Vol. 3 No. 1 (2024): at home is better
Articles

An hybrid Operating Theater setting for major surgery in an Extremly Low Birth Weight Infants: a case report

Michele Stellabotte
ASST Grande Ospedale Metropolitano Niguarda
Giuseppe Bentornato
Head Nurse, Pediatric Operating Theater, ASST Grande Ospedale Metropolitano Niguarda
Alessandra Fornasieri
Registered Nurse, Pediatric Operating Theater, ASST Grande Ospedale Metropolitano Niguarda
Marcello Monteleone
Registered Nurse, Pediatric Operating Theater, ASST Grande Ospedale Metropolitano Niguarda
Marco Danelli
Registered Nurse, Pediatric Operating Theater, ASST Grande Ospedale Metropolitano Niguarda
Monica Capoferri
Registered Nurse, Pediatric Operating Theater, ASST Grande Ospedale Metropolitano Niguarda
Francesco Macchini
MD,Director of Pediatric Surgery, ASST Grande Ospedale Metropolitano Niguarda
Andrea Zanini
MD, Pediatric Surgeon, ASST Grande Ospedale Metropolitano Niguarda
Stefano Mazzoleni
MD, Pediatric Surgeon, ASST Grande Ospedale Metropolitano Niguarda
Carlo Ferrari
MD, Pediatric Surgeon, ASST Grande Ospedale Metropolitano Niguarda
Luigi Montagnini
MD, Pediaric Anesthesiologist, ASST Grande Ospedale Metropolitano Niguarda
Paolo Augusto Stoia
MD, Pediaric Anesthesiologist, ASST Grande Ospedale Metropolitano Niguarda
Marta Somaini
MD, Pediaric Anesthesiologist, ASST Grande Ospedale Metropolitano Niguarda

Published 2024-03-31

Keywords

  • Pediatrics,
  • newborn,
  • Neonatal Intensive Care Unit

Abstract

Transfer critically ill newborn to the operating theater is a very difficult challenge for nurses, anesthesiologists, neonatologists and surgeons. Most of these patients are mechanically ventilated and cardiocirculatory supported. The biggest challenge for premature infants that need to leave the incubator, while outside the Neonatal Intensive Care Unit (NICU), is maintaining temperature homeostasis. A male preterm newborn, born at 28 gestational week with a birth weight of 700 g underwent a major surgical procedure due to a type C esophageal atresia. This case report is focused on two points: the multidisciplinary approach and the preparation of the patient and settings. Favorable logistic and expertise of the staff can make a difference in this process. An hybrid OT combines the advantages of both the bedside surgery and the OT setting.

References

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