By John M. Hutson, Michael O'Brien, Alan A. Woodward, Spencer W. Beasley
This distinctive booklet applies a scientific method of clarify the position of surgical procedure in treating adolescence illnesses. in the course of the booklet key topic parts are supported through case vignettes in addition to top of the range pictures and illustrations. development at the profitable sort of earlier variations, this 6th version of Jones’ medical Paediatric surgical procedure is considerably revised exploring primary issues such as:Neonatal Emergencies Head and Neck stomach stomach Mass Urinary Tract Trauma Orthopaedics Chest Skin/Soft TissuesJones’ scientific Paediatric surgical procedure offers paediatricians and surgeons with an easy and transparent clarification of the surgical innovations on hand for the care of the paediatric sufferer.
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Additional info for Jones' Clinical Paediatric Surgery: Diagnosis and Management 6th Edition
Signs of respiratory failure In the neonate, especially in the premature neonate, acute hypoxia causes pallor, apnoea, bradycardia, hypotension and lethargy. The clinical signs of hypercapnia – sweating, tachycardia and hypertension are seen rarely, but pulmonary haemorrhage, cerebral haemorrhage, severe hyperkalaemia and hypoglycaemia may all occur as the result of hypoxia. General management An infant with incipient respiratory failure requires close observation at all times. Neonates should be nursed in an isolette or under a radiant heater so that the temperature is controlled and observation unimpeded.
The major cause of death remains pulmonary hypoplasia and pulmonary hypertension. Pulmonary hypertension is due to the small pulmonary vascular bed and to the changing resistance of the pulmonary arterioles: it resolves in most patients with time, provided ventilation does not produce additional lung injury. Survival rates of about 80% are now being reported. Anterior diaphragmatic hernia Anterior diaphragmatic (Morgagni) hernias are often diagnosed on an incidental x-ray of the chest in a symptomless patient, but repair is still advisable because of the risk of strangulation of the bowel that protrudes through the defect.
Sepsis There is a risk of sepsis with neonatal bowel obstruction and intravenous antibiotics are commenced after cultures are taken. Hirschsprung disease In 1887, Hirschsprung described two infants who died with gross abdominal distension due to a severely dilated colon containing masses of faeces. Hirschsprung assumed that the disease affected the megacolon. However, the disease was later shown to be in the narrow distal bowel where there is a lack of ganglion cells (the intrinsic nerves of the gut) in the submucosal and myenteric plexus.