Cited by 17Congenital Diaphragmatic Hernia StudiesCongenital Heart Disease StudiesNeonatal Respiratory Health Research

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Preoperative cardiopulmonary evaluation in specific neonatal surgery

Petroze, Robin T., Puligandla, Pramod S.·2019·Seminars in Pediatric Surgery

DOI 10.1053/j.sempedsurg.2019.01.002

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Abstract

Preoperative assessment of surgical neonates often relates to issues of prematurity, low birth weight, or associated malformations. This review explores the preoperative cardiopulmonary evaluation in specific newborn surgical populations, the role of echocardiography in congenital diaphragmatic hernia perioperative management, the impact of bronchopulmonary dysplasia in the ex-preterm surgical neonate and a brief discussion on the risk of general anesthesia and specific anesthetic considerations for any surgical neonate. Newborns with congenital anomalies requiring early general surgical intervention should have an assessment for congenital heart disease. In the asymptomatic neonate, a thorough physical exam may be sufficient preoperatively. Neonates born with esophageal atresia or anorectal malformations should have a full evaluation for VACTERL associations. Initial echocardiography in congenital diaphragmatic hernia is used to evaluate anatomy, but there is emerging evidence to suggest the use of echocardiography in the ongoing surveillance of CDH to influence the timing of surgical intervention. Bronchopulmonary dysplasia is present in up to 40% of ex-premature neonates and increases the risk of postoperative apneas and need for ventilatory support. However, all surgical neonates have an increased risk of post-operative apneas, and the need for surgical intervention should be balanced with the risk of general anesthesia.

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Innovative wearable technology for continuous echocardiographic monitoring: first-in-neonate case report
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See all 17

Authors: Petroze, R. T., & Puligandla, P. S.
Affiliations: University of Florida Health (US)
Montreal Children's Hospital (CA)
ORCID: Petroze, Robin T.
Puligandla, Pramod S.
Venue: Seminars in Pediatric Surgery
Publisher: Elsevier BV
Published: 2019-02
Volume: 28
Issue: 1
Pages: 3-10
ISSN: 1055-8586 (ISSN-L)
DOI: 10.1053/j.sempedsurg.2019.01.002
OpenAlex: W2910369124
Cited by: 17
References: 94
Citations by year: 2026: 1 · 2025: 5 · 2024: 3 · 2023: 2 · 2022: 3 · 2021: 2 · 2019: 1
FWCI: 0.31
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Seminars in Pediatric Surgery (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Surgery › Congenital Diaphragmatic Hernia Studies
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Congenital Heart Disease Studies
Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Neonatal Respiratory Health Research
Keywords: surgical neonates, congenital diaphragmatic hernia, echocardiography, bronchopulmonary dysplasia, general anesthesia risks, postoperative apnea, congenital heart disease, VACTERL association, esophageal atresia, anorectal malformation, timing of surgery
MeSH terms: Heart Diseases, Humans, Infant, Newborn, Lung Diseases, Preoperative Care, Risk Assessment

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Preoperative cardiopulmonary evaluation in specific neonatal surgery

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