Anesthesia and long-term outcomes after neonatal intensive care

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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
19:15

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

90.5K

Neil Marlow1

  • 1Department of Neonatal Medicine, UCL EGA Institute for Women's Health, London, UK.

Paediatric Anaesthesia
|December 17, 2013
PubMed

Insights

Optimizing care for extremely preterm infants focuses on reducing long-term health issues. This review examines current outcomes and anesthetic strategies, including pain management, to improve survival and quality of life for these vulnerable newborns.

Area of Science:

  • Neonatalogy
  • Pediatric Anesthesiology
  • Perinatal Medicine

Background:

  • Increasing survival rates for extremely preterm infants necessitate a focus on minimizing long-term morbidity.
  • Current care strategies aim to improve neurodevelopmental and overall outcomes for these high-risk neonates.

Purpose of the Study:

  • To review the current state-of-the-art outcomes for infants born at extremely low gestations.
  • To identify strategies for optimizing outcomes in extremely preterm infants.
  • To discuss anesthetic practices, particularly pain management, and their impact on long-term outcomes.

Main Methods:

  • Literature review of current outcomes for extremely preterm infants.
  • Analysis of strategies for outcome optimization.
  • Discussion of anesthetic considerations and pain management in this population.

Main Results:

  • Extremely preterm infants face significant risks of long-term morbidity.
  • Optimizing outcomes requires a multidisciplinary approach addressing various aspects of neonatal care.
  • Effective pain management during anesthesia may play a crucial role in long-term neurodevelopmental trajectories.

Conclusions:

  • Care for extremely preterm infants is evolving towards minimizing long-term complications.
  • Anesthetic practices, especially pain management, are critical areas for intervention to improve long-term health.
  • Further research into optimizing anesthetic protocols is warranted to enhance survival and quality of life.

Keywords:
child developmentinfant, preterminfant, very low birthweightneonatal intensive carepain

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