Resuscitation strategies for surgical patients in the neonatal intensive care unit

Mona Khattab; Darby Donnelly; Amanda Blizzard; Shilpi Chabra; Elmer David; Katherine A Stumpf; Sujir Pritha Nayak

doi:10.1016/j.semperi.2024.151988

Resuscitation strategies for surgical patients in the neonatal intensive care unit

Semin Perinatol. 2024 Oct 15:151988. doi: 10.1016/j.semperi.2024.151988. Online ahead of print.

Authors

Mona Khattab¹, Darby Donnelly², Amanda Blizzard², Shilpi Chabra³, Elmer David⁴, Katherine A Stumpf⁵, Sujir Pritha Nayak⁵

Affiliations

¹ Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA. Electronic address: Khattab@bcm.edu.
² Department of General Surgery, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
³ Department of Pediatrics, University of Washington and Seattle Children's Hospital, WA, USA.
⁴ Department of Pediatrics, University of southern California, Keck school of medicine, CA, USA.
⁵ Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, USA.

PMID: 39462753
DOI: 10.1016/j.semperi.2024.151988

Abstract

Resuscitation of an infant with surgical complications includes both perioperative and post-operative management. In most cases this requires a multidisciplinary approach to achieve the best outcomes. Challenges include immediate expert management at infant delivery with the use of protocolized care, available anesthesia expertise, close monitoring of electrolytes with prompt attention to fluid status, and meticulous pain management. In this review, we will address contemporary research and ongoing challenges associated with resuscitation. We will make recommendations for effective resuscitation of this vulnerable and unique population from premature infant to term infant with complex surgical needs.