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Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 18, 2011
[Emergency surgical treatment of children in hospitals for adults]
Insights
Many children needing urgent surgery are treated in adult units, leading to complications due to staff inexperience. A proposed system for organizing pediatric surgical care in district hospitals improves patient outcomes and reduces transfers.
Area of Science:
- Pediatric Surgery
- Healthcare Organization
- Surgical Intensive Care
Background:
- Over 50% of children with urgent surgical conditions undergo operations in adult units of district hospitals.
- Lack of specialized pediatric surgical and intensive care knowledge among doctors treating adults leads to errors and complications.
- Transfers to specialized children's hospitals are frequently necessitated by these complications.
Purpose of the Study:
- To propose an organizational system for pediatric surgical care in district hospitals.
- To improve the management of children with surgical diseases in non-specialized settings.
Main Methods:
- Implementing a system based on regulating district medical institutions.
- Aligning specialist competence in pediatric medicine and hospital equipment with patient needs.
- Stratifying patients by age and degree of hemostasis disturbances.
Main Results:
- The proposed organizational system for surgical treatment of children in district adult hospitals was implemented in Republic Karelia since 1987.
- The system demonstrated effectiveness in managing pediatric surgical cases.
Conclusions:
- The organized approach to pediatric surgical care in district hospitals is effective.
- This system can reduce complications and the need for patient transfers.
Abstract:
More than 50% of children with urgent surgical diseases are operated upon in district hospitals at the units for adults. Insufficient knowledge of particularities of surgery and intensive therapy in children of the doctors working mainly with adult patients is often responsible for errors and complications which often requires to transfer such patients to specialized hospitals for children. The author proposes a system of organizing measures based on regulation of the district medical prophylactic institutions according to the competence of specialists in problems of medicine in children and the equipment of the hospital as well as on the division of the patients by their age and degree of hemostasis disturbances. An experience with the regulation of surgical treatment to children in republic Karelia introduced since 1987 has shown that the proposed organization of medical treatment of children in district hospitals for adults proved to be effective.
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