anaesthesia for premature and ex-premature babies

Download Anaesthesia for Premature and Ex-premature Babies

Post on 06-Mar-2015

139 views

Category:

Documents

4 download

Embed Size (px)

TRANSCRIPT

ANAESTHESIA FOR PREMATURE AND EX-PREMATURE BABIESMODERATOR: DR. PRASANNA DR. SANTHALAKSHMI DR. KANCHAN

DEFINITIONPreterm: Born before 37 weeks GA

INCIDENCE 10-12 % of Indian Babies 5-7 % in the West

CAUSES OF PRETERM DELIVERYSpontaneousPoor socioeconomic status Systemic maternal disease APH Cervical incompetence Infection Past history Smoking Threatened Abortion Stress Sexual activity Trauma Uterine malformations Multiple pregnancy

InducedMaternal DM Placental dysfunction Eclampsia Fetal hypoxia APH Iso-immunization

HOW TO RECOGNISE A PRETERM BABY?Head circumference < 33cm >3cm greater than chest circumference Poor activity, sluggish reflexes Extended posture due to poor tone

Sutures widely separated, fontanel large Shallow orbit, absent buccal fat Ear catilage- poor recoil Hair- fuzzy, separate strands

Skin- thin, gelatenous, shiny, abundant lanugo, very less vernix caseosa Edema +/Deficient Subcutaeous fat Breast nodule small/ absent

Sole creases ill-defined Testes undescended Labia majora widely separated

PHYSIOLOGICAL HANDICAPS

CNS Lethargy Poor cough reflex Incoordinated sucking and swallowing in babies

Recommended

View more >