Author/Authors :
Kaye, Alan D Louisiana State University - Health Science Center - Department of Anesthesiology, USA , Pickney, Lucille M University of Michigan - Department of Anesthesiology, USA , Hall, Stan M Louisiana State University - Health Science Center - Department of Anesthesiology, USA , Hall, Stan M Children’s Hospital - Department of Anesthesiology, USA , Baluch, Amir R. University of Miami - School of Medicine, USA , Frost, Elizabeth Mt. Sinai Department of Anesthesiology, USA , Ramadhyani, Usha Ochsner Medical Center - Department of Anesthesiology, USA , Ramadhyani, Usha Louisiana State University - Health Science Center - Department of Anesthesiology, USA , Ramadhyani, Usha Tulane University - Medical School - Department of Pediatrics, USA
Abstract :
The transition from a fetus to a neonate involves complex changes in physiology. A delay in these adaptations can result in significant neonatal morbidity and mortality. In the United tates, 10% of newborns require some assistance with breathing and about 1% require extensive ventilatory assistance. Furthermore, anesthesiologist’s practice in a spectrum of facilities with varying levels of care. Smaller practices or rural settings can limit consistent practices. Thus, it is vital for all clinical anesthesiologists and delivery room personnel to understand the physiological adaptation of the newborn, ensure proper preparation and maintenance of equipment (Table 1), perform an adequate risk assessment to predict possible resuscitative needs, and respond appropriately with resuscitation efforts.
