An hybrid Operating Theater setting for major surgery in an Extremly Low Birth Weight Infants: a case report
Publicado 2024-03-31
Palabras clave
- Pediatrics,
- newborn,
- Neonatal Intensive Care Unit
Derechos de autor 2024 Michele Stellabotte, Giuseppe Bentornato, Alessandra Fornasieri, Marcello Monteleone, Marco Danelli, Monica Capoferri, Francesco Macchini, Andrea Zanini, Stefano Mazzoleni, Carlo Ferrari, Luigi Montagnini, Paolo Augusto Stoia, Marta Somaini
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
Resumen
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.
Citas
- Pelizzo G, Bagolan P, Morini F, Aceti M, Alberti D, Andermarcher M, Avolio L, Bartoli F, Briganti V, Cacciaguerra S, Camoglio FS, Ceccarelli P, Cheli M, Chiarenza F, Ciardini E, Cimador M, Clemente E, Cozzi DA, Dall’Oglio L, De Luca Um Del Rossi C, Esposito C, Falchetti D, Federici S, Gamba P, Gentilino V, Mattioli G, Martino A, Messina M, Noccioli B, Inserra A, Chiesa PL, Leva E, Licciardi F, Midrio P, Nobili M, Papparella A, Paradies G, Piazza G, Prato AP, Rossi F, Riccipetitoni G, Romeo C, Salerno D, Settimi A, Schleef J, Milazzo M, Calcaterra V, Lima M. Bedside surgery in the newborn infants: survey of the Italian society of pediatric surgery. Italian Journal of Pediatrics. December 2020;46(1):134.
- Sinha SK, Neogi S. Bedside Neonatal Intensive Care Unit Surgery- Myth or Reality! Journal of Neonatal Surgery. 13 March 2013;2(2):20.
- Driver K, Schilling R, Goodwin A, Martinez D, Amankwah E, Wilsey M, Shakeel F. Safety and Efficacy of Bedside Percutaneous Endoscopic Gastrostomy Placement in the Neonatal Intensive Care Unit. Journal of Pediatric Gastroenterology and Nutrition. July 2018;67(1):40–4.
- Lee LK, Woodfin MY, Vadi MG, Grogan TR, Ross PJ, Applegate RL, et al. A comparison of postoperative outcomes with PDA ligation in the OR versus the NICU: a retrospective cohort study on the risks of transport. BMC Anesthesiology. December 2018;18(1):199.