Neonatal emergencies

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  Review of neonatal entities that require surgical intervention and priority anesthetic management.
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  Urgencias neonatales Dr. Ricardo Poveda JaramilloR2Anestesiología & ReanimaciónUdeC  Atresia/estenosis de coanas ã Falla en regresión de porcion membranosa u óseade nasofaringe ã 1:8000 ã Distres respiratorio ã Asociación CHARGE ã Obstrucción de vía aerea durante inducción ã Colocación temprana de una vía aerea ã Lidocaína tópica ã Considerar obstrucción funcional  Consideraciones anestésicas paralesiones obstructivas de laringe y víaarea superior ã Inducción inhalatoria no es lo ideal enneonatos por: 1.Inmadurez del mecanismo ventilatorio 2.Aumento del Co2 alveolar3.Disminución de capacidad residual funcional  Membranas laríngeas/traqueales ã Membranas fibrosas incompletas ã Estridor inmediatamente después del parto ã Si la obstrucción es completa= EMERGENCIA EN SALA DE PARTO! ã Opciones: tubo endotraquealCricotiroidostomia
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