https://scholars.lib.ntu.edu.tw/handle/123456789/507860
標題: | Operating Room Within the Neonatal Intensive Care Unit - Experience of a Medical Center in Taiwan | 作者: | Wang Y.-L. SUH-FANG JENG PO-NIEN TSAO HUNG-CHIEH CHOU CHIEN-YI CHEN Hsieh W.-S. |
公開日期: | 2015 | 出版社: | Elsevier (Singapore) Pte Ltd | 卷: | 56 | 期: | 4 | 起(迄)頁: | 220-225 | 來源出版物: | Pediatrics and Neonatology | 摘要: | Background Most neonates who reside in the neonatal intensive care unit (NICU) and require surgery are transferred to the operating room (OR) or undergo bedside surgery. However, critically ill neonates who are transferred often encounter the risk of complications. An OR in our NICU was therefore launched in 2009. This study was to appraise the surgeries performed in the NICU OR and compare results with the traditional main OR outside the NICU. Methods This was a retrospective study in the NICU of a tertiary center. Retrospective chart review was conducted for all neonates who underwent surgical procedures in the NICU OR and the main OR. The information regarding baseline characteristics, surgical procedures and duration, ventilator use, hypothermia, hyperglycemia, instrument dislocations, surgically related infection or complications, and outcomes was obtained. Results There were a total of 65 patients in this study, 37 in the NCIU OR group and 28 in the main OR group. The presurgical mean airway pressure and the fraction of inspired oxygen (FiO2) were comparable between the two groups, but the postsurgical FiO2 was significantly lower in the NICU OR group (31.0%) than in the main OR group (40.9%; p = 0.027). Furthermore, the NICU OR group required a significantly shorter preoperation waiting time (34.4 minutes vs. 63.6 minutes, p = 0.001) and had a lower incidence of hypothermia than the main OR group (8.1% vs. 39.3%, p = 0.008). However, surgically related complications were similar between groups. Conclusion The OR within the NICU may reduce the risk of complications during transportation and provide continuity of care to critically ill neonates. It also decreases the disturbance to other NICU patients during operation. Copyright ? 2014, Taiwan Pediatric Association. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84938738679&doi=10.1016%2fj.pedneo.2014.10.003&partnerID=40&md5=3facf11a6c177a355ec26fda8b3fca86 https://scholars.lib.ntu.edu.tw/handle/123456789/507860 |
ISSN: | 1875-9572 | DOI: | 10.1016/j.pedneo.2014.10.003 | SDG/關鍵字: | airway pressure; anesthesist; Article; bronchopleural fistula; congenital diaphragm hernia; extracorporeal oxygenation; gestational age; human; hyperglycemia; hypothermia; intensive care unit; intestine resection; major clinical study; neonatologist; newborn; newborn infection; newborn intensive care; newborn surgery; nurse; operating room; operation duration; patent ductus arteriosus; pediatric surgeon; postoperative complication; postoperative infection; retrospective study; Taiwan; tertiary care center; thoracotomy; treatment outcome; university hospital; ventilator; critical illness; female; male; newborn intensive care; operating room; organization and management; tertiary care center; tertiary health care; Critical Illness; Female; Humans; Infant, Newborn; Intensive Care Units, Neonatal; Male; Operating Rooms; Retrospective Studies; Taiwan; Tertiary Care Centers; Tertiary Healthcare |
顯示於: | 物理治療學系所 |
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