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Seminars in Pediatric Surgery最新文献

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Anesthetic considerations for fetal interventions 胎儿干预的麻醉注意事项
IF 1.4 3区 医学
Seminars in Pediatric Surgery Pub Date : 2024-10-01 DOI: 10.1016/j.sempedsurg.2024.151455
Jagroop M Parikh , Lindsay Warner , Debnath Chatterjee
{"title":"Anesthetic considerations for fetal interventions","authors":"Jagroop M Parikh ,&nbsp;Lindsay Warner ,&nbsp;Debnath Chatterjee","doi":"10.1016/j.sempedsurg.2024.151455","DOIUrl":"10.1016/j.sempedsurg.2024.151455","url":null,"abstract":"<div><div>Fetal therapy is a well-established but rapidly evolving field discipline. Fetal interventions require a multidisciplinary team approach that emphasizes collaboration and communication. The success of a fetal therapy program relies on the availability of a comprehensive obstetric and neonatal care team, support services, and advanced imaging. Technological advancements in prenatal fetal imaging and genetic diagnosis have improved our understanding of various fetal anomalies. Surgical techniques and anesthetic management have also advanced, leading to better outcomes. Fetal anesthesia presents unique challenges as it involves managing both the mother and the fetus. Anesthetic management focuses on ensuring maternal safety and comfort, maintaining adequate uteroplacental perfusion, optimizing surgical conditions, and minimizing risks for both the mother and the fetus. This article reviews current anesthesia practices for fetal surgery, highlighting recent advances and future directions.</div></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"33 5","pages":"Article 151455"},"PeriodicalIF":1.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142434373","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
Effective regional anesthesia for pediatric surgical care 为小儿外科护理提供有效的区域麻醉。
IF 1.4 3区 医学
Seminars in Pediatric Surgery Pub Date : 2024-10-01 DOI: 10.1016/j.sempedsurg.2024.151457
Ahmar Husain
{"title":"Effective regional anesthesia for pediatric surgical care","authors":"Ahmar Husain","doi":"10.1016/j.sempedsurg.2024.151457","DOIUrl":"10.1016/j.sempedsurg.2024.151457","url":null,"abstract":"<div><div>This review highlights the significant role of pediatric regional anesthesia in optimizing perioperative care and improving surgical outcomes. We examine common local anesthetics, adjuvant medications, and techniques. Safety, efficacy, adverse events, and controversies are addressed while spotlighting the broad utility of regional anesthesia to contribute to better outcomes and quality of life for pediatric surgical patients and their families.</div></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"33 5","pages":"Article 151457"},"PeriodicalIF":1.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478982","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
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,&nbsp;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
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