Jafra Anudeep, Jain Divya, Bhardwaj Neerja, Yaddanapudi Sandhya
Department of Anesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Saudi J Anaesth. 2023 Apr-Jun;17(2):205-213. doi: 10.4103/sja.sja_632_22. Epub 2023 Mar 10.
Unexpected cardiac arrest in the perioperative period is a devastating complication. Owing to immaturity of organ systems, and presence of congenital malformations, morbidity and mortality are higher in neonates. There is abundant literature about early recognition and management of perioperative adverse events in children, but similar data and guidelines for surgical neonates is lacking. The current neonatal resuscitation guidelines cater to a newborn requiring resuscitation at the time of birth in the delivery room. The concerns in a newborn undergoing transition from intrauterine to extra uterine life is significantly different from a neonate undergoing surgery. This review highlights the causes and factors responsible for peri-arrest situations in neonates in the perioperative period, suggests preoperative surveillance for prevention of these conditions, and finally presents the resuscitation protocol of the surgical neonate. All these are comprehensively proposed as Neonatal Peri-operative Resuscitation (NePOR) protocol.
围手术期意外心脏骤停是一种毁灭性的并发症。由于器官系统不成熟以及存在先天性畸形，新生儿的发病率和死亡率更高。关于儿童围手术期不良事件的早期识别和管理有大量文献，但缺乏针对手术新生儿的类似数据和指南。当前的新生儿复苏指南适用于在产房出生时需要复苏的新生儿。从宫内生活过渡到宫外生活的新生儿所面临的问题与接受手术的新生儿有很大不同。本综述强调了围手术期新生儿心脏骤停前情况的原因和因素，建议进行术前监测以预防这些情况，最后介绍了手术新生儿的复苏方案。所有这些都作为新生儿围手术期复苏（NePOR）方案被全面提出。
