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Chapter 2 - Pharmacology and Physiology in the Term Neonate

Published online by Cambridge University Press:  30 November 2019

Adam C. Adler
Affiliation:
Texas Children's Hospital
Arvind Chandrakantan
Affiliation:
Texas Children's Hospital
Ronald S. Litman
Affiliation:
The Children's Hospital of Philadelphia
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Summary

This chapter, provides an overview of the basics of pharmacology and physiology in the neonate. The authors focus on the physiological differences between children and adults using a background case of omphalocele. Key concepts for pediatric anesthesia are considered including, hyperbilirubinemia, oxygenation, hepatic function and metabolism and thyroid function.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2019

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References

Suggested Reading

Beardsall, K. Measurement of glucose levels in the newborn. Early Hum Dev. 2010;86(5):263–7. PMID: 20542649.CrossRefGoogle ScholarPubMed
Blazer, S, Zimmer, EZ, Gover, A, Bronshtein, M. Fetal omphalocele detected early in pregnancy: associated anomalies and outcomes. Radiology. 2004;232:191–5. PMID: 15220502.CrossRefGoogle ScholarPubMed
Brantberg, A, Blaas, HG, Haugen, SE, Eik-Nes, SH. Characteristics and outcome of 90 cases of fetal omphalocele. Ultrasound Obstet Gynecol. 2005;26:527–37. PMID: 16184512.CrossRefGoogle ScholarPubMed
Büyükgebiz, A. Newborn screening for congenital hypothyroidism. J Clin Res Pediatr Endocrinol. 2013;5S1:812. PMID: 23154158.Google Scholar
Christison-Lagay, ER, Kelleher, CM, Langer, JC. Neonatal abdominal wall defects. Semin Fetal Neonatal Med. 2011;16:164–72. PMID: 21474399.CrossRefGoogle ScholarPubMed
Coté, CJ, Zaslavsky, A, Downes, JJ, et al. Postoperative apnea in former preterm infants after inguinal herniorrhaphy. A combined analysis. Anesthesiology. 1995;82:809–22. PMID: 7717551.CrossRefGoogle ScholarPubMed
Davis, RP, Mychaliska, GB. Neonatal pulmonary physiology. Semin Pediatr Surg. 2013;22:179–84. PMID: 24331091.CrossRefGoogle ScholarPubMed
Diaz-Miron, J, Miller, J, Vogel, AM. Neonatal hematology. Semin Pediatr Surg. 2013;22:199204. PMID: 24331095.CrossRefGoogle ScholarPubMed
Grijalva, J, Vakili, K. Neonatal liver physiology. Semin Pediatr Surg. 2013;22:185–9. PMID: 24331092.CrossRefGoogle ScholarPubMed
Harris, DL, Weston, PJ, Harding, JE. Incidence of neonatal hypoglycemia in babies identified as at risk. J Pediatr. 2012;161:787–91. PMID: 22727868.CrossRefGoogle ScholarPubMed
Hiraki, S, Green, NS. Newborn screening for treatable genetic conditions: past, present and future. Obstet Gynecol Clin North Am. 2010;37:1121. PMID: 22727868.CrossRefGoogle ScholarPubMed
Kaplan, M, Bromiker, R, Hammerman, C. Hyperbilirubinemia, hemolysis, and increased bilirubin neurotoxicity. Semin Perinatol. 2014;38:429–37. PMID: 25284470.CrossRefGoogle ScholarPubMed
Lerman, J, Robinson, S, Willis, MM, Gregory, GA. Anesthetic requirements for halothane in young children 0–1 month and 1–6 months of age. Anesthesiology. 1983;59:421–4. PMID: 6638549.CrossRefGoogle ScholarPubMed
López, T, Sánchez, FJ, Garzón, JC, Muriel, C. Spinal anesthesia in pediatric patients. Minerva Anestesiol. 2012;78:7887. PMID: 22211775.Google ScholarPubMed
Maitra, S, Baidya, DK, Khanna, P, et al. Acute perioperative pain in neonates: An evidence-based review of neurophysiology and management. Acta Anaesthesiol Taiwan. 2014;52:30–7. PMID: 24999216.CrossRefGoogle ScholarPubMed
Nandi-Munshi, D, Taplin, CE. Thyroid-related neurological disorders and complications in children. Pediatr Neurol. 2015;52(4):373–82. PMID: 25661286.CrossRefGoogle ScholarPubMed
Nargozian, C, Ririe, DG, Bennun, RD, et al. Hemifacial microsomia: anatomical prediction of difficult intubation. Paediatr Anaesth. 1999;9:393–8. PMID: 10447900.CrossRefGoogle ScholarPubMed
Sale, SM. Neonatal apnoea. Best Pract Res Clin Anaesthesiol. 2010;24:323–36. PMID: 21033010.CrossRefGoogle ScholarPubMed
Sulemanji, M, Vakili, K. Neonatal renal physiology. Semin Pediatr Surg. 2013;22:195–8. PMID: 24331094.CrossRefGoogle ScholarPubMed
Weksberg, R, Shuman, C, Beckwith, JB. Beckwith–Wiedemann syndrome. Eur J Hum Genet. 2010;18:814. PMID: 19550435.CrossRefGoogle ScholarPubMed
Yaster, M, Scherer, TL, Stone, MM, et al. Prediction of successful primary closure of congenital abdominal wall defects using intraoperative measurements. J Pediatr Surg. 1989;24:1217–20. PMID: 2531789.CrossRefGoogle ScholarPubMed

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