Chinese Medical E-ournals Database

Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition) ›› 2023, Vol. 19 ›› Issue (02): 139 -144. doi: 10.3877/cma.j.issn.1673-5250.2023.02.003

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Anesthetic management for non-cardiac surgery in preterm infants

Yongwei Su, Guo Cheng()   

  1. Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
  • Received:2022-11-22 Revised:2023-03-21 Published:2023-04-01
  • Corresponding author: Guo Cheng
  • Supported by:
    Natural Science Foundation by Science & Technology Department of Sichuan Province

With the growing birth rate of preterm infants, there is a significant increase in incidence of diseases in preterm infants, most of which require surgical treatment. However, preterm infants experience high risks of surgery and anesthesia due to the immaturity of their organ systems and concurrent disease states. The perioperative mortality and morbidity of non-cardiac surgery in preterm infants (NCSP) reported in the literature are relatively high. Therefore, anesthetic management of NCSP plays a vital role in reducing postoperative complications and perioperative mortality, promoting rapid postoperative recovery. This paper intends to elaborate on the selection of anesthesia methods, general anesthesia induction and maintenance during anesthetic management of NCSP, as well as the latest research progress in perioperative temperature, blood pressure, and blood glucose management. Thus, this review can provide references for improving anesthetic management of NCSP.

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