Regional Anesthesia in a Very Low-Birth-Weight Neonate for a Neurosurgical Procedure

Background and Objectives: Peripheral nerve blocks can be successfully utilized in infants for neurosurgical procedures. Our objective was utilizing a series of peripheral nerve blocks for a neurosurgical procedure in a very low-birth-weight neonate. Case Report: We report the use of supraorbital, great auricular, and greater occipital nerve block in a very low-birth-weight neonate (700 g) who was scheduled for a neurosurgical procedure. Discussion: We were able to successfully utilize peripheral nerve blocks and were able to blunt physiologic responses to surgical stress without compromising hemodynamic stability using high-dose opioids.