Advantage of bedside versus conventional operating room surgery in the management of term and preterm newborn infants: a single center retrospective observational study
Topic overview
This retrospective study compared bedside surgery to conventional operating room procedures in 222 neonates, finding that bedside surgery was safe and effective despite being performed on higher-risk preterm infants with lower gestational age and birthweight. Postoperative hypothermia rates were similar between groups, with patient factors rather than surgical location driving adverse outcomes.
Key takeaways
- Bedside surgery in NICU is safe for critically ill neonates, with no increased risk of hypothermia or infection versus OR surgery.
- Lower weight at surgery and emergency procedures are independent risk factors for postoperative hypothermia in neonates.
- Lower gestational age and preoperative inotrope requirement predict 30-day mortality, not surgical location.
- Bedside surgery allows intervention in sicker preterm infants who may not tolerate transport to the operating room.
- Mortality differences reflect patient selection (BS group had lower GA, birthweight, worse baseline status), not surgical setting.
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How to cite: GlobalCastMD. Advantage of bedside versus conventional operating room surgery in the management of term and preterm newborn infants: a single center retrospective observational study. GlobalCastMD Medical Library. 2025-01-03. https://dev.library.globalcastmd.com/article/9600?via_space=staycurrentmd
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