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Seminars in Pediatric Surgery最新文献

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Advancing pediatric anesthesia care: Insights and innovations for enhanced patient outcomes 推进儿科麻醉护理：提高患者疗效的见解和创新。
IF 1.4 3区 医学
Seminars in Pediatric Surgery Pub Date : 2024-10-01 DOI: 10.1016/j.sempedsurg.2024.151462
Narasimhan Jagannathan, Amod Sawardekar
{"title":"Advancing pediatric anesthesia care: Insights and innovations for enhanced patient outcomes","authors":"Narasimhan Jagannathan, Amod Sawardekar","doi":"10.1016/j.sempedsurg.2024.151462","DOIUrl":"10.1016/j.sempedsurg.2024.151462","url":null,"abstract":"","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"33 5","pages":"Article 151462"},"PeriodicalIF":1.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Chronic pain in pediatrics 儿科慢性疼痛。
IF 1.4 3区 医学
Seminars in Pediatric Surgery Pub Date : 2024-10-01 DOI: 10.1016/j.sempedsurg.2024.151458
Neil Raj Singhal
{"title":"Chronic pain in pediatrics","authors":"Neil Raj Singhal","doi":"10.1016/j.sempedsurg.2024.151458","DOIUrl":"10.1016/j.sempedsurg.2024.151458","url":null,"abstract":"<div><div>This paper provides an overview of pediatric patients suffering from chronic pain and the best practices for treating this challenging patient population. With newer technologies and therapies emerging for pediatric patients in chronic pain, there are now opportunities to provide comprehensive therapies that lead to long-term improvements in outcomes. The paper discusses alternatives to opioid therapies in order to provide an overview of treatments for pediatric patients with chronic pain. It also explores best practices for opioid management and the newest devices as direct therapies for pediatric chronic pain patients. The paper extensively discusses multidisciplinary clinics, opioid alternatives, and interventions, and includes resources for patients, families, and healthcare providers for further education.</div></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"33 5","pages":"Article 151458"},"PeriodicalIF":1.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
fm i -- Contents FM I -- 目录
IF 1.4 3区 医学
Seminars in Pediatric Surgery Pub Date : 2024-08-01 DOI: 10.1053/S1055-8586(24)00069-6
{"title":"fm i -- Contents","authors":"","doi":"10.1053/S1055-8586(24)00069-6","DOIUrl":"10.1053/S1055-8586(24)00069-6","url":null,"abstract":"","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"33 4","pages":"Article 151448"},"PeriodicalIF":1.4,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141952028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Approaches to nutrition and feeding in congenital diaphragmatic hernia 先天性膈疝的营养和喂养方法
IF 1.4 3区 医学
Seminars in Pediatric Surgery Pub Date : 2024-07-05 DOI: 10.1016/j.sempedsurg.2024.151442
Rebecca Pulvirenti , Hanneke IJsselstjin , Sebastien Mur , Francesco Morini
{"title":"Approaches to nutrition and feeding in congenital diaphragmatic hernia","authors":"Rebecca Pulvirenti ,&nbsp;Hanneke IJsselstjin ,&nbsp;Sebastien Mur ,&nbsp;Francesco Morini","doi":"10.1016/j.sempedsurg.2024.151442","DOIUrl":"https://doi.org/10.1016/j.sempedsurg.2024.151442","url":null,"abstract":"<div><p>In patients with congenital diaphragmatic hernia<span><sup>1</sup></span>, nutrition can represent a challenge both in the short and long term. Its failure to resolve can have a significant impact on multiple aspects of the lives of patients with congenital diaphragmatic hernia (CDH), ranging from lung function to neurodevelopment. In this review, we will describe the causes of nutritional problems in patients with CDH, their consequences, and possible strategies to address them.</p></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"33 4","pages":"Article 151442"},"PeriodicalIF":1.4,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141605119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring the state of the art and science in congenital diaphragmatic hernia 探索先天性膈疝的技术和科学现状
IF 1.4 3区 医学
Seminars in Pediatric Surgery Pub Date : 2024-07-03 DOI: 10.1016/j.sempedsurg.2024.151435
Matthew T. Harting, Kevin P. Lally
{"title":"Exploring the state of the art and science in congenital diaphragmatic hernia","authors":"Matthew T. Harting,&nbsp;Kevin P. Lally","doi":"10.1016/j.sempedsurg.2024.151435","DOIUrl":"https://doi.org/10.1016/j.sempedsurg.2024.151435","url":null,"abstract":"","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"33 4","pages":"Article 151435"},"PeriodicalIF":1.4,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141605118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cardiac function in congenital diaphragmatic hernia 先天性膈疝的心脏功能
IF 1.4 3区 医学
Seminars in Pediatric Surgery Pub Date : 2024-07-03 DOI: 10.1016/j.sempedsurg.2024.151438
Gabriel Altit , Anie Lapointe , Florian Kipfmueller , Neil Patel
{"title":"Cardiac function in congenital diaphragmatic hernia","authors":"Gabriel Altit ,&nbsp;Anie Lapointe ,&nbsp;Florian Kipfmueller ,&nbsp;Neil Patel","doi":"10.1016/j.sempedsurg.2024.151438","DOIUrl":"10.1016/j.sempedsurg.2024.151438","url":null,"abstract":"<div><p>Cardiac function is known to play critical role in the pathophysiological progression and ultimate clinical outcome of patients with congenital diaphragmatic hernia (CDH). While often anatomically normal, the fetal and neonatal heart in CDH can suffer from both right and left ventricular dysfunction. Here we explore the abnormal fetal heart, early postnatal right and left ventricular dysfunction, the interplay between cardiac dysfunction and pulmonary hypertension, evaluation and echocardiographic assessment of the heart, and therapeutic strategies for managing and supporting the pathophysiologic heart and CDH. Further, we take a common clinical scenario and provide clinically relevant guidance for the diagnosis and management of this complex process.</p></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"33 4","pages":"Article 151438"},"PeriodicalIF":1.4,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141623018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surgical approaches to congenital diaphragmatic hernia 先天性膈疝的手术方法。
IF 1.4 3区 医学
Seminars in Pediatric Surgery Pub Date : 2024-07-02 DOI: 10.1016/j.sempedsurg.2024.151441
Sarah King , Benjamin D.E. Carr , George B. Mychaliska , Joseph T. Church
{"title":"Surgical approaches to congenital diaphragmatic hernia","authors":"Sarah King ,&nbsp;Benjamin D.E. Carr ,&nbsp;George B. Mychaliska ,&nbsp;Joseph T. Church","doi":"10.1016/j.sempedsurg.2024.151441","DOIUrl":"10.1016/j.sempedsurg.2024.151441","url":null,"abstract":"<div><p>Surgical repair of the diaphragm is essential for survival in congenital diaphragmatic hernia (CDH). There are many considerations surrounding the operation – why the operation matters, optimal timing of repair and its relation to extracorporeal life support (ECLS) use, minimally invasive versus open approaches, and strategies for reconstruction. Surgery is both affected by, and affects, the physiology of these infants and is an important factor in determining long-term outcomes. Here we discuss the evidence and provide insight surrounding this complex decision making, technical pearls, and outcomes in repair of CDH.</p></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"33 4","pages":"Article 151441"},"PeriodicalIF":1.4,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prenatal diagnostic and intervention considerations in congenital diaphragmatic hernia 先天性膈疝的产前诊断和干预注意事项
IF 1.4 3区 医学
Seminars in Pediatric Surgery Pub Date : 2024-07-02 DOI: 10.1016/j.sempedsurg.2024.151436
Claudia Ibarra , Eric Bergh , Kuojen Tsao , Anthony Johnson
{"title":"Prenatal diagnostic and intervention considerations in congenital diaphragmatic hernia","authors":"Claudia Ibarra ,&nbsp;Eric Bergh ,&nbsp;Kuojen Tsao ,&nbsp;Anthony Johnson","doi":"10.1016/j.sempedsurg.2024.151436","DOIUrl":"10.1016/j.sempedsurg.2024.151436","url":null,"abstract":"<div><p>Congenital diaphragmatic hernia (CDH) is a life-threatening birth defect with significant morbidity and mortality. The prenatal management of a pregnancy with a fetus affected with CDH is complex and requires a multi-disciplinary team approach. An improved understanding of prenatal diagnosis and management is essential to developing strategies to optimize outcomes for these patients. In this review, we explore the current knowledge on diagnosis, severity stratification, prognostic prediction, and indications for fetal intervention in the fetus with CDH.</p></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"33 4","pages":"Article 151436"},"PeriodicalIF":1.4,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141623019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The role of ECLS in the management of congenital diaphragmatic hernia ECLS 在治疗先天性膈疝中的作用
IF 1.4 3区 医学
Seminars in Pediatric Surgery Pub Date : 2024-07-02 DOI: 10.1016/j.sempedsurg.2024.151440
Yigit S. Guner , JD Hammond , Sarah Keene , Brian Gray
{"title":"The role of ECLS in the management of congenital diaphragmatic hernia","authors":"Yigit S. Guner ,&nbsp;JD Hammond ,&nbsp;Sarah Keene ,&nbsp;Brian Gray","doi":"10.1016/j.sempedsurg.2024.151440","DOIUrl":"https://doi.org/10.1016/j.sempedsurg.2024.151440","url":null,"abstract":"<div><p>In the complex arena of Congenital Diaphragmatic Hernia (CDH) management, Extracorporeal Life Support (ECLS) provides a strategic window for stabilization and surgical correction, during which time marginal gains in patient stability can tip the scales towards survival. In modern neonatal ECLS, the focus is increasingly on minimizing survivor morbidity, which calls for considerable multidisciplinary expertise to enhance patient outcomes. This review will delve into the most up-to-date literature on the management of CDH in the context of ECLS, providing a comprehensive synthesis of current insights.</p></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"33 4","pages":"Article 151440"},"PeriodicalIF":1.4,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1055858624000611/pdfft?md5=e07bdab4a08a84afa8262d867ac59437&pid=1-s2.0-S1055858624000611-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141595650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Congenital diaphragmatic hernia-associated pulmonary hypertension 先天性膈疝相关性肺动脉高压
IF 1.4 3区 医学
Seminars in Pediatric Surgery Pub Date : 2024-07-02 DOI: 10.1016/j.sempedsurg.2024.151437
Kylie I. Holden , Natalie E. Rintoul , Patrick J. McNamara , Matthew T. Harting
{"title":"Congenital diaphragmatic hernia-associated pulmonary hypertension","authors":"Kylie I. Holden ,&nbsp;Natalie E. Rintoul ,&nbsp;Patrick J. McNamara ,&nbsp;Matthew T. Harting","doi":"10.1016/j.sempedsurg.2024.151437","DOIUrl":"10.1016/j.sempedsurg.2024.151437","url":null,"abstract":"<div><p>Congenital diaphragmatic hernia (CDH) is characterized by a developmental insult which compromises cardiopulmonary embryology and results in a diaphragmatic defect, allowing abdominal organs to herniate into the hemithorax. Among the significant pathophysiologic components of this condition is pulmonary hypertension (PH), alongside pulmonary hypoplasia and cardiac dysfunction. Fetal pulmonary vascular development coincides with lung development, with the pulmonary vasculature evolving alongside lung maturation. However, in CDH, this embryologic development is impaired which, in conjunction with external compression, stifle pulmonary vascular maturation, leading to reduced lung density, increased muscularization of the pulmonary vasculature, abnormal vascular responsiveness, and altered molecular signaling, all contributing to pulmonary arterial hypertension. Understanding CDH-associated PH (CDH-PH) is crucial for development of novel approaches and effective management due to its significant impact on morbidity and mortality. Antenatal and postnatal diagnostic methods aid in CDH risk stratification and, specifically, pulmonary hypertension, including fetal imaging and gas exchange assessments. Management strategies include lung protective ventilation, fluid optimization, pharmacotherapies including pulmonary vasodilators and hemodynamic support, and extracorporeal life support (ECLS) for refractory cases. Longitudinal re-evaluation is an important consideration due to the complexity and dynamic nature of CDH cardiopulmonary physiology. Emerging therapies such as fetal endoscopic tracheal occlusion and pharmacological interventions targeting key CDH pathophysiological mechanisms show promise but require further investigation. The complexity of CDH-PH underscores the importance of a multidisciplinary approach for optimal patient care and improved outcomes.</p></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"33 4","pages":"Article 151437"},"PeriodicalIF":1.4,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141623017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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