Abstract:
BACKGROUND:The role of surgery in the intensive care unit (ICU) remains unclear. Although previous studies have not shown any increase in morbidity when operating on patients in the ICU for surgical procedures; there remains a reluctance to operate on sick patients in the ICU. AIM:We did a retrospective study of critically ill children and neonates who underwent in-situ surgery (ISS) to further evaluate its safety and potential. Surgery was aided with the use of operative loupes and high-intensity headlight. METHODS:The medical records of all patients who had undergone surgical procedures in the pediatric ICU over an 11-year period from January 1998 till December 2008 were retrospectively reviewed. We reviewed our experience looking specifically at wound infection rates along with other morbidities in 543 patients. RESULTS:Our morbidities were comparable with that of operations performed in the operating theater, with low wound infection rates (1%) for all surgeries undertaken in the pediatric ICU. CONCLUSION:ISS avoids the risks of transfer to the operative theater and the potential delays in theater access. Our results suggest that ISS in a tertiary-level pediatric surgical hospital is safe and does not impact adversely on clinical outcome.
journal_name
Ir J Med Scijournal_title
Irish journal of medical scienceauthors
Ghallab A,El-Gohary Y,Redmond M,Corbally Mdoi
10.1007/s11845-012-0819-4subject
Has Abstractpub_date
2013-03-01 00:00:00pages
33-6issue
1eissn
0021-1265issn
1863-4362journal_volume
182pub_type
杂志文章abstract:BACKGROUND:Programmed cell death, or apoptosis, is a distinct, managed form of cell death. It is fundamentally different from necrosis. It is a genetically controlled, energy-dependent method of cellular deletion without inflammation. In the cardiovascular system, apoptosis occurs as a primary and secondary event in di...
journal_title:Irish journal of medical science
pub_type: 杂志文章,评审
doi:10.1007/BF03168827
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journal_title:Irish journal of medical science
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journal_title:Irish journal of medical science
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更新日期:1989-01-01 00:00:00
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journal_title:Irish journal of medical science
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更新日期:2017-02-01 00:00:00
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journal_title:Irish journal of medical science
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更新日期:2014-06-01 00:00:00
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journal_title:Irish journal of medical science
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更新日期:2005-07-01 00:00:00
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journal_title:Irish journal of medical science
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journal_title:Irish journal of medical science
pub_type: 杂志文章
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更新日期:2012-09-01 00:00:00
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更新日期:2011-12-01 00:00:00
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更新日期:2004-01-01 00:00:00
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更新日期:2007-03-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2018-11-01 00:00:00
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更新日期:2017-08-01 00:00:00
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journal_title:Irish journal of medical science
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