TY - JOUR
T1 - Bedside surgery in the newborn infants
T2 - survey of the Italian society of pediatric surgery
AU - Pelizzo, Gloria
AU - Bagolan, Pietro
AU - Morini, Francesco
AU - Aceti, Mariagrazia
AU - Alberti, Daniele
AU - Andermarcher, Mario
AU - Avolio, Luigi
AU - Bartoli, Fabio
AU - Briganti, Vito
AU - Cacciaguerra, Sebastiano
AU - Camoglio, Francesco S.
AU - Ceccarelli, Pierluca
AU - Cheli, Maurizio
AU - Chiarenza, Fabio
AU - Ciardini, Enrico
AU - Cimador, Marcello
AU - Clemente, Ennio
AU - Cozzi, Denis A.
AU - Dall' Oglio, Luigi
AU - De Luca, Ugo
AU - Del Rossi, Carmine
AU - Esposito, Ciro
AU - Falchetti, Diego
AU - Federici, Silvana
AU - Gamba, Piergiorgio
AU - Gentilino, Valerio
AU - Mattioli, Girolamo
AU - Martino, Ascanio
AU - Messina, Mario
AU - Noccioli, Bruno
AU - Inserra, Alessandro
AU - Lelli Chiesa, Pierluigi
AU - Leva, Ernesto
AU - Licciardi, Francesco
AU - Midrio, Paola
AU - Nobili, Maria
AU - Papparella, Alfonso
AU - Paradies, Guglielmo
AU - Piazza, Giuseppe
AU - Pini Prato, Alessio
AU - Rossi, Fabio
AU - Riccipetitoni, Giovanna
AU - Romeo, Carmelo
AU - Salerno, Domenico
AU - Settimi, Alessandro
AU - Schleef, Jurgen
AU - Milazzo, Mario
AU - Calcaterra, Valeria
AU - Lima, Mario
PY - 2020/9/16
Y1 - 2020/9/16
N2 - 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.
AB - 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.
KW - Bedside surgery
KW - Critically ill neonates
KW - Intrahospital transport
KW - Neonatal intensive care unit
KW - Operative room
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U2 - 10.1186/s13052-020-00889-2
DO - 10.1186/s13052-020-00889-2
M3 - Review article
C2 - 32938472
AN - SCOPUS:85091128249
VL - 46
SP - 134
JO - Italian Journal of Pediatrics
JF - Italian Journal of Pediatrics
SN - 1720-8424
IS - 1
ER -