Extremely low birth weight (ELBW) neonates for emergency surgery- A challenge for the Anesthesiologist: A case series

Authors

DOI:

https://doi.org/10.47338/jns.v13.1294

Keywords:

Neonate, Preterm, Extremely low birth weight, Anesthesia, Emergency surgery, Unique

Abstract

Background: Extremely Low Birth Weight (ELBW) newborns, defined as those with a birth weight of 1000 grams or less, present challenging anesthetic scenarios. Emergency surgeries in these infants elevate their vulnerability to various complications.

Case Presentation: We present a case series involving 5 ELBW neonates who underwent emergency surgery. Three of them were at a post-conceptual age (PCA) of ≥ 33 weeks and underwent procedures for congenital birth defects, including esophageal atresia, ileal atresia, and gastroschisis. The remaining two neonates, with a PCA of 29-30 weeks, underwent surgery for necrotizing enterocolitis (NEC).

Conclusion: The compromised physiology resulting from distinct disease processes and the underdeveloped systems of ELBW preterm neonates necessitate focused care and strategic anesthesia. This approach is crucial to mitigate morbidity and mortality risks in such vulnerable patients.

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Author Biographies

Preeti Goyal Varshney, Lady Hardinge Medical College, New delhi

Associate Professor, Department of Anaesthesia

Madhurima Sinharay, Lady Hardinge Medical College

Ex-Senior Resident, Department of Anaesthesia

Anshu Gupta, Lady Hardinge Medical College

Director Professor, Department of Anaesthesia

Maitree Pandey, Lady Hardinge Medical College

Director Professor and Head of Department, 

Department of Anaesthesia

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Published

2024-03-14

How to Cite

1.
Varshney PG, Sinharay M, Gupta A, Pandey M. Extremely low birth weight (ELBW) neonates for emergency surgery- A challenge for the Anesthesiologist: A case series. J Neonatal Surg [Internet]. 2024Mar.14 [cited 2024Jul.21];13:14. Available from: https://jneonatalsurg.com/ojs/index.php/jns/article/view/1294