Abstract
Rehabilitation should start from the day a high-risk child is born due to preterm birth or perinatal complications that often result in neurodevelopmental delay, abnormalities of vision, hearing, cognition, communication, speech, and language and motor delay. Early detection and rehabilitation offer the best opportunity to improve outcomes because of greater impact of interventions, but establishing a diagnosis is extremely challenging in a neonate. Besides, early diagnosis is complicated by a constantly changing developmental picture as neonatal insults continue to disrupt normal brain development throughout infancy and childhood.
This chapter deals with high-risk neonates suffering from preterm or intrapartum complications causing developmental delay of which cerebral palsy is one of the common sequels. Focus on early interventions started during neonatal period itself, has an overall improved outcome.
Importance for anesthesiologists: surgical neonates, especially preterm babies, are at a greater risk of enhancing or develo** neurocognitive disorders because of the surgical condition and its effects on the metabolism, and develo** body systems, yet immature. It is imperative that perioperative physicians, anesthesiologists, surgeons, nursing, and technical staff take precautions and adopt measures, so that rehabilitation care procedures are incorporated into the day to day care of the baby, from the time of surgical diagnosis, till discharge, be it in the preoperative, intraoperative, or postoperative period, in the surgical ward, or NICU, so as not to increase the risk of neurocognitive derangement.
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Majumdar, R. (2023). Neonatal Rehabilitation and Outcome. In: Saha, U. (eds) Clinical Anesthesia for the Newborn and the Neonate. Springer, Singapore. https://doi.org/10.1007/978-981-19-5458-0_9
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