Regional anesthesia in a very low-birth-weight neonate for a neurosurgical procedure

Reg Anesth Pain Med. 2004 Jan-Feb;29(1):58-9. doi: 10.1016/j.rapm.2003.09.008.

Abstract

Background and objectives: Peripheral nerve blocks can be successfully utilized in infants for neurosurgical procedures. Our objective was utilizing a series of peripheral nerve blocks for a neurosurgical procedure in a very low-birth-weight neonate.

Case report: We report the use of supraorbital, great auricular, and greater occipital nerve block in a very low-birth-weight neonate (700 g) who was scheduled for a neurosurgical procedure.

Discussion: We were able to successfully utilize peripheral nerve blocks and were able to blunt physiologic responses to surgical stress without compromising hemodynamic stability using high-dose opioids.

Publication types

  • Case Reports

MeSH terms

  • Anesthesia, Conduction*
  • Cerebral Hemorrhage / complications
  • Female
  • Humans
  • Hydrocephalus / etiology
  • Hydrocephalus / surgery
  • Infant, Newborn
  • Infant, Very Low Birth Weight*
  • Nerve Block
  • Neurosurgical Procedures*