Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Neonatal Intensive Care Unit on-Site Surgery for Congenital Diaphragmatic Hernia

Version 1 : Received: 22 April 2021 / Approved: 28 April 2021 / Online: 28 April 2021 (10:06:10 CEST)

How to cite: Gaiduchevici, A.E.; Cirstoveanu, C.G.; Bizubac, A.M.; Heriseanu, C.M.; Cristina, F.; Mihălţan, F.; Spătaru, R.I. Neonatal Intensive Care Unit on-Site Surgery for Congenital Diaphragmatic Hernia. Preprints 2021, 2021040737 (doi: 10.20944/preprints202104.0737.v1). Gaiduchevici, A.E.; Cirstoveanu, C.G.; Bizubac, A.M.; Heriseanu, C.M.; Cristina, F.; Mihălţan, F.; Spătaru, R.I. Neonatal Intensive Care Unit on-Site Surgery for Congenital Diaphragmatic Hernia. Preprints 2021, 2021040737 (doi: 10.20944/preprints202104.0737.v1).

Abstract

Background: This study presents the experience gained in the Newborn Intensive Care Unit (NICU) at “M. S. Curie” Emergency Clinical Hospital for Children in Bucharest after performing a series of bedside surgery interventions on newborns with congenital diaphragmatic hernia (CDH). We evaluate the advantages, complications, immediate and long-term outcome as well as the morbidity. Methods: We conducted a retrospective analysis of the data for all patients operated on-site be-tween 2011 and 2020, in terms of pre- and post-operative stability, procedures performed, com-plications and outcomes. Results: Our study is based on data from ten cases of newborns, term or small for gestation age with birthweights ranging from 2300 to 3300 grams, operated, on average, on the fifth day of life. The main reasons for operating on-site were the hemodynamical instability and the need to ad-minister inhaled Nitic Oxide (iNO) and HFOV ventilation. There were no unforeseen events dur-ing 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. Conclusions: Our experience indicates that bedside surgery improves the likelihood of survival for critically ill neonates suffering from CDH. No immediate complications could be associated with this practice. Keywords: congenital diaphragmatic hernia, severe pulmonary hypertension, bedside surgery, NICU infrastructure

Keywords

congenital diaphragmatic hernia, severe pulmonary hypertension, bedside surgery, NICU infrastructure

Comments (0)

We encourage comments and feedback from a broad range of readers. See criteria for comments and our diversity statement.

Leave a public comment
Send a private comment to the author(s)
Views 0
Downloads 0
Comments 0
Metrics 0


×
Alerts
Notify me about updates to this article or when a peer-reviewed version is published.
We use cookies on our website to ensure you get the best experience.
Read more about our cookies here.