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Lookup NU author(s): Michael De La Hunt
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The acute abdomen in the newborn provides challenging problems from many aspects, not only with regard to diagnosis, resuscitation and treatment, but also now with prenatal management. Most conditions are uncommon and treatment in specialist centres enables concentration of appropriate resources and expertise. Co-morbidity is common, particutarly in the preterm or tow birth weight infant. A multi-disciplinary team of surgeons, anaesthetists, neonatologists, radiologists, cardiologists, obstetricians, nurses, physiotherapists and other health professionals experienced in dealing with extremely small infants will provide the best outcome. The infant should be resuscitated and, as soon as conditions permit, transferred to a specialist surgical centre with intravenous fluids, gastric tube drainage and circulatory, respiratory and general support as needed. This involves close liaison within healthcare networks and readily available patient transfer facilities. Surgery itself should be carried out in a theatre fully equipped for neonatal surgery. A gentle touch is essential because of the fragility of the tissues, and painstaking care should be taken with blood toss. (c) 2006 Elsevier Ltd. All rights reserved.
Author(s): de la Hunt MN
Publication type: Article
Publication status: Published
Journal: Seminars in Fetal & Neonatal Medicine
ISSN (print): 1744-165X
ISSN (electronic): 1878-0946
Publisher: WB Saunders Co. Ltd.
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