ABSTRACT
There can be no other more challenging case for a pediatric anesthesiologist than the neonate with necrotizing enterocolitis (NEC). Major organ systems such as the central nervous system, respiratory, cardiovascular, and renal demonstrate marked differences in physiology that function in small ranges of normal for age. It is not uncommon for these patients to present to the operating room with profound shock secondary to NEC. It is important for the pediatric anesthesiologist to consider the various physiologic differences while executing resuscitative measures in the operating room. Improved successful care of these critically ill patients is dependent on close communication between surgical, anesthesia, and nursing providers.
