Tag Jeffrey D. Roizen

Patent Ductus Arteriosus

Risk Full-term infants: 1:2000 Preterm infants: 8:1000 Highest in preterm and low–birth-weight infants Female-to-male ratio: 2:1 Associated with congenital rubella infection and genetic defects, including trisomy 21, CHARGE, and a familial recurrence rate of 3% Perioperative Risks Surgery: Hemorrhage; hemodynamic…

Necrotizing Enterocolitis

Risk Most common life-threatening intestinal surgical emergency in the newborn. Occurs predominantly in premature infants, with 75% in infants weighing <1500 g. Increasing incidence in term and near-term neonates as well. Perioperative Risks CV instability, acidosis, shock, bowel ischemia, bacteremia,…

Malnutrition

Risk Rate approximately 5% in general population and 10–20% in surgical pts; increases to 40% or more in severely ill hospital admissions. Risk increases with severity of underlying disease, presence of malignancy (especially GI), and advancing age (in older [>75…

Epiglottitis

Risk Prevalent in children 1–7 y; sometimes called supraglottitis, it does occur in adults (decreasing incidence in children >3 y related to vaccines against Haemophilus influenzae type B, but still found, particularly if pt is not immunized). Adult incidence remains…

Dermatomyositis

Risk Prevalence in USA: 3000–10,000. Group, demographics with highest prevalence include females, 2:1 relative to men, with a peak onset between 30–60 y of age. Perioperative Risks Increased risk of respiratory failure and infections postop Worry About Most case reports…

Croup (Laryngotracheobronchitis)

Risk Children between 6 mo-6 y are at risk (6 mo–3 y at greatest risk). Children with underlying airway abnormalities (e.g., subglottic stenosis) or difficult intubations (e.g., micrognathia) and symptoms are at increased risk and require particular planning. Perioperative Risks…