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Current management of surgical neonates: is it optimal or do we need to improve? A national survey of the Italian Society of Neonatology

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Topic overview

This Italian national survey reveals gaps in perioperative management of surgical neonates, including limited neonatologist involvement during surgery, underutilization of bedside procedures for unstable infants, and lack of standardized care protocols. The study identifies key barriers and opportunities to optimize surgical care for this vulnerable population.

Key takeaways

  • Neonatologists are involved in intraoperative management in only 43% of Italian NICUs, indicating suboptimal multidisciplinary collaboration.
  • Bedside surgery is underutilized, primarily reserved for extremely preterm or unstable infants, with surgeon preference for OR being main barrier.
  • Only 43% of centers have care protocols for specific surgical conditions, revealing significant gaps in standardized perioperative management.
  • Surgical-anesthesiology team preference for standard OR (77.5%) limits bedside surgery adoption despite benefits for high-risk neonates.
  • Survey identifies three priority areas for improvement: neonatologist involvement, bedside surgery expansion, and protocol development.

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How to cite: GlobalCastMD. Current management of surgical neonates: is it optimal or do we need to improve? A national survey of the Italian Society of Neonatology. GlobalCastMD Medical Library. 2024-04-16. https://dev.library.globalcastmd.com/article/8517?via_space=staycurrentmd

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