BEDSIDE VS CONVENTIONAL OPERATING ROOM SURGERY IN CRITICALLY ILL NEWBORNS: SYSTEMATIC REVIEW AND META-ANALYSIS

jpedsurg.org

Surgical procedures in critically ill neonates are typically performed in the operating room, though transferring unstable patients from the NICU carries risks such as hypothermia and clinical deterioration. Bedside surgery in the NICU has emerged as an alternative for patients unfit for transport. This systematic review and meta-analysis compared perioperative outcomes of bedside versus operating room surgery in neonates.

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Article · Jun 2025 · 1 min read

In brief

This systematic review compares surgical outcomes when critically ill neonates undergo procedures at the bedside in the NICU versus traditional operating room transfer. The analysis evaluates whether bedside surgery reduces transport-related risks like hypothermia and clinical instability in unstable newborns requiring surgical intervention.

Transferring critically ill neonates to the OR carries risks including hypothermia and clinical deterioration during transport.
Bedside NICU surgery is a viable alternative for neonates too unstable to safely transport to the operating room.
Meta-analysis evidence now exists comparing perioperative outcomes between bedside and conventional OR approaches in this population.
Patient selection is critical: bedside surgery should be reserved for those unfit for transport, not as routine practice.

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