Neonatal perioperative resuscitation (NePOR) protocol-An update

Area of Science:

• Pediatric Surgery
• Neonatal Critical Care
• Anesthesiology

Background:

• Neonates undergoing surgery face higher risks of cardiac arrest due to immature organ systems and congenital anomalies.
• Existing neonatal resuscitation guidelines are not tailored for the unique challenges of surgical neonates.
• Lack of specific guidelines for perioperative adverse events in surgical neonates contributes to higher morbidity and mortality.

Purpose of the Study:

• To review the causes and risk factors for peri-arrest situations in surgical neonates.
• To suggest preoperative surveillance strategies for preventing adverse events.
• To present a specialized resuscitation protocol for surgical neonates.

Main Methods:

• Literature review focusing on perioperative adverse events in neonates.
• Analysis of factors contributing to peri-arrest situations.
• Development of a novel resuscitation protocol tailored for surgical neonates.

Main Results:

• Identified key causes and contributing factors for peri-arrest events in surgical neonates.
• Proposed preoperative surveillance measures to mitigate risks.
• Outlined the comprehensive Neonatal Peri-operative Resuscitation (NePOR) protocol.

Conclusions:

• The Neonatal Peri-operative Resuscitation (NePOR) protocol addresses the specific needs of surgical neonates.
• Implementing NePOR can potentially reduce morbidity and mortality associated with perioperative cardiac arrest in this vulnerable population.
• Standardized guidelines are crucial for managing perioperative emergencies in surgical neonates.