בשל "הגנת זכויות יוצרים", מובא להלן קישור למאמר בלבד. לקריאתו בטקסט מלא, אנא פנה/י לספרייה הרפואית הזמינה לך.
A neonate is a baby in the first 4 weeks of life, and preterm neonates are those born at less than 37 weeks gestation.
Based on weight, neonates have twice the metabolic rate, twice the minute ventilation and twice the cardiac output of adults.
A neonate’s larynx in high in the neck to allow feeding while breathing. Because it is so high, flexing the neck during intubation (the sniffing position) does not improve the view of the larynx.
Intubation is usually straightforward however, and videolaryngoscopes are now often used routinely.
The control of respiration is poorly developed in preterm neonates, and they are prone to apnea after anesthesia. Neonates are also prone to hypoglycemia and usually receive 10% glucose with 0.2% saline while fasting.
Anesthesia is required for many different surgical procedures in neonates.
Dealing with significantly smaller anatomy and more extreme proportions requires skill and appropriately sized equipment.
Less robust physiology demands more care and attention to detail before during and after anesthesia.
This cohort can also present with some unique pathology requiring equally specific surgery.