naa a22 4500 510740219 CHVBK 20180411083025.0 cr unu---uuuuu 180411e20130301xx s 000 0 eng 10.1007/s11845-012-0819-4 doi (NATIONALLICENCE)springer-10.1007/s11845-012-0819-4 In-situ emergency pediatric surgery in the intensive care unit [Elektronische Daten] [A. Ghallab, Y. El-Gohary, M. Redmond, M. Corbally] 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. Royal Academy of Medicine in Ireland, 2012 ICU nationallicence In-situ surgery nationallicence Neonatal nationallicence Ghallab A. Division of Pediatric Surgery, Our Lady's Children's Hospital, Crumlin, Dublin 12, Ireland aut El-Gohary Y. Division of Pediatric General and Thoracic Surgery, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, One Children Hospital Drive, 4401 Penn Ave., 15224, Pittsburgh, PA, USA aut Redmond M. Division of Pediatric Cardiothoracic Surgery, Our Lady's Children's Hospital, Crumlin, Dublin 12, Ireland aut Corbally M. Division of Pediatric Surgery, Our Lady's Children's Hospital, Crumlin, Dublin 12, Ireland aut Irish Journal of Medical Science Springer-Verlag 182/1(2013-03-01), 33-36 0021-1265 182:1<33 2013 182 11845 https://doi.org/10.1007/s11845-012-0819-4 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11845-012-0819-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ghallab A. Division of Pediatric Surgery, Our Lady's Children's Hospital, Crumlin, Dublin 12, Ireland aut NATIONALLICENCE 700 1- El-Gohary Y. Division of Pediatric General and Thoracic Surgery, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, One Children Hospital Drive, 4401 Penn Ave., 15224, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Redmond M. Division of Pediatric Cardiothoracic Surgery, Our Lady's Children's Hospital, Crumlin, Dublin 12, Ireland aut NATIONALLICENCE 700 1- Corbally M. Division of Pediatric Surgery, Our Lady's Children's Hospital, Crumlin, Dublin 12, Ireland aut NATIONALLICENCE 773 0- Irish Journal of Medical Science Springer-Verlag 182/1(2013-03-01), 33-36 0021-1265 182:1<33 2013 182 11845 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer