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Chapter 18 - Infant Hernia Repair and Prevention of Postoperative Apnea

Published online by Cambridge University Press:  30 November 2019

By
William D. Ryan ,
Adam C. Adler  and
Ronald S. Litman
Edited by
Adam C. Adler ,
Arvind Chandrakantan  and
Ronald S. Litman
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

In this chapter, the authors discuss the issues related to post-operative neonatal apnea with an example of an infant hernia repair. Neonatal apnea, its etiology and associated risk factors is reviewed. The use of infant spinal anesthesia versus general anesthesia and its relationship to neonatal post-operative apnea is discussed.

Keywords

Infantinguinal herniaapneaneonatal apneaspinal anesthesia,
Type
Chapter
Information
Case Studies in Pediatric Anesthesia , pp. 81 - 85
Publisher: Cambridge University Press
Print publication year: 2019

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References

Suggested Reading

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
Davidson, AJ, Disma, N, de Graaff, JC et al. Neurodevelopmental outcome at 2 years of age after general anaesthesia and awake-regional anaesthesia in infancy (GAS): an international multicentre, randomised controlled trial. Lancet. 2016;387(10015):239–50. PMID: 26507180.CrossRefGoogle ScholarPubMed
López, T, Sánchez, FJ, Garzón, JC, et al. Spinal anesthesia in pediatric patients. Minerva Anestesiol. 2012;78:78–87. PMID: 22211775.Google ScholarPubMed
Sale, SM, Read, JA, Stoddart, PA, et al. Prospective comparison of sevoflurane and desflurane in formerly premature infants undergoing inguinal herniotomy. Br J Anaesth. 2006;96:774–8. PMID: 16648152.CrossRefGoogle ScholarPubMed
Welborn, LG, Hannallah, RS, Luban, NL, et al. Anemia and postoperative apnea in former preterm infants. Anesthesiology. 1991;74:1003–6. PMID: 2042754.CrossRefGoogle ScholarPubMed
Welborn, LG, Rice, LJ, Hannallah, RS, et al. Postoperative apnea in former preterm infants: prospective comparison of spinal and general anesthesia. Anesthesiology. 1990;72:838–42. PMID: 2187377.CrossRefGoogle ScholarPubMed

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