Evidence for the need for anaesthesia in the neonate.

Best Pract Res Clin Anaesthesiol · Sep 2010

Review

Evidence for the need for anaesthesia in the neonate.

Neonates are both capable of experiencing pain and memory formation, albeit implicit memory. During surgical procedures, insufficient ablation of the stress response and possible implicit memory formation of intra-operative events might result in adverse early and long-term outcomes. ⋯ It is thus the responsibility of the anaesthetist to provide sufficient anaesthesia for neonates undergoing surgery. A critical approach in weighing the risks and benefits of exposing a neonate to anaesthesia is prudent, and truly elective surgery should be delayed.

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- Frank Weber.
- Department of Anaesthesia, Erasmus University Medical Center, Sophia Children's Hospital, Dr. Molewaterplein 60, 3015GJ Rotterdam, The Netherlands. f.weber@erasmusmc.nl
- Best Pract Res Clin Anaesthesiol. 2010 Sep 1; 24 (3): 475-84.
AbstractNeonates are both capable of experiencing pain and memory formation, albeit implicit memory. During surgical procedures, insufficient ablation of the stress response and possible implicit memory formation of intra-operative events might result in adverse early and long-term outcomes. Neonates deserve the same respect as adult patients. It is thus the responsibility of the anaesthetist to provide sufficient anaesthesia for neonates undergoing surgery. A critical approach in weighing the risks and benefits of exposing a neonate to anaesthesia is prudent, and truly elective surgery should be delayed.

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Evidence for the need for anaesthesia in the neonate.

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