Neonatal surgical emergencies.
نویسندگان
چکیده
Improvements in the diagnosis and treatment of congenital disorders have resulted in a change in surgical practice. Many conditions that formerly required corrective surgery immediately after birth are no longer surgical emergencies. Most babies with congenital anomalies that can be corrected by surgery are now stabilized and optimized before the procedure. This article focused on the more common conditions that require semi-elective or urgent surgery in the neonatal period. Salient features of each of these disorders were described. Factors unique to each of these conditions that can affect the anesthetic course of these children were discussed. Methods and techniques that may aid in the anesthetic management of these children were delineated.
منابع مشابه
Anesthetic Management of Neonatal Emergency Abdominal Surgery
Anesthetic management of neonatal surgical emergencies presents serious difficulties and challenges for the anesthesiologist and is associated with increased risks of morbidity and mortality. Therefore, in these patients, anesthetic assessment should be directed to the patient's current disease and associated anomalies. The provision of safe anesthesia and perioperative management of these case...
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Neonatal surgical mortality has steadily fallen over the last five decades. Improved survival does not appear to be related to the introduction of new operative procedures. Most of the basic procedures were developed by 1960. Eight developments appear to be responsible: (1) The growth of pediatric surgery resulted in widespread availability of neonatal surgeons and dissemination of knowledge ab...
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Background: The outcome of neonatal surgery depends on safe anaesthesia, competent surgery and good nursing care. The University of Uyo Teaching Hospital, Uyo, Nigeria, established in February 2008, has specialist anaesthetic and surgical manpower. The aim of the study was to determine the outcome and contributing factors to mortality in neonatal surgical emergencies at this new tertiary health...
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Background: Congenital anomalies those are incompatible with life unless they are corrected. They constitute the primary justification for pediatric surgery specialty because they demand experienced judgment in early diagnosis, expeditious management as well as highly refined operative technique and post-operative care. Materials and Methods: The clinical material in the present study consists ...
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Abdominal emergencies during pregnancy (excluding obstetrical emergencies) occur in one out of 500-700 pregnancies and may involve gastrointestinal, gynecologic, urologic, vascular and traumatic etiologies; surgery is necessary in 0.2-2% of cases. Since these emergencies are relatively rare, patients should be referred to specialized centers where surgical, obstetrical and neonatal cares are av...
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ورودعنوان ژورنال:
- Anesthesiology clinics of North America
دوره 19 2 شماره
صفحات -
تاریخ انتشار 2001