scholarly journals Influence of the Covid19 Epidemic on the Daily Practice of Major Ambulatory Surgery in a Pediatric Surgery Unit

2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Guijo Blanca ◽  
Rivilla Luis F
Keyword(s):  
Pediatric Surgery ◽  
Ambulatory Surgery ◽  
Daily Practice

Influence of the COVID19 Epidemic on the Daily Practice of Major Ambulatory Surgery in a Pediatric Surgery Unit

2021 ◽  
Vol 01 (01) ◽  
Author(s):  
Guijo B ◽  
Rivilla LF
Keyword(s):  
Pediatric Surgery ◽  
Ambulatory Surgery ◽  
Daily Practice

Safeguarding Infant Brains: A Multidisciplinary Challenge—Results of a Survey, Update on Current Scientific Evidence, and Recommendations on How to Deal with Possible Anesthetic Drug Neurotoxicity

2017 ◽  
Vol 28 (05) ◽  
pp. 400-405
Author(s):  
John Vlot ◽  
Rene Wijnen ◽  
Frank Weber
Keyword(s):  
Pediatric Surgery ◽  
Scientific Evidence ◽  
Pediatric Anesthesia ◽  
Daily Practice ◽  
Scientific Data ◽  
Shared Responsibility ◽  
Neutral Position ◽  
Anesthetic Drug ◽  
Anesthetic Drugs ◽  
Prospective Longitudinal

Introduction Potential neurotoxicity of anesthetic drugs has been among the most intensively discussed issue in pediatric anesthesia for more than 10 years. It remains unclear how far this discussion has reached the European pediatric surgical community. Our aim was to investigate the thoughts of pediatric surgeons regarding this topic. In addition, we provide an update on the current scientific evidence regarding neurotoxicity together with recommendations for clinical practice. Materials and Methods A web-based survey to assess the thoughts of practicing European pediatric surgeons regarding neurotoxicity and how it may have influenced their daily practice of pediatric surgery was launched via the European Pediatric Surgeons' Association Web site. Results A total of 72 responses could be analyzed. A majority of the respondents were interested in the topic but felt a need to further explore it. Thirty-one respondents have changed their daily practice of pediatric surgery due to potential anesthetic drug toxicity. Eighteen respondents reported to be concerned about neurotoxicity, 29 held a neutral position, and 8 were not concerned. Twenty-seven respondents found it a shared responsibility of the surgeon and the anesthesiologist to deal with the neurotoxicity issue. The majority of respondents found a necessity for further research on anesthetic drug neurotoxicity, assigning the highest priority to prospective longitudinal human studies and the lowest to animal studies. Conclusion The neurotoxicity question has reached the pediatric surgical community. Currently available scientific data do not support the theory of anesthetic drug-induced neurotoxicity in young children. Recent interdisciplinary clinical research focuses on neurodevelopmental outcome after surgery in neonates and infants. The European Safe Anesthesia For Every Tot initiative suggests focusing on proper conduct of anesthesia in children rather than on possible anesthetic drug neurotoxicity.

scholarly journals Minimally invasive pediatric surgery: Increasing implementation in daily practice and resident’s training

2007 ◽  
Vol 22 (1) ◽  
pp. 163-166 ◽  
Author(s):  
E. A. te Velde ◽  
N. M. A. Bax ◽  
S. H. A. J. Tytgat ◽  
J. R. de Jong ◽  
D. Vieira Travassos ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Pediatric Surgery ◽  
Daily Practice

432: The Association Between Stone Surgery Utilization and Surgeon Ownership of Ambulatory Surgery Centers

2007 ◽  
Vol 177 (4S) ◽  
pp. 144-145
Author(s):  
John M. Hollingsworth ◽  
Zaojun Ye ◽  
Sarah L. Krein ◽  
Alon Z. Weizer ◽  
Brent K. Hollenbeck
Keyword(s):  
Ambulatory Surgery ◽  
Ambulatory Surgery Centers

Pediatric Surgery Patients Require Special Care

2007 ◽  
Vol 38 (3) ◽  
pp. 46
Author(s):  
DENISE NAPOLI
Keyword(s):  
Pediatric Surgery ◽  
Special Care

Treatment of varicose tributaries with sclerotherapy with polidocanol 0.5 % foam

VASA ◽  
2010 ◽  
Vol 39 (2) ◽  
pp. 169-174 ◽  
Author(s):  
Reich-Schupke ◽  
Weyer ◽  
Altmeyer ◽  
Stücker
Keyword(s):  
Scientific Evidence ◽  
Daily Practice ◽  
Severe Adverse Effect ◽  
Safe Procedure ◽  
Efficacy And Safety ◽  
Foam Sclerotherapy ◽  
History Of ◽  
One Year ◽  
Additional Therapy

Background: Although foam sclerotherapy of varicose tributaries is common in daily practice, scientific evidence for the optimal sclerosant-concentration and session-frequency is still low. This study aimed to increase the knowledge on foam sclerotherapy of varicose tributaries and to evaluate the efficacy and safety of foam sclerotherapy with 0.5 % polidocanol in tributaries with 3-6 mm in diameter. Patients and methods: Analysis of 110 legs in 76 patients. Injections were given every second or third day. A maximum of 1 injection / leg and a volume of 2ml / injection were administered per session. Controls were performed approximately 6 months and 12 months after the start of therapy. Results: 110 legs (CEAP C2-C4) were followed up for a period of 14.2 ± 4.2 months. Reflux was eliminated after 3.4 ± 2.7 injections per leg. Insufficient tributaries were detected in 23.2 % after 6.2 ± 0.9 months and in 48.2 % after 14.2 ± 4.2 months, respectively. Only 30.9 % (34 / 110) of the legs required additional therapy. In 6.4 % vein surgery was performed, in 24.5 % similar sclerotherapy was repeated. Significantly fewer sclerotherapy-sessions were required compared to the initial treatment (mean: 2.3 ± 1.4, p = 0.0054). During the whole study period thrombophlebitis (8.2 %), hyperpigmentation (14.5 %), induration in the treated region (9.1 %), pain in the treated leg (7.3 %) and migraine (0.9 %) occurred. One patient with a history of thrombosis developed thrombosis of a muscle vein (0.9 %). After one year there were just hyperpigmentation (8.2 %) and induration (1.8 %) left. No severe adverse effect occurred. Conclusions: Foam sclerotherapy with injections of 0.5 % polidocanol every 2nd or 3rd day, is a safe procedure for varicose tributaries. The evaluation of efficacy is difficult, as it can hardly be said whether the detected tributaries in the controls are recurrent veins or have recently developed in the follow-up period. The low number of retreated legs indicates a high efficacy and satisfaction of the patients.

Safe Pediatric Surgery Checklist

2013 ◽  
Author(s):  
Maria Paula de Oliveira Pires ◽  
Mavilde da Luz Gonçalves Pedreira ◽  
Maria Angélica Sorgini Peterlini
Keyword(s):  
Pediatric Surgery

Contrast enhanced ultrasound as a first line imaging method in the evaluation of FLL in daily practice. A large monocentric experience.

2016 ◽  
Vol 37 (S 01) ◽  
Author(s):  
TV Moga ◽  
CS Ivascu ◽  
C Pienar ◽  
A Popescu ◽  
R Sirli ◽  
...  
Keyword(s):  
Daily Practice ◽  
Imaging Method ◽  
Contrast Enhanced Ultrasound ◽  
First Line ◽  
Contrast Enhanced ◽  
Line Imaging

Primary varicose veins

Phlebologie ◽  
2010 ◽  
Vol 39 (03) ◽  
pp. 133-137
Author(s):  
H. Partsch
Keyword(s):  
Varicose Veins ◽  
Compression Therapy ◽  
Daily Practice ◽  
Clinical Severity ◽  
Compression Stockings ◽  
Primary Varicose Veins ◽  
The Cost ◽  
Convincing Data ◽  
Long Term Studies

SummaryBackground: Compression stockings are widely used in patients with varicose veins. Methods: Based on published literature three main points are discussed: 1. the rationale of compression therapy in primary varicose veins, 2. the prescription of compression stockings in daily practice, 3. studies required in the future. Results: The main objective of prescribing compression stockings for patients with varicose veins is to improve subjective leg complaints and to prevent swelling after sitting and standing. No convincing data are available concerning prevention of progression or of complications. In daily practice varicose veins are the most common indication to prescribe compression stockings. The compliance depends on the severity of the disorder and is rather poor in less severe stages. Long-term studies are needed to proof the cost-effectiveness of compression stockings concerning subjective symptoms and objective signs of varicose veins adjusted to their clinical severity. Conclusion: Compression stockings in primary varicose veins are able to improve leg complaints and to prevent swelling.

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