Neurodevelopmental outcomes after neonatal surgery

被引:0
|
作者
Emily Lo
Brian T. Kalish
机构
[1] University of Toronto,Division of Neonatology, Department of Paediatrics, The Hospital for Sick Children
[2] University of Toronto,Department of Molecular Genetics
来源
Pediatric Surgery International | / 39卷
关键词
Neurodevelopment; Infants; Surgery; Anesthesia; Inflammation; Analgesia;
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摘要
Children who require surgery in the newborn period are at risk for long-term neurodevelopmental impairment (NDI). There is growing evidence that surgery during this critical window of neurodevelopment gives rise to an increased risk of brain injury, predisposing to neurodevelopmental challenges including motor delays, learning disabilities, executive function impairments, and behavioral disorders. These impairments can have a significant impact on the quality of life of these children and their families. This review explores the current literature surrounding the effect of neonatal surgery on neurodevelopment, as well as the spectrum of proposed mechanisms that may impact neurodevelopmental outcomes. The goal is to identify modifiable risk factors and patients who may benefit from close neurodevelopmental follow-up and early referral to therapy.
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