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Canadian Journal of Anesthesia, Vol 34, 627-631, Copyright © 1987 by Canadian Anesthesiologists' Society

ARTICLES

Evaluation of the premature infant at risk for postoperative complications

JF Mayhew, DL Bourke and WS Guinee
Department of Anesthesiology, Arkansas Children's Hospital, Little Rock.

We reviewed anaesthetic records of 35 infants with a history of prematurity, who presented for elective herniorrhaphy. We applied a scoring system to help evaluate risk of postoperative complications. Six patients experienced postoperative complications. All six patients had a score of five or more and gave history of either apnoea or a history of moderate bronchopulmonary dysplasia. A preoperative history of apnoea and/or moderate bronchopulmonary dysplasia appear to be valuable markers for postoperative complications. A conceptual age of 40 weeks is an acceptable lower limit of age providing there is no history of apnoea or pulmonary disease.


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J. D. Tobias and J. Flannagan
Regional Anesthesia in the Preterm Neonate
Clinical Pediatrics, November 1, 1992; 31(11): 668 - 671.
[Abstract] [PDF]


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Copyright © 1987 by the Canadian Anesthesiologists' Society.