Prevention of pain in neonates is critical because of the potential for harmful consequences. Neonatal anesthetic management requires an understanding of the pharmacophysiologic limitations of the neonate as well as the pathophysiology of coexisting surgical disease.1 Although some neonates are extremely resistant to anesthesia, they are able to stand surgery for a fairly long period. However, there are numerous factors to consider, including:
If you want to learn more about the challenges of neonatal ventilation and how modern technology could support here, you can find more information here:
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Dr. John McCloskey talks about the challenges of Neonatal Anesthesia and how he and his team try to solve them. In part one he talks about periooperative care of the surgical neonate and physiologic and pharmalogic considerations
Physiologic and Pharmalogic considerations and modern anesthesia for neonates.
Regional anesthesia, epidural analgesia, Bupivacaine Dosing in Neonates, Interoperative fluid management: Blood loss, 3rd space loss, postoperative pain management
Inducing anesthesia in children is complicated. Five-year-old Tim has broken his leg - and now he has to undergo surgery. This book depicts what he experiences at the hospital (suitable for children aged 3 and up).
1 Hillier C, Krishna G, Brasoveanu E. Neonatal anesthesia. Semin in Pediatr Surg. 2004;13(3): 142-151.
2 Kundu N, Roy BP. Problems of neonatal anesthesia. Indian J Pediatr.1986;53(2): 237-241.