procedures on the neonatal ward is a feasible option. Perioperative management in infants who received cryotherapy is used as an illustration of this approach.
Authors:
K Allegaert; M Van de Velde; I Casteels; G Naulaers; C Vanhole; H Devlieger
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of perinatology     Volume:  20     ISSN:  0735-1631     ISO Abbreviation:  Am J Perinatol     Publication Date:  2003 Jul 
Date Detail:
Created Date:  2003-09-18     Completed Date:  2004-01-08     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8405212     Medline TA:  Am J Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  219-26     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Neonatal Intensive Care Unit, University Hospitals, Gasthuisberg, KU Leuven, Belgium.
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MeSH Terms
Descriptor/Qualifier:
Anesthesia, General
Belgium / epidemiology
Bronchopulmonary Dysplasia / physiopathology
Cohort Studies
Cryotherapy / methods*
Female
Humans
Infant, Newborn
Infant, Premature*
Intensive Care Units, Neonatal
Male
Medical Records
Ophthalmologic Surgical Procedures / methods
Outcome Assessment (Health Care)*
Perioperative Care*
Respiration, Artificial
Retinopathy of Prematurity / epidemiology,  physiopathology,  surgery*
Retrospective Studies
Severity of Illness Index

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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