Bedside surgery in the newborn infants: survey of the Italian society of pediatric surgery
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Bedside surgery in the newborn infants: survey of the Italian society of pediatric surgery Gloria Pelizzo1*† , Pietro Bagolan2†, Francesco Morini2, Mariagrazia Aceti3, Daniele Alberti4, Mario Andermarcher5, Luigi Avolio6, Fabio Bartoli7, Vito Briganti8, Sebastiano Cacciaguerra9, Francesco S. Camoglio10, Pierluca Ceccarelli11, Maurizio Cheli12, Fabio Chiarenza13, Enrico Ciardini14, Marcello Cimador15, Ennio Clemente16, Denis A. Cozzi17, Luigi Dall’ Oglio18, Ugo De Luca19, Carmine Del Rossi20, Ciro Esposito21, Diego Falchetti22, Silvana Federici23, Piergiorgio Gamba24, Valerio Gentilino25, Girolamo Mattioli26, Ascanio Martino27, Mario Messina28, Bruno Noccioli29, Alessandro Inserra30, Pierluigi Lelli Chiesa31, Ernesto Leva32, Francesco Licciardi33, Paola Midrio34, Maria Nobili7, Alfonso Papparella35, Guglielmo Paradies36, Giuseppe Piazza37, Alessio Pini Prato38, Fabio Rossi39, Giovanna Riccipetitoni6, Carmelo Romeo40, Domenico Salerno41, Alessandro Settimi42, Jurgen Schleef43, Mario Milazzo44, Valeria Calcaterra45 and Mario Lima46
Abstract Introduction: This is the report of the first official survey from the Italian Society of Pediatric Surgery (ISPS) to appraise the distribution and organization of bedside surgery in the neonatal intensive care units (NICU) in Italy. Methods: A questionnaire requesting general data, staff data and workload data of the centers was developed and sent by means of an online cloud-based software instrument to all Italian pediatric surgery Units. Results: The survey was answered by 34 (65%) out of 52 centers. NICU bedside surgery is reported in 81.8% of the pediatric surgery centers. A lower prevalence of bedside surgical practice in the NICU was reported for Southern Italy and the islands than for Northern Italy and Central Italy (Southern 5
9 (26.47)
□5
2 (5.88)
□ 6–10
5 (14.71)
□ 11–15
13 (38.24)
□ 16–20
7 (20.59)
□ > 20
7 (20.59)
□ 15
3 (9.38)
□ ≤10
9 (26.47)
□ 11–15
10 (29.41)
□ 16–20
9 (26.47)
□ > 20
6 (17.65)
Practices on surgery How many beds are dedicated to neonatal surgery in NICU and/or in your surgical unit?
How many neonatal surgical interventions in operative rooom or bedside are performed annually (last year) in your surgical unit?
Is bedside surgery routine in selected unstable cases in your NICU?
What do you think are the main problems that could contraindicate a surgical intervention in the NICU on selected patients?
□ 15
1 (3.03)
□ < 20
7 (20.59)
□ 21–30
15 (44.12)
□ 31–50
6 (17.65)
□ > 50
6 (17.65)
□ Yes
27 (79.42)
□ No
7 (20.59)
□ Unavailability of rooms at the NICU
23 (74.19)
□ Lack of legal regulation
11 (35.48)
Pelizzo et al. Italian Journal of Pediatrics
(2020) 46:134
Page 4 of 8
Table 1 Questionnaire and responses of the all responder centers (Continued) Questions
General and staff data for surveyed pediatric surgery centers
The geographical distribution of the centers who responded to the survey is: Northern 15/34 (44%), 5/34 Central (15%) and Southern and islands 14/34 (41%) (Table 1). NI
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