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This case was reported in collaboration with renowned pediatric anesthesia experts from leading hospitals in India, with a focus on delivering safe, high-quality care for newborns under one month old requiring eye surgeries. The findings were published in the Indian Journal of Ophthalmology a reputed journal within the field of ophthalmic anesthesia.

What is it about?

This study addresses the challenges of providing anesthesia to very low birth weight (VLBW) babies, weighing less than 1.5 kg at birth. These tiny infants often face serious health risks, including underdeveloped lungs, fragile blood vessels in the eyes, and potential brain injury, making their care exceptionally delicate. One prevalent condition among these babies is Retinopathy of Prematurity (ROP), a disease that affects the eyes and can lead to vision loss or blindness if untreated.

For safe anesthesia, a comprehensive health check is crucial, taking into account the baby's medical history, birth conditions, and overall health. Special care is needed to manage their tiny airways and breathing difficulties to ensure safe and effective anesthesia. This study emphasizes the need for meticulous planning and expert care while managing these vulnerable newborns.

Why it matters

Preterm, low birth weight babies with eye conditions like ROP are some of the most delicate patients requiring surgery. Their underdeveloped organs and special health challenges make the task of delivering safe anesthesia both complex and challenging.This research highlights the importance of thorough preparation before surgery, including selecting the appropriate anesthesia and equipment, along with close monitoring throughout the procedure. By refining these practices, the study aims to improve surgical safety and outcomes, providing these vulnerable newborns with the best possible chance for a healthy life.

Citation

Sujata Rawlani, Raja Narsingrao, Nandini Dave, Sushma Jayanna. Navigating Challenges: Successful Anaesthesia for Very Low Birth Weight Baby with Retinopathy of Prematurity- Case Report. Ind J Ophthal Anaesth 2024;4(2):26-31