Study on Neonatal, Pediatric General and Cardiac Anaesthesia in Bari Pediatric Hospital, Italy

This study aims to provide an overview of the most contentious areas of clinical therapeutic aid in neonatal and paediatric general and cardiothoracic surgery, as well as pre- and post-operative Intensive Care Unit treatments. This is a description based on protocols and investigations in the Neonatal and Pediatric General and Cardiac Anaesthesia and ICU of a Pediatric Hospital in Bari, Italy, that have been published or are in the process of being validated. Even though science is very fast in giving to clinicians devices and new therapeutical goals, it is the clinicians themselves who have to use them in a correct way or, at least, in an alternative way, always taking in mind the patient safety.

This is how we daily act: we try to adapt the new devices or drugs to the patient’s problems and not the patients to them, keeping in mind that the development of dedicated systems in neonatal and pediatric age is very difficult to reach.

In the last few years we have adapted some of the adults techniques to neonate and pediatric patients, after parent’s consent signed, trying to open new pathways in several different pathology treatments and in anesthesia Haemodiafiltration and new blood purification techniques for septic shock and sepsis treatment, use of new procoagulative factors in neonatal cardiac surgery, validation of a new non invasive bio-impedenzometric program and devices for a total control of cardiovascular status applicable to premature and neonate, new miorelaxant and antidote use, sedation in ICU, Pediatric TCI developments, are the targets of our daily work.