Pediatric surgery international
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Pediatr. Surg. Int. · Jul 2012
Case ReportsExtracorporeal membrane oxygenation promotes survival in children with trauma related respiratory failure.
Extracorporeal membrane oxygenation (ECMO), which is used for cardiopulmonary support in many non-trauma settings, may also be of use in pediatric patients with traumatic lung injury by allowing the lung to rest and heal. We have utilized ECMO to support three multitrauma pediatric patients with posttraumatic respiratory failure in the past 2 years. We sought to review our experience at a level 1 tertiary care children's hospital in this patient population. Our outcomes along with the limited number of pediatric trauma patients previously reported in the literature suggest that ECMO may be safely and effectively used to manage respiratory failure in this patient population.
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Pediatr. Surg. Int. · Jun 2012
ReviewImproved outcomes in paediatric anaesthesia: contributing factors.
To discuss developments in paediatric anaesthesia and explore the factors which have contributed to improved anaesthetic-related patient outcomes. ⋯ Despite substantial progress, there is still much room for improvement in areas such as adverse-event reporting, anaesthetic-related risk and late neurocognitive outcomes. Systematic reviews comparing paediatric patient outcomes after neuroaxial block versus general anaesthesia are currently unavailable. The future of paediatric anaesthesia will most likely be influenced by much-needed large prospective studies, which can provide further insight into patient safety and service delivery.
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Citation analysis within specific journals and subject areas has become a popular method to assess the impact of a journal, article or author. To date, only a few evaluations of citation reports have been published in the field of pediatric surgery. Twenty-six years after its inception, Pediatric Surgery International (PSI) is a firmly established journal in pediatric surgery. The aim of this study was to identify, analyze and categorize the characteristics of the 100 most-cited articles published in PSI since its founding in 1986. ⋯ The 100 most-cited articles published in PSI were predominately original articles from English-speaking countries dealing with clinical topics. This analysis may be of value to the editorial board and authors by providing some insights into what types of manuscripts appear to be of interest to the reading audience of PSI.
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Pediatr. Surg. Int. · May 2012
Does necrotizing enterocolitis affect growth and neurodevelopmental outcome in very low birth weight infants?
To evaluate the effect of necrotizing enterocolitis (NEC) on growth and neurodevelopmental outcome. ⋯ Necrotizing enterocolitis has affected neurodevelopmental outcome but not growth in VLBW infants at 18-24 months of corrected age. Both those treated medically or requiring surgery need close neurodevelopmental follow-up for the first years of life.
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Pediatr. Surg. Int. · Apr 2012
Bowel injuries caused by ingestion of multiple magnets in children: a growing hazard.
There are no definite guidelines on the management of ingested magnetic objects in children. The aim of this study was to present our experience and to highlight the importance of strict follow-up. ⋯ This report stresses the need for prompt follow-up and early detection of complications in order to operate those patients without delay. Laparoscopy is the method of choice in exploring the abdomen when perforation is suspected.