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Case reports
Regional Anesthesia in a Very Low-Birth-Weight Neonate for a Neurosurgical Procedure
  1. Santhanam Suresh, M.D., F.A.A.P. and
  2. Gregory Bellig, M.D.
  1. From the Department of Pediatric Anesthesiology, Children's Memorial Hospital, Chicago, IL
  2. Feinberg School of Medicine, Northwestern University, Chicago, IL
  1. Reprint requests: Santhanam Suresh, M.D., F.A.A.P., Department of Pediatric Anesthesiology, 2300 Children's Plaza, Chicago, IL 60614. E-mail: ssuresh{at}northwestern.edu

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.

  • Peripheral nerve blocks
  • Low-birth-weight neonate
  • Pain
  • Neurosurgery

https://doi.org/10.1016/j.rapm.2003.09.008

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