Document Detail

Operating on critically ill neonates: the OR or the NICU.
MedLine Citation:
PMID:  15283102     Owner:  NLM     Status:  MEDLINE    
Advances in neonatal care have resulted in the survival of smaller infants with more complicated medical problems. From a surgical standpoint this has required novel approaches to patient care. Surgical care has evolved in many respects. Procedures performed on premature infants range from elective, minor procedures to major, emergent lifesaving interventions. The emergent nature of these surgical interventions has led to controversies in management. Certain conditions require surgical procedures that are commonly performed at the bedside by pediatric surgical specialists. Under other circumstances, the specific details of management are less uniform with wide variability in approach by different practitioners. The rationale in these cases is primarily driven by personal preference with a paucity of supportive data in the published literature to either support or contradict individual opinion. Nevertheless, the role of bedside procedures appears to be expanding. If these procedures are to be undertaken, significant planning is required to ensure a good outcome for the patient. Prospective data are needed determine which patients may benefit from this approach.
Milissa McKee
Publication Detail:
Type:  Comparative Study; Journal Article; Review    
Journal Detail:
Title:  Seminars in perinatology     Volume:  28     ISSN:  0146-0005     ISO Abbreviation:  Semin. Perinatol.     Publication Date:  2004 Jun 
Date Detail:
Created Date:  2004-07-30     Completed Date:  2004-10-05     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  7801132     Medline TA:  Semin Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  234-9     Citation Subset:  IM    
Department of Surgery, Yale University School of Medicine, New Haven, CT, USA.
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MeSH Terms
Critical Illness*
Ductus Arteriosus, Patent / surgery
Enterocolitis, Necrotizing / surgery
Gastroschisis / surgery
General Surgery / instrumentation,  methods*
Infant, Newborn*
Infant, Premature*
Intensive Care, Neonatal / methods*
Neonatology / methods*
Operating Rooms*
Transportation of Patients

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

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