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Canadian Journal of Anesthesia, Vol 29, 255-259, Copyright © 1982 by Canadian Anesthesiologists' Society

Anaesthetic Implications of Neonatal Necrotizing Enterocolitis

KENNETH A. HASELBY 1, STEPHEN F. DIERDORF 1, GOPAL KRISHNA 1, CHALAPATHI C. RAO 1, THOMAS M. WOLFE 1, and WILLIAM L. McNIECE 1

1 Department of Anaesthesia, 1100 West Michigan Street, Indianapolis, Indiana 46223

A retrospective analysis of infants with necrotizing enterocolitis was done to evaluate the effects of preoperative abnormalities upon anaesthesia and mortality. Mortality was significantly increased in infants weighing less than 1500 grams (p <.001). Sixty-nine per cent of the infants had hyaline membrane disease and 35 per cent had platelet counts less than 50 x 109 cells/litre (50,000/mm3). Perioperative problems include peritonitis, sepsis, hypovolaemia, acidosis, and prematurity. Other ramifications of prematurity and anaesthesia are discussed.

Key Words: ANAESTHESIA, paediatric • COMPLICATIONS, necrotizing enterocolitis






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Copyright © 1982 by the Canadian Anesthesiologists' Society.