Italian Journal of Pediatrics (Sep 2020)
Bedside surgery in the newborn infants: survey of the Italian society of pediatric surgery
- 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
Affiliations
- Gloria Pelizzo
- Department of Paediatric Surgery, Ospedale dei Bambini “V. Buzzi” Children’s Hospital, University of Milano
- Pietro Bagolan
- Neonatal Surgery Unit, Department of Medical and Surgical Neonatology, Bambino Gesù Children’s Hospital, IRCCS
- Francesco Morini
- Neonatal Surgery Unit, Department of Medical and Surgical Neonatology, Bambino Gesù Children’s Hospital, IRCCS
- Mariagrazia Aceti
- Azienda Ospedaliera di Cosenza
- Daniele Alberti
- Department of Pediatric Surgery, Spedali Civili and University of Brescia
- Mario Andermarcher
- Pediatric Surgery Unit, Ospedale Santa Chiara
- Luigi Avolio
- Pediatric Surgery Unit, Fondazione IRCCS Policlinico S. Matteo, University of Pavia
- Fabio Bartoli
- Pediatric Surgery Unit, University of Foggia
- Vito Briganti
- Department of Pediatric Surgery and Urology Unit, San Camillo Forlanini Hospital
- Sebastiano Cacciaguerra
- Deparment of Pediatric Surgery, Ospedale Garibaldi
- Francesco S. Camoglio
- Department of Surgical Sciences, University of Verona
- Pierluca Ceccarelli
- Pediatric Surgery Department, Policlinico di Modena
- Maurizio Cheli
- Department of Pediatric Surgery, Papa Giovanni XXIII Hospital
- Fabio Chiarenza
- Department of Pediatric Surgery, San Bortolo Hospital
- Enrico Ciardini
- Pediatric Surgery Unit, Ospedale Santa Chiara
- Marcello Cimador
- Pediatric Urology Unit, Department PRO.MI.SE, University of Palermo
- Ennio Clemente
- Pediatric Surgery Unit, University of Salerno
- Denis A. Cozzi
- Department of Pediatrics, Sapienza University
- Luigi Dall’ Oglio
- Digestive Endoscopy and Surgery Unit, Bambino Gesu Children’s Hospital-IRCCS
- Ugo De Luca
- Day Surgery Unit, Santobono-Pausilipon Pediatric Hospital
- Carmine Del Rossi
- Pediatric Surgery Unit, Azienda Ospedaliero-Universitaria di Parma
- Ciro Esposito
- Pediatric Surgery Unit, Federico II Hospital, University of Naples
- Diego Falchetti
- Pediatric Surgery Unit, Niguarda Ca’ Granda Hospital
- Silvana Federici
- Pediatric Surgery Unit, Infermi Hospital
- Piergiorgio Gamba
- Department of Pediatric Surgery, University of Padua
- Valerio Gentilino
- Unit of Pediatric Surgery, Woman and Child Department, Filippo Del Ponte Hospital - ASST Sette Laghi
- Girolamo Mattioli
- Department of Pediatric Surgery, G. Gaslini Children’s Hospital, University of Genoa
- Ascanio Martino
- Pediatric Surgery Unit, Salesi Children’s Hospital, Politecnico delle Marche University
- Mario Messina
- Division of Pediatric Surgery, Department of Medical Sciences, Surgery and Neuroscience, University of Siena
- Bruno Noccioli
- Department of Neonatal and Emergency Surgery, Meyer Children’s Hospital
- Alessandro Inserra
- Surgical Oncology Unit, Department of Surgery, IRCCS Bambino Gesù Children’s Hospital
- Pierluigi Lelli Chiesa
- Pediatric Unit, Santo Spirito Hospital, University of Chieti-Pescara
- Ernesto Leva
- Department of Pediatric Surgery, Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, University of Milan
- Francesco Licciardi
- Pediatric Surgery Unit, Presidio Ospedaliero CTO
- Paola Midrio
- Pediatric Surgery, Ca’ Foncello Hospital
- Maria Nobili
- Pediatric Surgery Unit, University of Foggia
- Alfonso Papparella
- Department of Woman, Child and General and Specialized Surgery, University of Campania “Luigi Vanvitelli”
- Guglielmo Paradies
- Pediatric Surgery Unit, Ospedale Giovanni XXIII
- Giuseppe Piazza
- Pediatric Surgery Unit, Sant’Antonio Abate Hospital
- Alessio Pini Prato
- Unit of Pediatric Surgery, The Children Hospital, Azienda Ospedaliera SS Antonio e Biagio e Cesare Arrigo
- Fabio Rossi
- Pediatric Surgery Unit, Azienda Ospedaliero-Universitaria Maggiore della Carità
- Giovanna Riccipetitoni
- Pediatric Surgery Unit, Fondazione IRCCS Policlinico S. Matteo, University of Pavia
- Carmelo Romeo
- Department of Human Pathology of Adult and Childhood “Gaetano Barresi”, Unit of Pediatric Surgery, University of Messina
- Domenico Salerno
- Pediatric Surgery Unit, Azienda Ospedaliera Pugliese-Ciaccio
- Alessandro Settimi
- Pediatric Surgery Unit, Federico II Hospital, University of Naples
- Jurgen Schleef
- Department of Pediatric Surgery, Institute for Maternal and Child Health - IRCCS Burlo Garofolo
- Mario Milazzo
- Pediatric Surgery Unit, Ospedale del Bambini “G. Di Cristina”, ARNAS Civico-Di Cristina-Benfratelli
- Valeria Calcaterra
- Pediatric and Adolescent Unit, Department of Internal Medicine, University of Pavia and Pediatric Unit V. Buzzi Children’s Hospital
- Mario Lima
- Department of Pediatric Surgery, University of Bologna
- DOI
- https://doi.org/10.1186/s13052-020-00889-2
- Journal volume & issue
-
Vol. 46,
no. 1
pp. 1 – 8
Abstract
Abstract Introduction This 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. Methods A 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. Results The 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. Conclusion Bedside 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.
Keywords
- Neonatal intensive care unit
- Bedside surgery
- Operative room
- Intrahospital transport
- Critically ill neonates
