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Neonatal intensive care unit on-site surgery for congenital diaphragmatic hernia.
Gaiduchevici, Alina Elena; Cîrstoveanu, Catalin Gabriel; Socea, Bogdan; Bizubac, Ana Michaela; Herișeanu, Carmen Mariana; Filip, Cristina; Mihalțan, Florin Dumitru; Dimitriu, Mihai; Jacota-Alexe, Florentina; Ceaușu, Mihail; Spataru, Radu-Iulian.
  • Gaiduchevici AE; Neonatal Intensive Care Unit, 'Maria S. Curie' Emergency Clinic Hospital for Children, 077120 Bucharest, Romania.
  • Cîrstoveanu CG; Neonatal Intensive Care Unit, 'Maria S. Curie' Emergency Clinic Hospital for Children, 077120 Bucharest, Romania.
  • Socea B; Discipline of Pediatrics, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.
  • Bizubac AM; Department of Surgery, 'Sf. Pantelimon' Emergency Clinical Hospital, 021659 Bucharest, Romania.
  • Herișeanu CM; Discipline of Surgery, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.
  • Filip C; Neonatal Intensive Care Unit, 'Maria S. Curie' Emergency Clinic Hospital for Children, 077120 Bucharest, Romania.
  • Mihalțan FD; Neonatal Intensive Care Unit, 'Maria S. Curie' Emergency Clinic Hospital for Children, 077120 Bucharest, Romania.
  • Dimitriu M; Department of Cardiology, 'Maria S. Curie' Emergency Clinic Hospital for Children, 077120 Bucharest, Romania.
  • Jacota-Alexe F; Department of Pneumology, 'Marius Nasta' National Institute of Pneumology, 050159 Bucharest, Romania.
  • Ceaușu M; Discipline of Pneumology, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.
  • Spataru RI; Department of Obstetrics and Gynecology, 'Sf. Pantelimon' Emergency Hospital, 021659 Bucharest, Romania.
Exp Ther Med ; 23(6): 436, 2022 Jun.
Article in English | MEDLINE | ID: covidwho-1865585
ABSTRACT
The present study presents the experience gained in the Newborn Intensive Care Unit (NICU) of 'Maria S. Curie' Emergency Clinical Hospital for Children in Bucharest (Romania) after performing a series of bedside surgery interventions on newborns with congenital diaphragmatic hernia (CDH). We conducted a retrospective analysis of the data for all patients operated on-site between 2011 and 2020, in terms of pre- and post-operative stability, procedures performed, complications and outcomes. An analysis of a control group was used to provide a reference to the survival rate for non-operated patients. The present study is based on data from 10 cases of newborns, surgically operated on, on average, on the fifth day of life. The main reasons for operating on-site included hemodynamical instability and the need to administer inhaled nitric oxide (iNO) and high-frequency oscillatory ventilation (HFOV). There were no unforeseen events during surgery, no immediate postoperative complications and no surgery-related mortality. One noticed drawback was the unfamiliarity of the surgery team with the new operating environment. Our experience indicates that bedside surgery improves the likelihood of survival for critically ill neonates suffering from CDH. No immediate complications were associated with this practice.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study / Prognostic study Language: English Journal: Exp Ther Med Year: 2022 Document Type: Article Affiliation country: Etm.2022.11363

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study / Prognostic study Language: English Journal: Exp Ther Med Year: 2022 Document Type: Article Affiliation country: Etm.2022.11363