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PubMed · 2926612

Pediatric nurse practitioners develop ambulatory surgery cardiac program.

S B Kirkpatrick
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Abstract

The major objective for the Pediatric Cardiac Day Surgery Program at Children's Medical Center of Dallas is to promote cost-effectiveness while the quality of physical and psychosocial preparation of the child having cardiac surgery is maintained. The pediatric patients have comprehensive preoperative workups and teaching provided by pediatric nurse practitioners. The unique knowledge base, expertise, and clinical skills of the pediatric nurse practitioner have enabled the program not only to succeed but also to pave the way for the utilization of the Day Surgery Unit by many other surgical services.

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Ambulatory Surgical ProceduresCardiac Surgical ProceduresChildHumansNurse PractitionersPatient Education as TopicPediatric NursingPreoperative CareTexasJournal Article

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S B Kirkpatrick. Pediatric nurse practitioners develop ambulatory surgery cardiac program.. https://doi.org/10.1016/0891-5245(89)90100-4

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PubMed2007

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.

Ambulatory Surgical Procedures↗