Neonatal perioperative resuscitation (NePOR) protocol-An update
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 ad...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Saudi Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.saudija.org/article.asp?issn=1658-354X;year=2023;volume=17;issue=2;spage=205;epage=213;aulast=Jafra |
| _version_ | 1797866388066402304 |
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| author | Anudeep Jafra Divya Jain Neerja Bhardwaj Sandhya Yaddanapudi |
| author_facet | Anudeep Jafra Divya Jain Neerja Bhardwaj Sandhya Yaddanapudi |
| author_sort | Anudeep Jafra |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-09T23:24:30Z |
| format | Article |
| id | doaj.art-c6e1abc3b5cd42188c0e62d204c1a0c2 |
| institution | Directory Open Access Journal |
| issn | 1658-354X |
| language | English |
| last_indexed | 2024-04-09T23:24:30Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Saudi Journal of Anaesthesia |
| spelling | doaj.art-c6e1abc3b5cd42188c0e62d204c1a0c22023-03-21T11:26:55ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X2023-01-0117220521310.4103/sja.sja_632_22Neonatal perioperative resuscitation (NePOR) protocol-An updateAnudeep JafraDivya JainNeerja BhardwajSandhya YaddanapudiUnexpected 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.http://www.saudija.org/article.asp?issn=1658-354X;year=2023;volume=17;issue=2;spage=205;epage=213;aulast=Jafracardiac arrestperioperativeprematureresuscitationsurgical neonates |
| spellingShingle | Anudeep Jafra Divya Jain Neerja Bhardwaj Sandhya Yaddanapudi Neonatal perioperative resuscitation (NePOR) protocol-An update Saudi Journal of Anaesthesia cardiac arrest perioperative premature resuscitation surgical neonates |
| title | Neonatal perioperative resuscitation (NePOR) protocol-An update |
| title_full | Neonatal perioperative resuscitation (NePOR) protocol-An update |
| title_fullStr | Neonatal perioperative resuscitation (NePOR) protocol-An update |
| title_full_unstemmed | Neonatal perioperative resuscitation (NePOR) protocol-An update |
| title_short | Neonatal perioperative resuscitation (NePOR) protocol-An update |
| title_sort | neonatal perioperative resuscitation nepor protocol an update |
| topic | cardiac arrest perioperative premature resuscitation surgical neonates |
| url | http://www.saudija.org/article.asp?issn=1658-354X;year=2023;volume=17;issue=2;spage=205;epage=213;aulast=Jafra |
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