Bedside surgery in the newborn infants: survey of the Italian society of pediatric surgery View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2020-09-16

AUTHORS

Gloria Pelizzo, Pietro Bagolan, Francesco Morini, Mariagrazia Aceti, Daniele Alberti, Mario Andermarcher, Luigi Avolio, Fabio Bartoli, Vito Briganti, Sebastiano Cacciaguerra, Francesco S. Camoglio, Pierluca Ceccarelli, Maurizio Cheli, Fabio Chiarenza, Enrico Ciardini, Marcello Cimador, Ennio Clemente, Denis A. Cozzi, Luigi Dall’ Oglio, Ugo De Luca, Carmine Del Rossi, Ciro Esposito, Diego Falchetti, Silvana Federici, Piergiorgio Gamba, Valerio Gentilino, Girolamo Mattioli, Ascanio Martino, Mario Messina, Bruno Noccioli, Alessandro Inserra, Pierluigi Lelli Chiesa, Ernesto Leva, Francesco Licciardi, Paola Midrio, Maria Nobili, Alfonso Papparella, Guglielmo Paradies, Giuseppe Piazza, Alessio Pini Prato, Fabio Rossi, Giovanna Riccipetitoni, Carmelo Romeo, Domenico Salerno, Alessandro Settimi, Jurgen Schleef, Mario Milazzo, Valeria Calcaterra, Mario Lima

ABSTRACT

IntroductionThis 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.MethodsA 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.ResultsThe 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 More... »

PAGES

134

Journal

TITLE

Italian Journal of Pediatrics

ISSUE

1

VOLUME

46

Author Affiliations

  • Department of Paediatric Surgery, Ospedale dei Bambini “V. Buzzi” Children’s Hospital, University of Milano, Milano, Italy
  • Neonatal Surgery Unit, Department of Medical and Surgical Neonatology, Bambino Gesù Children’s Hospital, IRCCS, Rome, Italy
  • Azienda Ospedaliera di Cosenza, Cosenza, Italy
  • Department of Pediatric Surgery, Spedali Civili and University of Brescia, Brescia, Italy
  • Pediatric Surgery Unit, Ospedale Santa Chiara, Trento, Italy
  • Pediatric Surgery Unit, Fondazione IRCCS Policlinico S. Matteo, University of Pavia, Pavia, Italy
  • Pediatric Surgery Unit, University of Foggia, Foggia, Italy
  • Department of Pediatric Surgery and Urology Unit, San Camillo Forlanini Hospital, Rome, Italy
  • Deparment of Pediatric Surgery, Ospedale Garibaldi, Catania, Italy
  • Department of Surgical Sciences, University of Verona, Verona, Italy
  • Pediatric Surgery Department, Policlinico di Modena, Modena, Italy
  • Department of Pediatric Surgery, Papa Giovanni XXIII Hospital, Bergamo, Italy
  • Department of Pediatric Surgery, San Bortolo Hospital, Vicenza, Italy
  • Pediatric Urology Unit, Department PRO.MI.SE, University of Palermo, Palermo, Italy
  • Pediatric Surgery Unit, University of Salerno, Salerno, Italy
  • Department of Pediatrics, Sapienza University, Rome, Italy
  • Digestive Endoscopy and Surgery Unit, Bambino Gesu Children’s Hospital-IRCCS, Rome, Italy
  • Day Surgery Unit, Santobono-Pausilipon Pediatric Hospital, Naples, Italy
  • Pediatric Surgery Unit, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy
  • Pediatric Surgery Unit, Federico II Hospital, University of Naples, Naples, Italy
  • Pediatric Surgery Unit, Niguarda Ca’ Granda Hospital, Milan, Italy
  • Pediatric Surgery Unit, Infermi Hospital, Rimini, Italy
  • Department of Pediatric Surgery, University of Padua, Padua, Italy
  • Unit of Pediatric Surgery, Woman and Child Department, Filippo Del Ponte Hospital - ASST Sette Laghi, Varese, Italy
  • Department of Pediatric Surgery, G. Gaslini Children’s Hospital, University of Genoa, Genoa, Italy
  • Pediatric Surgery Unit, Salesi Children’s Hospital, Politecnico delle Marche University, Ancona, Italy
  • Division of Pediatric Surgery, Department of Medical Sciences, Surgery and Neuroscience, University of Siena, Siena, Italy
  • Department of Neonatal and Emergency Surgery, Meyer Children’s Hospital, Florence, Italy
  • Surgical Oncology Unit, Department of Surgery, IRCCS Bambino Gesù Children’s Hospital, Rome, Italy
  • Pediatric Unit, Santo Spirito Hospital, University of Chieti-Pescara, Pescara, Italy
  • Department of Pediatric Surgery, Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
  • Pediatric Surgery Unit, Presidio Ospedaliero CTO, Iglesias, Italy
  • Pediatric Surgery, Ca’ Foncello Hospital, Treviso, Italy
  • Department of Woman, Child and General and Specialized Surgery, University of Campania “Luigi Vanvitelli”, Naples, Italy
  • Pediatric Surgery Unit, Ospedale Giovanni XXIII, Bari, Italy
  • Pediatric Surgery Unit, Sant’Antonio Abate Hospital, Trapani, Italy
  • Unit of Pediatric Surgery, The Children Hospital, Azienda Ospedaliera SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy
  • Pediatric Surgery Unit, Azienda Ospedaliero-Universitaria Maggiore della Carità, Novara, Italy
  • Department of Human Pathology of Adult and Childhood “Gaetano Barresi”, Unit of Pediatric Surgery, University of Messina, Messina, Italy
  • Pediatric Surgery Unit, Azienda Ospedaliera Pugliese-Ciaccio, Catanzaro, Italy
  • Department of Pediatric Surgery, Institute for Maternal and Child Health - IRCCS Burlo Garofolo, Trieste, Italy
  • Pediatric Surgery Unit, Ospedale del Bambini “G. Di Cristina”, ARNAS Civico-Di Cristina-Benfratelli, Palermo, Italy
  • Pediatric and Adolescent Unit, Department of Internal Medicine, University of Pavia and Pediatric Unit V. Buzzi Children’s Hospital, Milan, Italy
  • Department of Pediatric Surgery, University of Bologna, Bologna, Italy
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1186/s13052-020-00889-2

    DOI

    http://dx.doi.org/10.1186/s13052-020-00889-2

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1130862363

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/32938472


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        "description": "IntroductionThis 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.MethodsA 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.ResultsThe 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 
     

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    18 schema:description IntroductionThis 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.MethodsA 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.ResultsThe 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.ConclusionBedside 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.
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