| Management of the surgical newborn: physiological foundations and practical considerations. | |
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MedLine Citation:
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PMID: 20471622 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The unique physiological changes that occur at birth and the adaptations that come in the first weeks of life profoundly affect the clinical management of the surgical newborn patient. The newborn has adaptive challenges that have to be met at birth: (a) establish a functional residual capacity and breathe; (b) change from a fetal to a newborn circulatory circuit; (c) change from fetal hemoglobin to hemoglobin A; (d) sustain a heart rate dependent cardiac output; (e) maintain normal body temperature; establish renal function and regulate postnatal body fluid composition; (f) establish hepatic function; and (g) maintain normal vital signs. Classical physiological studies of the last century describe the physiological basis of these adaptive tasks, and support practical considerations that we follow in clinical practice. |
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Authors:
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Don K Nakayama |
Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Journal of pediatric urology Volume: 6 ISSN: 1873-4898 ISO Abbreviation: J Pediatr Urol Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-05-17 Completed Date: 2010-10-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101233150 Medline TA: J Pediatr Urol Country: England |
Other Details:
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Languages: eng Pagination: 232-8 Citation Subset: IM |
Copyright Information:
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Copyright (c) 2010 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved. |
Affiliation:
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Department of Surgery, Mercer University School of Medicine, Medical Center of Central Georgia, 777 Hemlock St., MSC 140, Macon, GA 31201, USA. Nakayama.Don@mccg.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adaptation, Physiological
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physiology* Humans Infant, Newborn Infant, Newborn, Diseases / physiopathology, surgery* Neonatology / methods* Physiological Processes / physiology* |
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