Nursing Care of the Pediatric Neurosurgery Patient

Abstract

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Global neurosurgery: Reflections on myelomeningocele in the Zanzibar archipelago (Tanzania)

“…Some authors have pointed out that preoperative levels of serum hemoglobin below 11.9 g/dL may be unfavorable to face surgery due to hemodynamic complications, in addition to increasing the risk for postoperative infections. 1 , 28 , 29 , 30 We observed lower levels of serum hemoglobin in patients from Pemba (11.4 mg/dL) than in those from Zanzibar (12.7 mg/dL), which could influence the worse clinical course that was noticed in the former.…”

“…For these reasons, aseptic technique, antiseptic wound cleaning, frequent diaper changes, and health education for the family should be rigorous and was thoroughly carried out during hospitalization, as recommended in the literature. 27 , 28 , 32 Conjointly, early initiation of intravenous antibiotic therapy has been advocated with the intent to reduce infection rates. 1 , 33 , 34 , 35 In our institution, antibiotic treatment was administered to all children for surgical prophylaxis and 10 days after surgery, except for two patients who presented postoperative CSF leak that required revision surgery, where this prophylaxis was prolonged for another 10 more days, having an uneventful recovery afterward.…”

Medico-socio-economic perspective of congenital hydrocephalus patients treatment in dr. Soetomo Academic General hospital, Surabaya, Indonesia

“…Hydrocephalus that is not treated immediately will become severe with longterm neurological problems and affect the child's future. 6,7 Surgery is used to treat pediatric hydrocephalus situations in the vast majority (more than 90%). 8 There has never been any discussion of the prevalence of severe hydrocephalus worldwide or in Indonesia.…”