Extern paediatric unit – documents anoxia e hipoxia

16

The nervous system and cardiac anomalies were incompatible with life, and no

Therapy was possible. The al imentary anomalies included one case of diaphragmatic

Hernia which only survived for 5 minutes, one case of duodenal atresia in a 3 lb.

Premature, and one case of microcolon. One case of oesophageal atresia was suc-

Cessfully operated on by mr. O’connell, but unfortunate ly died two weeks later from

An empyema.

Cerebral hae~orrhage .

There were 19 neo-natal deaths associated with, and likely the result of intra-

Cranial haemorrhage. 10 of these were shown to have tentorial tears at post mortem

Examination.


In other cases the post mor tem examination showed small haemorr-

Hages, and the difficulty of deciding whether this was the cause or result of cerebral

anoxia e hipoxia

Anoxia remained.

Asphyx ia and ateleetasis :

Uuder this heading axe included cases of atelectasis, many of which would appear

To have resulted from cerebral anoxia. Post mor tem examination however showed

No cerebral injury. There were 2 cases of resorption atelectasis.

Haemolytic disease of the newborn :

There were 8 neo-natal deaths.

Birth weight

2 8

3 4

4

4 6

4 8

5 8

6 0

* twins

Exchange transfus ion post mortem

0 previable

+ cardiac failure

} ~.Atelectasis

F i l i a l atresia

+ cerebral haemorrhage

(tentorial tear)

+ duodenal stenosis

+ cardiac failure

+ cardiac failure

During the year 64 exchange tramsfusions were carried out on 34 infants. The smallest

In/ant successfully exchanged weighed 2 lb. 10oz.

Infection :

anoxia e hipoxia

There were 2 cases of neo-n~tal deaths due to infection, one was a case of empyema,

And is referred to under the heading of conjenital abnormalities. The other case

Was one of pneumonia, and endocarditis, who died at 3 weeks of age.

We were rather fortunate that the number of neo-natal deaths from infection

Were so few, and we had to lean rather heavily on the antibiotics to achieve this.

The nursing staff must take the major credit for this record . The depar tment is

Greatly understaffed, and it is truly amazing that the neo-natal death rate is so low

In the near future it would seem to be inevitable that present antibiotic therapy

Will be of no avail against the staphylococcus at least, and an understaffed paediatric

anoxia e hipoxia

Unit invites obvious catastrophe.

To sister kilduff and the nursing staff we offer our sincere thanks for their constant

And excellent care and attent ion to the work of the unit.

SHEAMUS DUNDON,

EXTERN PAEDIATRIC UNIT.

YEAR 1956.

Number of babies visited . . . . . . . . . . . .

Number of visits made by tlae nurses . . . . . . . . .

Number of babies admitted to unit . . . . . . . . .

Out-patients seen in unit . . . . . . . . . . . . . . .

Deaths– intern, 10.

Ateleetasis, cardiac failure.

Cardiac failure.

Pneumonia and peritonitis, hare lip, and cleft palate.

Lobar pneumonia.

Congenital heart.

Broncho-pneumonia and meningitis.

Septicaemia arid hepatic failure.

Congenital heart lesion and pneumonia.

Septicaemia.Anoxia e hipoxia

Streptococcal septicaemia.

° . .

° . .

… 2,470

… 9,659

… 146

… 843

Deaths–extern , nil.

17

Reasons for admission :

Breast abscess.

Osteomyel i t is .

Pneumonia .

Pylor ic stenosis.

Dietetic.

Abnormal i t ies.

Jaundice.

P rematur i ty .

Congenita l heart .

Rhesus incompat ib i l i ty .

Sept icaemia.

Observat ion.

Atelectasis.

Upper resp i ratory t rac t infection.

Operation s :

Osteomyel i t is . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

Pylor ic stenosis . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

Exc is ion of v i te l lo – intest ina l duct . . . . . . . . . . . . . . . . . . 1

Abscesses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

Exchange transfusions . . . . . . . . . . . . . . . . . . . . . . . . 8

anoxia e hipoxia

S impie transfusions – – . . . . . . . . . . . . . . . . . . . . . . 4

Abscesses incised in un i t (out-pat ients) . . . . : . . . . . . . . . . . . . 48

The good results recorded are due to ti le h igh s tandard of nursing. To sister burke,

And the nurs ing staff mast go the gratefnl thanks of the vis i t ing paediatr ic ians. The

Excel lence of the i r work, the cont inued cheerfulness of them all, the f requent return

On. Duty after hours has been an insp i rat ion to us. No. 1 I-iolles st reet is indeed of

The greatest help in the t reatment , and care of the I-iospjtal’s recent newlyborn.

To l~iiss bolger, whose s tandard of work is no less high, goes our appreciat ion, and

Thanks.

SHEAMUS DUNDON.Anoxia e hipoxia

TABLE XX I I . – -ENTERN MATERNITY .

Tota l calls on the distr ict . . . . . . . . . . . . . . . . . . . . . . . . 740

Tota l del iver ies . . . . . . . . . . . . . . . . . . . . . . . . . . . 404

Pr imigrav idae . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

B.B.A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

Presentat ions :

Vertex . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 275

P.O.P . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Breech . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Twins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

Complicat ions :

Sti l lborn (fresh) . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

anoxia e hipoxia

Stillbolax (macerated) . . . . . . . . . . . . . . . . . . . . . 3

Curettage for incomplete abort ion . . . . . . . . . . . . . . . . . . 107

Complete abort ions . . . . . . . . . . . . . . . . . . . . . . . . 16

Forceps del iveries . . . . . . . . . . . . . . . . . . . . . . . . 2

Manual remova ls on own D is t r i c t . . . . . . . . . . . . . . . . . . 5

Blood given on own dis t r ic t . . . . . . . . . . . . . . . . . . . . . 13

Pint*

A .P .H . . . . . . . . . . . . . . . . . . . 28

(all cases of a~tepar tum hae’morr l~ge transferred to ilospitaij

One mother admi t ted wi th pneumonia . . . . . . . . . . . . . . . 1

Fnfanls :

Anencep l~lus . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Premature infants . . . . . . . . . . . . . . . 4

anoxia e hipoxia

Jaundice at birth. Admi~ed to ext~rn paecl’ iatric-{jnit . . . . . . 2

16

The nervous system and cardiac anomalies were incompatible with life, and no

Therapy was possible. The al imentary anomalies included one case of diaphragmatic

Hernia which only survived for 5 minutes, one case of duodenal atresia in a 3 lb.

Premature, and one case of microcolon. One case of oesophageal atresia was suc-

Cessfully operated on by mr. O’connell, but unfortunate ly died two weeks later from

An empyema.

Cerebral hae~orrhage .

There were 19 neo-natal deaths associated with, and likely the result of intra-

Cranial haemorrhage. 10 of these were shown to have tentorial tears at post mortem

Examination. In other cases the post mor tem examination showed small haemorr-

anoxia e hipoxia

Hages, and the difficulty of deciding whether this was the cause or result of cerebral

Anoxia remained.

Asphyx ia and ateleetasis :

Uuder this heading axe included cases of atelectasis, many of which would appear

To have resulted from cerebral anoxia. Post mor tem examination however showed

No cerebral injury. There were 2 cases of resorption atelectasis.

Haemolytic disease of the newborn :

There were 8 neo-natal deaths.

Birth weight

2 8

3 4

4

4 6

4 8

5 8

6 0

* twins

Exchange transfus ion post mortem

0 previable

+ cardiac failure

} ~.Atelectasis

F i l i a l atresia

+ cerebral haemorrhage

(tentorial tear)

+ duodenal stenosis

+ cardiac failure

+ cardiac failure

During the year 64 exchange tramsfusions were carried out on 34 infants.Anoxia e hipoxia the smallest

In/ant successfully exchanged weighed 2 lb. 10oz.

Infection :

There were 2 cases of neo-n~tal deaths due to infection, one was a case of empyema,

And is referred to under the heading of conjenital abnormalities. The other case

Was one of pneumonia, and endocarditis, who died at 3 weeks of age.

We were rather fortunate that the number of neo-natal deaths from infection

Were so few, and we had to lean rather heavily on the antibiotics to achieve this.

The nursing staff must take the major credit for this record . The depar tment is

Greatly understaffed, and it is truly amazing that the neo-natal death rate is so low

In the near future it would seem to be inevitable that present antibiotic therapy

anoxia e hipoxia

Will be of no avail against the staphylococcus at least, and an understaffed paediatric

Unit invites obvious catastrophe.

To sister kilduff and the nursing staff we offer our sincere thanks for their constant

And excellent care and attent ion to the work of the unit.

SHEAMUS DUNDON,

EXTERN PAEDIATRIC UNIT.

YEAR 1956.

Number of babies visited . . . . . . . . . . . .

Number of visits made by tlae nurses . . . . . . . . .

Number of babies admitted to unit . . . . . . . . .

Out-patients seen in unit . . . . . . . . . . . . . . .

Deaths– intern, 10.

Ateleetasis, cardiac failure.

Cardiac failure.

Pneumonia and peritonitis, hare lip, and cleft palate.

Lobar pneumonia.

Congenital heart.

Broncho-pneumonia and meningitis.Anoxia e hipoxia

Septicaemia arid hepatic failure.

Congenital heart lesion and pneumonia.

Septicaemia.

Streptococcal septicaemia.

° . .

° . .

… 2,470

… 9,659

… 146

… 843

Deaths–extern , nil.

17

Reasons for admission :

Breast abscess.

Osteomyel i t is .

Pneumonia .

Pylor ic stenosis.

Dietetic.

Abnormal i t ies.

Jaundice.

P rematur i ty .

Congenita l heart .

Rhesus incompat ib i l i ty .

Sept icaemia.

Observat ion.

Atelectasis.

Upper resp i ratory t rac t infection.

Operation s :

Osteomyel i t is . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

Pylor ic stenosis . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

Exc is ion of v i te l lo – intest ina l duct . . . . . . . . . . . . . . . . . . 1

Abscesses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

anoxia e hipoxia

Exchange transfusions . . . . . . . . . . . . . . . . . . . . . . . . 8

S impie transfusions – – . . . . . . . . . . . . . . . . . . . . . . 4

Abscesses incised in un i t (out-pat ients) . . . . : . . . . . . . . . . . . . 48

The good results recorded are due to ti le h igh s tandard of nursing. To sister burke,

And the nurs ing staff mast go the gratefnl thanks of the vis i t ing paediatr ic ians. The

Excel lence of the i r work, the cont inued cheerfulness of them all, the f requent return

On. Duty after hours has been an insp i rat ion to us. No. 1 I-iolles st reet is indeed of

The greatest help in the t reatment , and care of the I-iospjtal’s recent newlyborn.

To l~iiss bolger, whose s tandard of work is no less high, goes our appreciat ion, and

anoxia e hipoxia

Thanks.

SHEAMUS DUNDON.

TABLE XX I I . – -ENTERN MATERNITY .

Tota l calls on the distr ict . . . . . . . . . . . . . . . . . . . . . . . . 740

Tota l del iver ies . . . . . . . . . . . . . . . . . . . . . . . . . . . 404

Pr imigrav idae . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

B.B.A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

Presentat ions :

Vertex . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 275

P.O.P . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Breech . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Twins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

Complicat ions :

Sti l lborn (fresh) . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

anoxia e hipoxia

Stillbolax (macerated) . . . . . . . . . . . . . . . . . . . . . 3

Curettage for incomplete abort ion . . . . . . . . . . . . . . . . . . 107

Complete abort ions . . . . . . . . . . . . . . . . . . . . . . . . 16

Forceps del iveries . . . . . . . . . . . . . . . . . . . . . . . . 2

Manual remova ls on own D is t r i c t . . . . . . . . . . . . . . . . . . 5

Blood given on own dis t r ic t . . . . . . . . . . . . . . . . . . . . . 13

Pint*

A .P .H . . . . . . . . . . . . . . . . . . . 28

(all cases of a~tepar tum hae’morr l~ge transferred to ilospitaij

One mother admi t ted wi th pneumonia . . . . . . . . . . . . . . . 1

Fnfanls :

Anencep l~lus . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Premature infants . . . . . . . . . . . . . . . 4

anoxia e hipoxia

Jaundice at birth. Admi~ed to ext~rn paecl’ iatric-{jnit . . . . . . 2