Abstract
Preterm neonates show the unique challenges to the anesthesiologist and dealing surgeon due to their immature physiology and anatomy. Many preterm neonates can expose for anaesthesia, those schedule for various surgical procedures. Anesthesiologists play a vital role in the management of preterm neonates requiring surgical interventions, by integrating their knowledge of the developmental physiology and pharmacology. Extreme care should be taken when these preterm neonates posted for neurosurgical interventions. The successful conduct of anesthesia in premature neonates requires an understanding of the basic principles of neonatal care.
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