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Principles of neonatal and paediatric surgery
- History and physical examination of the neonate and child
- Maintenance if body temperature
- Assessment of respiratory and cardiovascular function
- Metabolic status
- Fluids, electrolytes and metabolic response
- Vascular access
- Paediatric trauma
Pediatric surgeons have completed a general surgery residency (medicine), then complete two more years of subspecialty fellowship training before they are eligible to take the board examination for official subspecialty certification. In the United States and Canada, approximately 35 surgeons complete training as pediatric surgeons each year.
Pediatric surgery arose in the middle of the 20th century as the surgical care of birth defects required novel techniques and methods and became more commonly based at children’s hospitals. One of the sites of this innovation was Children’s Hospital of Philadelphia. Beginning in the 1940s under the surgical leadership of C. Everett Koop, newer techniques for endotracheal anesthesia of infants allowed surgical repair of previously untreatable birth defects. By the late 1970s, the infant death rate from several major congenital malformation syndromes had been reduced to near zero.
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