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Paediatr Anaesth. 2014 Jan;24(1):68-73. doi: 10.1111/pan.12310. Epub 2013 Nov 23.

Beyond survival; influences of blood pressure, cerebral perfusion and anesthesia on neurodevelopment.

Author information

1
Department of Anesthesiology, Perioperative and Pain Medicine, Boston Children's Hospital and Harvard Medical School, Boston, MA, USA.

Abstract

Neonates have a higher perioperative mortality risk largely due to the degree of prior illness of the infants, the complexity of their surgeries, and infant physiology. It is important to consider contributing anesthetic factors during the perioperative period that may affect cerebral perfusion and neurocognitive outcome, such as alterations in hemodynamics and ventilation. Limitations of blood pressure as a marker for cerebral perfusion are discussed, as well as the effect of hypocapnia on the brain.

KEYWORDS:

blood pressure; general anesthesia; hypocapnia; ischemic encephalopathy; newborn infant; premature infant

PMID:
24267703
DOI:
10.1111/pan.12310
[Indexed for MEDLINE]

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