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PubMed · 1440451

[Ambulatory pediatric surgery].

J P Pochon·J Klöti·M C Buchmann
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Abstract

The authors refer about their experience in ambulatory pediatric surgery performed in pediatric clinics or in their own practice. Indications are listed, conditions, advantages and disadvantages are discussed. 562 operations were completed from February 1991 to January 1992, 181 (32%) under practice conditions with an experienced anesthesiologist. No complications had to be reported, and no patient was hospitalized due to surgical or anesthetic complications. But indications for ambulatory surgery have to be strictly noted, and only children in excellent health should be anesthesized. The decision about operability has to be made by the anesthesiologist in charge.

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Ambulatory Surgical ProceduresChildChild, PreschoolHumansInfantInfant, NewbornPatient Care TeamPediatricsPostoperative ComplicationsEnglish AbstractJournal Article

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BibTeXRIS

J P Pochon, J Klöti, M C Buchmann. 1992. [Ambulatory pediatric surgery].. https://pubmed.ncbi.nlm.nih.gov/1440451/

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The role of gait analysis in the orthopaedic management of ambulatory cerebral palsy.

PURPOSE OF REVIEW: The literature was reviewed to describe the role of gait analysis in the orthopaedic management of ambulatory children with cerebral palsy and examine the current best evidence to support these roles. RECENT FINDINGS: Gait laboratory analysis is superior to visual or observational analysis of gait because it provides an objective record of gait that is able to quantify the magnitude of deviations of pathologic gait from normal and also explain these abnormalities. Recognizable gait patterns can be classified and used for making treatment decisions, the effectiveness of which can be assessed using gait analysis as a measure of gait outcomes. There are many sources of variability, however, including patients themselves, the gait laboratories and testing processes, interpretation of data and surgeons' surgical recommendations. SUMMARY: Although gait analysis has been shown to alter decision making, there is little evidence that the decisions based on gait analysis lead to better outcomes. Consequently, clinical gait analysis remains controversial, with wide variation in the rates of utilization of gait analysis in the management of children with ambulatory cerebral palsy. The time is ripe for clinical trials and cohort studies to provide the evidence to establish the appropriate utilization of this technology.

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