Epidemiology of Surgical Procedures, Anesthesia, and Imaging Studies by Gestational Age during the First Year of Life in Medicaid-Insured Infants

Taenzer, Andreas H.; Baertschiger, Reto M.; Cazaban, Cecilia Ganduglia; Evans, Rebecca; Murphy, Megan; Wasserman, Jared R.; Goodman, David C.

doi:10.1016/j.jpeds.2020.10.031

Cited by 3 publications

(1 citation statement)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…With their increased burden of severe comorbidities, extremely preterm infants often require multiple surgical procedures. In a retrospective population-based cohort of over 1 million infants, those born at less than 28 weeks averaged 135.9 surgical procedures per 100 infants, with rates decreasing for those born at older gestational ages 9. Correspondingly, the most extremely preterm infants also had the highest rate of exposure to anesthetic, sedative, and analgesic agents.…”

Section: Exposure To Anesthetic Sedative and Analgesic Agentsmentioning

confidence: 99%

General Anesthesia and the Premature Baby: Identifying Risks for Poor Neurodevelopmental Outcomes

Price

Lei

Diacovo

2022

Journal of Neurosurgical Anesthesiology

View full text Add to dashboard Cite

Preterm birth affects 1 in every 10 infants born in the United States. Importantly, more preterm infants are surviving to discharge from hospital, including those born at the cusp of viability (eg, 22 to 24 wk gestation). Such improvements, however, come at a cost as those delivered at less than 28 weeks gestation have the highest rates of morbidity and mortality. To complicate matters, these extremely preterm infants often require multiple surgical procedures resulting in repeated and prolonged exposures to anesthetic, analgesic, and sedative agents both during procedures and in the neonatal intensive care unit. Consequently, all of these factors, including premature birth itself, correlate with a higher risk for neurodevelopmental disabilities. More studies are needed to address the effects of prematurity-related morbidities and drug exposures on this vulnerable population, with the goal of improving neurodevelopmental outcomes. This brief review will discuss risk factors that impact neurodevelopmental outcomes in premature infants, with a particular focus on anesthetic, analgesic, and sedative agents.

show abstract

Section: Exposure To Anesthetic Sedative and Analgesic Agentsmentioning

confidence: 99%

General Anesthesia and the Premature Baby: Identifying Risks for Poor Neurodevelopmental Outcomes

Price

Lei

Diacovo

2022

Journal of Neurosurgical Anesthesiology

View full text Add to dashboard Cite

show abstract

Changes in the Term Neonatal Electroencephalogram with General Anesthesia: A Systematic Review with Narrative Synthesis

Corlette,

Walker,

Cornelissen

et al. 2024

Anesthesiology

View full text Add to dashboard Cite

While effects of general anesthesia on neuronal activity in the human neonatal brain are incompletely understood, electroencephalography (EEG) provides some insight and may identify age-dependent differences. A systematic search (MEDLINE, Embase, PUBMED, Cochrane Library to November 2023) retrieved English language publications reporting EEG during general anesthesia for cardiac or non-cardiac surgery in term neonates (37 to 44 weeks post-menstrual age). Data were extracted and risk of bias (ROBINS-I Cochrane tool) and quality of evidence (GRADE checklist) assessed. From 1155 abstracts, nine publications (157 neonates; 55.7% male) fulfilled eligibility criteria. Data were limited and study quality was very low. The occurrence of discontinuity, a characteristic pattern of alternating higher and lower amplitude EEG segments, was reported with general anesthesia (94 of 119 neonates, six publications) and with hypothermia (23 of 23 neonates, two publications). Decreased power in the delta (0.5-4Hz) frequency range was also reported with increasing anesthetic dose (39 neonates; three publications). While evidence gaps were identified, both increasing sevoflurane concentration and decreasing temperature are associated with increasing discontinuity.

show abstract

Women's Satisfaction with Maternal care in Ghana : The Doctor's Behaviour as a Regulating Factor

Agbi

Zhou

Asamoah

2021

IJSRST

View full text Add to dashboard Cite

<p>The key element of human rights and the road to equity and dignity of women and children is the quality of care received. The provision of maternal health care is based on quality during pregnancy, and distinctly forty-eight hours after delivery, is an important contribution to saving women’s lives and preventing disabilities (Quah, 2016). Thus, the understanding of women's experiences and expectations through the continuum of prenatal care, delivery care and postnatal care is important for assessing the quality of maternal health care and the determination of problem areas requiring improvement. Women's satisfaction reflects women's judgment of various aspects of maternal health care, including organizational and interpersonal aspects. Multiple linear regression was used (IBM SPSS v.25) to test the main hypotheses for the present study. The ordinal regression was used to predict the value of a result variable (dependent variable) based on the value of two or more prediction variables (independent variables). This study identifies the relationship between maternal health services (prenatal & diagnostic care, delivery care and postnatal care) and women's satisfaction with the moderating role of doctor's behavior. The study finally determined the positive impact of health care services on women's satisfaction. The results also show that the doctor's behavior in health care services affect women's satisfaction and so, the alternate hypotheses are accepted. In this study, physicians were encouraged to give pregnant women thorough inspection and examination, treat them with courtesy and respect. The study also showed that, the government should focus on hiring additional employees to overcome workload.</p>

show abstract

Epidemiology of Surgical Procedures, Anesthesia, and Imaging Studies by Gestational Age during the First Year of Life in Medicaid-Insured Infants

Cited by 3 publications

References 21 publications

General Anesthesia and the Premature Baby: Identifying Risks for Poor Neurodevelopmental Outcomes

General Anesthesia and the Premature Baby: Identifying Risks for Poor Neurodevelopmental Outcomes

Changes in the Term Neonatal Electroencephalogram with General Anesthesia: A Systematic Review with Narrative Synthesis

Women's Satisfaction with Maternal care in Ghana : The Doctor's Behaviour as a Regulating Factor

Contact Info

Product

Resources

About