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Neonatal Anesthesia pp 423–438Cite as

Anesthetic Complications in the Neonate

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Abstract

The neonate is at risk for increased perianesthetic complications attributed, in part, to such factors as the transitional circulation and the immaturity of many organ systems and metabolic processes. In the preterm neonate, incomplete maturation of all organ systems, in particular the pulmonary and cardiovascular systems, further magnifies the risks in the perioperative period. Neonatal surgical or interventional procedures, such as repair or palliation of major congenital anomalies or management of life-threatening complications of prematurity, are rarely elective. Excellent communication and collaboration among the neonatal, anesthesia, and surgical teams are essential to optimize the outcome. Despite best intentions, preparation, and experience, perianesthetic adverse events confront all practitioners. The discussion of complications and risks for all procedures and therapeutic options is beyond the scope of this chapter; therefore, the focus here is to provide an overview of the adverse events to which neonates are particularly vulnerable and of the potential risks from anesthetic agents.

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Authors and Affiliations

  1. Department is Anesthesia, Perioperative and Pain Medicine. The Division is Critical Care, Boston Children’s Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA, 02115, USA

    Pete G. Kovatsis MD

  2. Department is Anesthesia, Perioperative and Pain Medicine, The Division is Critical Care, Boston Children’s Hospital, 300 Longwood Avenue, Boston, MA, 02115, USA

    Monica Kleinman MD

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Correspondence to Pete G. Kovatsis MD .

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  1. Department of Anesthesia, Women & Children's Hospital of Buffalo, Buffalo, New York, USA

    Jerrold Lerman

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Kovatsis, P.G., Kleinman, M. (2015). Anesthetic Complications in the Neonate. In: Lerman, J. (eds) Neonatal Anesthesia. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-6041-2_16

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