Advances in antenatal imaging have allowed early and accurate diagnosis of many fetal anomalies. This, together with the increasing understanding of the natural history of many fetal diseases, has opened the door to the possibility of offering timely fetal interventions in progressive or life-threatening conditions with the intention of improving perinatal outcomes. These interventions can occur at an adult hospital with obstetrical services (with or without pediatric care) or at a freestanding pediatric hospital. In this article, we provide an overview of the approach to develop a comprehensive fetal care center in a freestanding pediatric hospital. Services included prenatal consultation, advanced diagnostics, innovative fetal therapy, research, and special delivery services. We also review the importance of continuous improvement in achieving this goal.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.1542/neo.24-8-e471 | DOI Listing |
J Vasc Surg
December 2024
Division of Vascular Surgery, Loma Linda School of Medicine, 11175 Campus St, Loma Linda, CA 92350, USA. Electronic address:
Introduction: Acute pediatric vascular issues are infrequent and result in a diverse, unpredictable experience for vascular surgeons and trainees. We reviewed the indications for consult and resulting interventions provided by the Vascular Surgery (VS) service at a freestanding Children's Hospital (CH) adjacent to a university hospital.
Methods: Consults to VS at our CH were reviewed over a 4.
Pediatr Emerg Care
December 2024
From the Department of Pediatric Surgery, Nationwide Children's Hospital, Columbus, OH.
Objectives: Delayed diagnosis of acute appendicitis in children may result in complex appendicitis with appendiceal perforation. Delayed diagnosis can result from missed opportunity for initial diagnosis (MOID) despite medical attention. Studies report MOID of less than 5% in pediatric emergency departments (EDs), but we hypothesized that many MOID occurs outside tertiary care facilities.
View Article and Find Full Text PDFJAMA Netw Open
December 2024
Department of Emergency Medicine, Massachusetts General Hospital, Boston.
Importance: Higher pediatric readiness has been associated with improved quality and outcomes of care for children. Pediatric emergency care coordinators (PECCs) are a component of pediatric readiness, but the specific association between PECCs and quality-of-care measures is undefined.
Objective: To examine the association between PECC presence and emergency department (ED) performance as reflected by quality-of-care measures.
Pediatr Crit Care Med
December 2024
Department of Family and Community Health; School of Nursing, University of Pennsylvania, Philadelphia, PA.
Objectives: To develop and conduct preliminary testing of the Withdrawal Assessment Tool-Alpha 2 Agonist (WAT-A2A) to monitor dexmedetomidine and clonidine withdrawal symptoms in acutely ill children.
Design: Three-phase instrument development study. Phase 1: retrospective chart review of symptoms exhibited by children with documented dexmedetomidine withdrawal; phase 2: WAT-A2A instrument construction based on phase 1 data; and phase 3: prospective testing of the WAT-A2A in children weaning from alpha 2 agonists (A2As).
J Pediatr Nurs
November 2024
University of Nebraska Medical Center, Department of Biostatistics, Omaha, NE, United States of America.
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!