2012
DOI: 10.1007/s00383-012-3161-z
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Abstract: This is the largest reported series of general neonatal surgical procedures performed on NICU. Operating on NICU is feasible and safe, and a full range of neonatal operations can be performed. It removes risks associated with neonatal transfer and is likely to reduce physiological instability. We recommend this approach for all ventilated neonates and urge neonatal surgeons to operate at the cotside of unstable infants.

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Cited by 18 publications
(24 citation statements)
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“…However, Frawley et al carries out all surgery on NEC infants under 1500 grams in the neonatal intensive care unit, and reports a mortality rate of 33% [17]. Hall et al report that they routinely intubate, ventilate and operate on all neonates in the neonatal intensive care unit [18]. In our study, three patients were given peritoneal drainage, and 2 patients underwent laparotomy under bedside conditions.…”
Section: Discussionmentioning
confidence: 67%
“…However, Frawley et al carries out all surgery on NEC infants under 1500 grams in the neonatal intensive care unit, and reports a mortality rate of 33% [17]. Hall et al report that they routinely intubate, ventilate and operate on all neonates in the neonatal intensive care unit [18]. In our study, three patients were given peritoneal drainage, and 2 patients underwent laparotomy under bedside conditions.…”
Section: Discussionmentioning
confidence: 67%
“…Others advocate a regional block such as a rectus sheath block or epidural, depending on the surgical approach [ 168 , 169 ]. IV or rectal acetaminophen may also provide mild pain relief intraoperatively and postoperatively, without slowing emergence [ 28 ]. However, despite avoiding opioids entirely, many continue to experience a very slow to emerge from anesthesia after this surgery.…”
Section: Anesthetic Considerationsmentioning
confidence: 95%
“…12 Anesthesia Outside the Operating Room). Surgery can also be performed successfully in the neonatal intensive care unit (NICU) without an increase in infective or other complications, particularly for very low-birth-weight infants (<1,500 g) with NEC or intestinal perforation [ 28 ]. The use of a surgical headlight, thermal mattress, and transparent drapes improves operating conditions for the surgeon and access for the anesthesiologist.…”
Section: Surgery In the Neonatal Intensive Care Unitmentioning
confidence: 98%
“…In a large, 10‐year series of 312 infants operated on in the NICU noted that there was no increased risk of wound infections or positive blood cultures .…”
Section: The Case For Operating In the Nicumentioning
confidence: 99%
“…The challenge still remains for a surgical team to perform a matched control study as this has not been achieved to date. Series reported in the literature tend to identify two separate populations; one of larger infants, more easily transportable, less sick, with less respiratory compromise versus a smaller, sicker group with a higher prevalence of more difficult ventilation .…”
Section: Introductionmentioning
confidence: 99%