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Open Access Special Issue

The importance of maintaining normal perioperative physiological parameters in children during anaesthesia

  • Is'haq Al Aamri1
  • Gianluca Bertolizio1

1Department of Anesthesia, McGill University, Montreal Children's Hospital, Montreal, Canada

DOI: 10.22514/sv.2021.058

Online publish date: 07 April 2021

*Corresponding Author(s): Gianluca Bertolizio E-mail:


Every year, millions of neonates, infants and young children need general anesthesia for a variety of procedures. As pediatric anesthesia remains at high risk of perioperative morbidity and mortality, attention has been directed towards the anesthesia training and the anesthetics safety. We are now reassured about the relatively safeness of the anesthetic drugs, but the safest intraoperative conduct has still to be determined. In the absence of clear evidence, it appears logical to prevent perturbations of the child “baseline”, by avoiding preoperative distress, maintaining normal intraoperative parameters and preventing postoperative discomfort. Recently, ten “N” principles (no fear/awareness, normovolemia, normotension, normal heart rate, normoxemia, normocapnia, normonatremia, normoglycemia, normotermia and no pain/nausea/vomiting/emergence delirium) have been proposed as the base of a safer anesthesia care. The current paper aims to summarize the current evidence behind the “10-Ns” rational and to help guide anesthesiologists in their practice.


Safetots; Pediatric anesthesia; Pediatric homeostasis

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Is'haq Al Aamri,Gianluca Bertolizio. The importance of maintaining normal perioperative physiological parameters in children during anaesthesia. Signa Vitae. 2021.doi:10.22514/sv.2021.058.


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