Regional anesthesia in a very low-birth-weight neonate for a neurosurgical procedure.
OBJECTIVE
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.


METHODS
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.


CONCLUSIONS
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.
Suresh
Santhanam
S
Department of Pediatric Anesthesiology, Children's Memorial Hospital, Chicago, IL 60614, USA. ssuresh@northwestern.edu
Bellig
Gregory
G
D000765:Anesthesia, Conduction; D002543:Cerebral Hemorrhage / Q000150:complications; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology / Q000601:surgery; D007231:Infant, Newborn; D019102:Infant, Very Low Birth Weight; D009407:Nerve Block; D019635:Neurosurgical Procedures