Surgical Neonates
Provision and Location of Intensive Care

 

Reviewed by Carl Kuschel, John Beca (PICU), and Philip Morreau (Paediatric Surgery)
November
2004
Location of Intensive Care Infants older than 7 days or with acute infections Referral Processes
24B High Dependency Unit Post-operative Surgical Review Index of Related Documents

Location of Intensive Care

All surgical neonates who require intensive care in the neonatal period will be looked after before and after surgery in NICU.

The exceptions to this are:

  • Infants with congenital diaphragmatic hernia
    • Delivery will be attended by the Neonatal Team and they will be stabilised in NICU and then transferred as soon as practicable to PICU for ongoing management.
    • This will generally be after vascular lines have been inserted and radiographs taken, and we would anticipate that babies move to PICU within 1-2 hours of birth.

  • Infants with a paediatric surgical problem (e.g. bowel anomaly) whose predominant problem is congenital heart disease will be transferred to PICU.

 

  • Infants with airway problems will be managed in PICU.

 

  • Infants with abdominal wall defects who develop an abdominal compartment syndrome with renal impairment will be transferred to PICU.

These guidelines will need to be flexible. There will be times when one or other unit is full and requires assistance. In addition, some infants with conditions which would normally require admission to PICU may be initially managed in NICU if they are premature.

Infants older than 7 days or with acute infections

Referral Processes

Ward 24B High Dependency Unit

Post-operative Surgical Review

 

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