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The book covers all aspects of anesthesia in newborns, neonates (under 28 days) and premature babies. These patients are highly vulnerable, very small in size and weight, at very high risk, and have high mortality and morbidity, which gets further aggravated by the medical diseases and congenital abnormalities these babies may suffer from.
The book provides knowledge that equips the anesthetists with the regional techniques used to provide both anesthesia and analgesia, including information about the drugs used, skills in providing neuraxial blocks, nerve blocks, etc., complications thereof and the specially designed equipment for these patients (IV cannula, endotracheal tubes, ryles tubes, laryngoscopes, SpO2 probes, monitors, incubators, warmers and heaters, mattresses, OT tables).
The book covers the pharmacology of drugs used, the effect of anesthetic drugs on the developing brain, pulmonary physiology, airway assessment and management, ventilation modes, getting IV and arterial access, preoperative workup, anesthetic management, and postoperative care. It includes care and concerns from both surgical and anesthesia aspects. It covers all the common surgical diseases along with some rare cases such as oncological concerns, palliative care, ethical concerns and pain management. The book also discusses the role and use of ultrasound. The chapter on anesthesia for short procedures includes common birth and neonatal care injuries. The book contains chapters on fluid therapy, blood and blood product transfusion guidelines and indications, resuscitation of a newborn and neonate, and neonatal rehabilitation to improve neonatal outcomes. It contains a dedicated chapter on why these babies are at a high risk of morbidity and mortality and contributing maternal factors. All the chapters are written by experts in their fields with vast experience.
This book bridges the gap in the knowledge of an anesthesiologist between anesthesia for children and adults and newborns, neonates and preterm babies.
Pages i-xx
Front Matter
Pages 1-1
Neonatal Mortality and Morbidity: The Burden
Pages 3-10
Impact of Maternal Health and Disease on Neonatal Outcome
Pages 11-27
Changes in the Newborn at Birth: Fetal-to-Newborn Transition
Pages 29-47
Common Medical Conditions in the Neonates
Pages 49-70
Neonatal Screening for Metabolic Diseases
Pages 71-83
Ophthalmological Surgical Conditions in the Newborn and Neonate
Pages 85-96
Pages 97-108
Effect of Anaesthesia on Developing Brain
Pages 109-119
Neonatal Rehabilitation and Outcome
Pages 121-133
Front Matter
Pages 135-135
General Anatomical and Physiological Considerations in the Newborn and Neonates
Pages 137-204
The Respiratory System: Development and Physiology in the Neonate
Pages 205-224
Pages 225-245
Autonomic Nervous System in the Neonate
Pages 247-257
Ventilation and Ventilatory Modes in Neonates
Pages 259-290
Pages 291-313
Thermoregulation in Newborns, Neonates, and Premature
Pages 315-326
Clinical Pharmacology of Anesthetic Drugs in Neonates
Pages 327-348
Neuromuscular Disorders in Neonate
Pages 349-361
Front Matter
Pages 363-363
Preoperative Workup, Perioperative NPO, and ERAS
Pages 365-385
Central Venous and Peripheral Arterial Access in Neonates
Pages 387-396
Ultrasound Guided Vascular Access in Neonates
Pages 397-405
Monitoring During Anaesthesia in the Newborn and Neonate
Pages 407-437
Perioperative Fluid Management and Blood Transfusion in Newborns and Neonates
Pages 439-455
Central Neuraxial Blocks in Neonates
Pages 457-469
Anaesthesia or Sedation for Procedures Outside the Operation Theatre
Pages 471-483
Pages 485-503
Perioperative Complications and Critical Incidents During Anesthesia in a Surgical Neonate
Pages 505-521
Front Matter
Pages 523-523
Tracheoesophageal Fistula in the Neonates
Pages 525-542
Anesthesia for Congenital Diaphragmatic Hernia
Pages 543-564
Anesthesia for Thoracic Surgery in Neonates
Pages 565-581
Abdominal Wall Defects in Newborns and Neonates: Exomphalos and Gastrochisis
Pages 583-597
Anesthesia for Gastrointestinal Surgical Conditions in Neonates
Pages 599-624
Anesthesia for Genitourinary Surgery in the Neonate
Pages 625-644
Anesthesia for Ophthalmic Procedures in the Newborn, Neonate, and Premature
Pages 645-668
Neural Tube Development and Defects: Meningocele, Encephalocele, Hydrocephalus
Pages 669-694
Anesthesia for Short Procedures
Pages 695-712
Anesthetic Consideration in a Neonate with Congenital Heart Disease for Noncardiac Surgery
Pages 713-738
Front Matter
Pages 739-739
Anaesthesia for Laparoscopic Surgery in Neonates
Pages 741-758
Anesthesia for Bronchoscopy in Neonates
Pages 759-767
Anaesthesia for Neurosurgical Procedures in Neonates
Pages 769-806
Exstrophy Bladder or Ectopia Vesicae
Pages 807-814
Biliary Atresia and Anesthetic Considerations
Pages 815-827
Craniosynostosis: A Congenital Anomaly
Pages 829-835
Pages 837-851
Nesidioblastoma (Congenital Hyperinsulinism - CHI)
Pages 853-857
Congenital Broncho-Biliary Fistula (CBBF)
Pages 859-864
Neonatal Malignancy and Anaesthesia
Pages 865-878
Neonatal Palliative Care: A Paradigm of Care
Pages 879-888
COVID-19 and The Surgical Neonate
Pages 889-901
Ethics in Neonatal Anesthesia and Research
Pages 903-926
Pages 927-997
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