Neonatal Anesthesia Flashcards
Fetal Development

APGAR Score

- Scores 7 and above-normal
- 4 to 6-fairly low
- 3 and below-critically low.
- A score of 10 is uncommon-transient cyanosis
- Transient cyanosis is common
The purpose of the Apgar test is to determine quickly whether a newborn needs immediate medical care

Respiratory changes


Pulmonary change

Pulmonary Development

A’s & B’s in Premies

Cardiovascular changes

Patent Foramen Ovale


Patent Ductus Arteriosis


PDA Symptoms

Treatment for PDA

Tetralogy of Fallot


The Following Symptoms Suggest Tetralogy of Fallot:

“Tet” spells

Surgical Repair

Anesthesia for tetrology
- Avoid stressful situations
- Well hydrated
- Take beta blockers day of surgery
Fetal Hemoglobin


Bili Lights


Thermoregulation

Physiology/anatomy behind thermoregulation

As infant gets cold…

Non-shivering Thermogenesis

Brown Fat


Risk Factors for Hypothermia

Infant Respiratory Distress Syndrome

Retinopathy of Prematurity

Volume assessment

Volume Status

Neonates in the OR

Pharmacologic Changes

Preop Evaluation / History

Birth history preop evaluation

Getting the Baby


Newborn Resuscitation
Target saturations for newborn infants during resuscitation

Common Neonatal Non-Cardiac Emergencies

Common Neonatal Non- Cardiac Emergencies

Congenital Diaphragmatic Hernia


Congenital Diaphragmatic Hernia - Goalsof management and indications for surgery


Congenital Diaphragmatic Hernia - Intraoperative management

Tracheoesophageal Fistula


Tracheoesophageal Fistula

Tracheoesophageal Fistula

Gastroschisis


Diagnosis of Gastroschisis


Omphalocoele


Omphalocoele Etiology


Incidence of Gastroschisis/Omphalocele

Anesthetic Concerns of Abdominal Wall Defects

Preoperative Management of Abdominal Wall Defects
Fluid and electrolyte management
Lab workup

Intraoperative Management of Abdominal Wall Defects

Staged Reduction


To Extubate or Not to Extubate, That is the Question?

Necrotizing Enterocolitis (NEC)

Early and Late Signs of Necrotizing Enterocolitis (NEC)

Medical Management of Necrotizing Enterocolitis (NEC)

Anesthetic Concerns of Necrotizing Enterocolitis (NEC)

Intraoperative Management and Maintenance of Anesthesia of Necrotizing Enterocolitis (NEC)

Meningocele repairs


Anesthetic Management of Meningocele repairs

Neonatal Emergency Summary
