Stabilization and Resuscitation of Newborns: 3rd Edition

A special issue of Children (ISSN 2227-9067).

Deadline for manuscript submissions: closed (28 February 2025) | Viewed by 382

Special Issue Editor


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Guest Editor
Division of Neonatology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, 8010 Graz, Austria
Interests: birth asphyxia; preterm birth; initial ventilation strategies; airway management; oxygen titration; timing of umbilical cord clamping; temperature control; chest compressions; neonatal vascular access; emergency medication; post-resuscitation care
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Special Issue Information

Dear Colleagues,

Annually, approximately 13–26 million newborns worldwide need respiratory support immediately after birth, and another 2–3 million newborns need extensive resuscitation including chest compressions and drug administration. Despite a significant increase in knowledge and enhanced therapy strategies over the past few years, there is still a high incidence of mortality and neurologic morbidity in those patients. Therefore, further research is highly warranted, aiming at supporting or introducing novel therapies or concepts in the area of the stabilization and resuscitation of preterm and term newborns. Current hot topics in the field include initial ventilation strategies, (difficult) airway management, oxygen titration, the timing of umbilical cord clamping, body temperature control, cardio-circulatory support such as chest compressions, vascular access, and emergency medication, and post-resuscitation care. Another crucial topic is neonatal resuscitation education, including simulation-based training, to improve patient safety and clinical outcomes.

Considering the success and popularity of the Special Issues “Stabilization and Resuscitation of Newborns (https://www.mdpi.com/journal/children/special_issues/Stabilization_Resuscitation_Newborns)” and “Stabilization and Resuscitation of Newborns: 2nd Edition (https://www.mdpi.com/journal/children/special_issues/Stabilization_Resuscitation_Newborns_Volume_2)”, previously published in the journal Children, we are now releasing the 3rd Edition, aiming at gathering original research papers and review articles focused on the stabilization and resuscitation of preterm and term infants. In this Special Issue of Children, senior investigators are welcome to invite mentees and colleagues to co-author submissions under their supervision. We look forward to receiving your contributions.

Dr. Bernhard Schwaberger
Guest Editor

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Keywords

  • birth asphyxia
  • preterm birth
  • initial ventilation strategies
  • airway management
  • oxygen titration
  • timing of umbilical cord clamping
  • temperature control
  • chest compressions
  • vascular access
  • emergency medication
  • congenital diaphragmatic hernia
  • post-resuscitation care
  • simulation in neonatal resuscitation
  • patient safety

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Published Papers (1 paper)

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15 pages, 3033 KiB  
Article
Tips and Tricks in the Laparoscopic Treatment of Type I Duodenal Atresia: Description of a Technique
by Salvatore Fabio Chiarenza, Maria Luisa Conighi, Valeria Bucci and Cosimo Bleve
Children 2025, 12(4), 517; https://doi.org/10.3390/children12040517 - 17 Apr 2025
Viewed by 75
Abstract
Introduction: Congenital duodenal atresia (DA) (Type I) with a fenestrated web can be characterized by a late presentation with a delayed diagnosis. It is even rarer and usually associated with proximal duodenomegaly. Conventional management involves web resection and duodeno–duodeno anastomosis with or without [...] Read more.
Introduction: Congenital duodenal atresia (DA) (Type I) with a fenestrated web can be characterized by a late presentation with a delayed diagnosis. It is even rarer and usually associated with proximal duodenomegaly. Conventional management involves web resection and duodeno–duodeno anastomosis with or without duodenoplasty. We describe our mininvasive surgical strategy and management, detailing the aspects of laparoscopic techniques. Material and Methods: We retrospectively reviewed the medical records of five patients affected by fenestrated duodenal web (DA) with a delayed onset of symptoms and diagnosis who were managed in our Department over a period of 10 years (2013–2023). We analyzed the age of patients at diagnosis, clinical signs and symptoms, associated congenital anomalies, radiological and intraoperative findings, surgical treatment, and outcomes. Diagnostic examinations included ultrasound (US), Upper-Gastrointestinal Study (UGI), and Esophagogastroduodenoscopy (EGDS). Results: Three boys and two girls, median age of 5.5 months (range 3–11 months), were included in this study. Three underwent previous surgery for long-gap esophageal atresia (EA), two of Type A, and one of Type C, requiring a gastrostomy immediately after birth (delayed esophageal repair for prematurity in Type C) and subsequent delayed primary anastomosis. Major associated anomalies were EA (3), anterior ectopic anus (1), cloaca (1), and Type IV laryngeal web (1). An antenatal diagnostic suspicion of duodenal atresia (obstruction) on ultrasound was described in two patients. UGI suggested a fenestrated duodenal web, visualized at ultrasound in two patients. Duodenal dilation was associated in two cases. The symptoms were feeding difficulties, nonbilious vomiting, upper abdominal distension, and poor growth. All presented with a pre-ampullary obstruction. Endoscopic confirmation was only possible in one patient. The older patient underwent an endoscopic resection of a duodenal web. In the other four, we performed a laparoscopic longitudinal antimesenteric duodenal incision, web resection (excision), and transverse suture (closure was performed) without duodenoplasty. Intraduodenal Indocyanine Green (ICG) visualization (under near-infrared light) was used in the last two cases. No postoperative complications were recorded, with a mean hospital stay of 8 days. A contrast study performed at 4 weeks demonstrated an improved proximal duodenal profile; patients tolerated a full diet and remained symptom-free. Conclusions: According to our experience with minimally invasive techniques, laparoscopy and endoscopy are effective and safe, supporting web resection for the management of a duodenal web without tapering of the proximal duodenum. They require advanced technical skills. Intraduodenal-ICG injection during laparoscopic treatment of Type 1 DA allows localization of the duodenal web, confirmation of bowel patency (bowel canalization) and the tightness of suture. Full article
(This article belongs to the Special Issue Stabilization and Resuscitation of Newborns: 3rd Edition)
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