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Anaesthetic concerns in preterm and term neonates

Anaesthesia for neonates is a composite of good knowledge of neonatal and transitional physiology combined with skill in airway maintenance and vascular access. When the newborn is a preterm, the complexities of management increase due to the small size and accompanying issues such as bronchopulmona...

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Autor principal: Subramaniam, Rajeshwari
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6761779/
https://www.ncbi.nlm.nih.gov/pubmed/31571691
http://dx.doi.org/10.4103/ija.IJA_591_19
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author Subramaniam, Rajeshwari
author_facet Subramaniam, Rajeshwari
author_sort Subramaniam, Rajeshwari
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description Anaesthesia for neonates is a composite of good knowledge of neonatal and transitional physiology combined with skill in airway maintenance and vascular access. When the newborn is a preterm, the complexities of management increase due to the small size and accompanying issues such as bronchopulmonary dysplasia and apnoea. World over, the number of survivors of preterm birth is on the increase. We searched Pubmed for “Anesthesia, apnea, neonatal, neonates, physiology, preterm, spinal anesthesia”, as well as cross references from review articles. These babies have a high incidence of conditions warranting surgery (e.g., tracheoesophaeal fistula, congenital diaphragmatic hernia, anorectal malformations, incarcerated hernia, necrotising enterocolitis). The possibility of neurodevelopmental harm by anaesthetics is currently the topic of active research. In parallel, advances in paediatric anaesthesia equipment, use of regional and neuraxial anaesthesia and availability of monitoring have steadily increased the safety of anaesthesia in these tiny patients.
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spelling pubmed-67617792019-09-30 Anaesthetic concerns in preterm and term neonates Subramaniam, Rajeshwari Indian J Anaesth Review Article Anaesthesia for neonates is a composite of good knowledge of neonatal and transitional physiology combined with skill in airway maintenance and vascular access. When the newborn is a preterm, the complexities of management increase due to the small size and accompanying issues such as bronchopulmonary dysplasia and apnoea. World over, the number of survivors of preterm birth is on the increase. We searched Pubmed for “Anesthesia, apnea, neonatal, neonates, physiology, preterm, spinal anesthesia”, as well as cross references from review articles. These babies have a high incidence of conditions warranting surgery (e.g., tracheoesophaeal fistula, congenital diaphragmatic hernia, anorectal malformations, incarcerated hernia, necrotising enterocolitis). The possibility of neurodevelopmental harm by anaesthetics is currently the topic of active research. In parallel, advances in paediatric anaesthesia equipment, use of regional and neuraxial anaesthesia and availability of monitoring have steadily increased the safety of anaesthesia in these tiny patients. Wolters Kluwer - Medknow 2019-09 /pmc/articles/PMC6761779/ /pubmed/31571691 http://dx.doi.org/10.4103/ija.IJA_591_19 Text en Copyright: © 2019 Indian Journal of Anaesthesia http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Review Article
Subramaniam, Rajeshwari
Anaesthetic concerns in preterm and term neonates
title Anaesthetic concerns in preterm and term neonates
title_full Anaesthetic concerns in preterm and term neonates
title_fullStr Anaesthetic concerns in preterm and term neonates
title_full_unstemmed Anaesthetic concerns in preterm and term neonates
title_short Anaesthetic concerns in preterm and term neonates
title_sort anaesthetic concerns in preterm and term neonates
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6761779/
https://www.ncbi.nlm.nih.gov/pubmed/31571691
http://dx.doi.org/10.4103/ija.IJA_591_19
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