Tianjin Medical Journal

Tianjin Medical Journal ›› 2026, Vol. 54 ›› Issue (2): 216-219.doi: 10.11958/20252139

• Multidisciplinary Diagnosis and Treatment • Previous Articles     Next Articles

One case of multidisciplinary diagnosis and treatment of small bowel resection due to necrosis in extremely low birth weight infant using sevoflurane inhalation combined with caudal block anesthesia

LI Li1,2(), WANG Haoqi1,2, YANG Yang1,2, ZHAO Xuwen2,3, LIU Jinzhu1,2   

  1. 1 Department of Anesthesiology, Tianjin Children's Hospital (Children's Hospital, Tianjin University), Tianjin 300134, China
    2 Tianjin Key Laboratory of Birth Defects for Prevention and Treatment
    3 Department of Neonatologic Surgery, Tianjin Children’s Hospital (Children’s Hospital, Tianjin University)
  • Received:2025-06-04 Revised:2025-08-14 Published:2026-02-15 Online:2026-02-12

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Abstract:

Extremely low birth weight infants (ELBWI) are at extremely high anesthetic risk due to immature organ development and immune dysfunction, which may lead to various severe perioperative complications. The article presents clinical data of a case of systemic multiple organ hypoplasia with severe infection underwent partial resection and anastomosis of the small intestine in an extremely low birth weight infant (ELBWI). Through comprehensive preoperative assessment, refined medication, multidisciplinary team collaboration, and individualized planning during the perioperative period, the child achieved a good postoperative outcome. The article discusses the impact of sevoflurane inhalation anesthesia combined with caudal block on abdominal operation, intraoperative analgesia, hemodynamic changes in the child, occurrence of adverse reactions and long-term prognosis in ELBWI, providing a reference for anesthesiologists in the perioperative management of ELBWI.

Key words: infant, extremely low birth weight, infant, premature, halothane, anesthetics, inhalation, anesthesia, caudal

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