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Semin Plast Surg 2016; 30(04): 171-175
DOI: 10.1055/s-0036-1593477
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Practical Considerations in Pediatric Surgery

Matthew R. Louis
1   Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
,
Jesse D. Meaike
1   Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
,
Edward Chamata
1   Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
,
Larry H. Hollier Jr.
1   Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
› Author Affiliations
Further Information

Publication History

Publication Date:
18 November 2016 (online)

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Abstract

The care of pediatric patients requires special considerations that are often not addressed in the literature. Relatively straightforward tasks such as clinical evaluation, antibiotic use, splinting, wound closure, and care of simple burns become complicated in the pediatric population for several reasons. The authors seek to demystify some of these topics using the senior author's years of clinical experience treating pediatric patients by giving practical advice and general considerations when treating children.

Keywords

practical considerations - pediatric surgery - burns - splints - suture - antibiotics - clinical evaluation
 

  • References

  • 1 Khoshbin A, So JP, Aleem IS, Stephens D, Matlow AG, Wright JG ; SickKids Surgical Site Infection Task Force. Antibiotic prophylaxis to prevent surgical site infections in children: a prospective cohort study. Ann Surg 2015; 262 (2) 397-402
    CrossrefPubMedGoogle Scholar
  • 2 Shah GS, Christensen RE, Wagner DS, Pearce BK, Sweeney J, Tait AR. Retrospective evaluation of antimicrobial prophylaxis in prevention of surgical site infection in the pediatric population. Paediatr Anaesth 2014; 24 (9) 994-998
    CrossrefPubMedGoogle Scholar
  • 3 Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR ; Centers for Disease Control and Prevention (CDC) Hospital Infection Control Practices Advisory Committee. Guideline for prevention of surgical site infection, 1999. Am J Infect Control 1999; 27 (2) 97-132 , quiz 133–134, discussion 96
    CrossrefPubMedGoogle Scholar
  • 4 Bucher BT, Warner BW, Dillon PA. Antibiotic prophylaxis and the prevention of surgical site infection. Curr Opin Pediatr 2011; 23 (3) 334-338
    CrossrefPubMedGoogle Scholar
  • 5 Bratzler DW, Dellinger EP, Olsen KM , et al; American Society of Health-System Pharmacists (ASHP); Infectious Diseases Society of America (IDSA); Surgical Infection Society (SIS); Society for Healthcare Epidemiology of America (SHEA). Clinical practice guidelines for antimicrobial prophylaxis in surgery. Surg Infect (Larchmt) 2013; 14 (1) 73-156
    CrossrefPubMedGoogle Scholar
  • 6 Classen DC, Evans RS, Pestotnik SL, Horn SD, Menlove RL, Burke JP. The timing of prophylactic administration of antibiotics and the risk of surgical-wound infection. N Engl J Med 1992; 326 (5) 281-286
    CrossrefPubMedGoogle Scholar
  • 7 Harvey JS, Watkins GM, Sherman RT. Emergent burn care. South Med J 1984; 77 (2) 204-214
    CrossrefPubMedGoogle Scholar
  • 8 Saeman MR, Hodgman EI, Burris A , et al. Epidemiology and outcomes of pediatric burns over 35 years at Parkland Hospital. Burns 2016; 42 (1) 202-208
    CrossrefPubMedGoogle Scholar
  • 9 Kao LW, Nañagas KA. Toxicity associated with carbon monoxide. Clin Lab Med 2006; 26 (1) 99-125
    CrossrefPubMedGoogle Scholar
  • 10 Karyoute SM, Badran IZ. Tetanus following a burn injury. Burns 1988; 14 (3) 241-243
    CrossrefPubMedGoogle Scholar