Neonatal anaesthesia
by
Hillier SC, Krishna G, Brasoveanu E.
Semin Pediatr Surg. 2004 Aug;13(3):142-51.


ABSTRACT

The physiology of the preterm and term neonate is characterized by a high metabolic rate, limited pulmonary, cardiac and thermoregulatory reserve, and decreased renal function. Multisystem immaturity creates important developmental differences in drug handling and response when compared to the older child or adult. Neonatal anesthetic management requires an understanding of the pharmacophysiologic limitations of the neonate as well as the pathophysiology of coexisting surgical disease. This review addresses the pertinent aspects of neonatal physiology and pharmacology, general considerations in the anesthetic care of surgical neonates, and concludes with a brief review of the anesthetic management of neonates with necrotizing enterocolitis, diaphragmatic hernia, and tracheoesophageal fistula.
People
Anaesthesia
Adverse effects
Obstetric anaesthesia
Inhalational techniques
Anaesthesia and anaesthetics
Neonatal analgesia and anaesthesia



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