{"id":"https://openalex.org/W4414398317","doi":"https://doi.org/10.37275/jacr.v6i2.802","title":"Hemodynamic-Focused Anesthetic Strategy for Duodenal Atresia with Annular Pancreas in a Low-Birth-Weight Neonate: A Case Report and Pathophysiological Review","display_name":"Hemodynamic-Focused Anesthetic Strategy for Duodenal Atresia with Annular Pancreas in a Low-Birth-Weight Neonate: A Case Report and Pathophysiological Review","publication_year":2025,"publication_date":"2025-09-22","ids":{"openalex":"https://openalex.org/W4414398317","doi":"https://doi.org/10.37275/jacr.v6i2.802"},"language":"en","primary_location":{"id":"doi:10.37275/jacr.v6i2.802","doi":"https://doi.org/10.37275/jacr.v6i2.802","is_oa":true,"landing_page_url":"https://doi.org/10.37275/jacr.v6i2.802","pdf_url":"https://hmpublisher.com/index.php/JACR/article/download/802/1134","source":{"id":"https://openalex.org/S4210189715","display_name":"Journal of Anesthesiology and Clinical Research","issn_l":"2745-9497","issn":["2745-9497"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Anesthesiology and Clinical Research","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://hmpublisher.com/index.php/JACR/article/download/802/1134","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5030426936","display_name":"Anggia Rarasati Wardhana","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Anggia Rarasati Wardhana","raw_affiliation_strings":["Department of Anesthesiology and Intensive Therapy, Dr. Moewardi Regional General Hospital, Surakarta, Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology and Intensive Therapy, Dr. Moewardi Regional General Hospital, Surakarta, Indonesia","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049356484","display_name":"Ardana Tri Arianto","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ardana Tri Arianto","raw_affiliation_strings":["Department of Anesthesiology and Intensive Therapy, Dr. Moewardi Regional General Hospital, Surakarta, Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology and Intensive Therapy, Dr. Moewardi Regional General Hospital, Surakarta, Indonesia","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5074219189","display_name":"Heri Dwi Purnomo","orcid":"https://orcid.org/0009-0009-3681-7462","observed_orcids":["https://orcid.org/0009-0009-3681-7462"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Heri Dwi Purnomo","raw_affiliation_strings":["Department of Anesthesiology and Intensive Therapy, Dr. Moewardi Regional General Hospital, Surakarta, Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology and Intensive Therapy, Dr. Moewardi Regional General Hospital, Surakarta, Indonesia","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.33499555,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"6","issue":"2","first_page":"975","last_page":"985"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10436","display_name":"Anesthesia and Sedative Agents","score":0.8848000168800354,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10436","display_name":"Anesthesia and Sedative Agents","score":0.8848000168800354,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10189","display_name":"Anesthesia and Pain Management","score":0.039500001817941666,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10830","display_name":"Airway Management and Intubation Techniques","score":0.010499999858438969,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/duodenal-atresia","display_name":"duodenal atresia","score":0.9959999918937683},{"id":"https://openalex.org/keywords/annular-pancreas","display_name":"annular pancreas","score":0.9990000128746033},{"id":"https://openalex.org/keywords/low-birth-weight-infants","display_name":"low birth weight infants","score":0.8550000190734863},{"id":"https://openalex.org/keywords/neonatal-anesthesia","display_name":"neonatal anesthesia","score":0.7429999709129333},{"id":"https://openalex.org/keywords/hemodynamic-stability","display_name":"hemodynamic stability","score":0.722000002861023},{"id":"https://openalex.org/keywords/goal-directed-fluid-therapy","display_name":"goal-directed fluid therapy","score":0.7419999837875366},{"id":"https://openalex.org/keywords/metabolic-alkalosis","display_name":"metabolic alkalosis","score":0.7129999995231628},{"id":"https://openalex.org/keywords/ketamine-induction","display_name":"ketamine induction","score":0.6809999942779541},{"id":"https://openalex.org/keywords/fentanyl","display_name":"fentanyl","score":0.5849999785423279},{"id":"https://openalex.org/keywords/duodenojejunostomy","display_name":"duodenojejunostomy","score":0.8209999799728394},{"id":"https://openalex.org/keywords/lung-protective-ventilation","display_name":"lung-protective ventilation","score":0.8130000233650208},{"id":"https://openalex.org/keywords/postoperative-analgesia","display_name":"postoperative analgesia","score":0.7960000038146973},{"id":"https://openalex.org/keywords/metamizole","display_name":"dipyrone","score":0.7419999837875366},{"id":"https://openalex.org/keywords/intrauterine-growth-restriction","display_name":"fetal growth restriction","score":0.7039999961853027},{"id":"https://openalex.org/keywords/congenital-malformations","display_name":"congenital malformations","score":0.5389999747276306}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9097999930381775},{"id":"https://openalex.org/C31174226","wikidata":"https://www.wikidata.org/wiki/Q64855140","display_name":"Perioperative","level":2,"score":0.6830999851226807},{"id":"https://openalex.org/C2778162923","wikidata":"https://www.wikidata.org/wiki/Q4990531","display_name":"Anesthetic","level":2,"score":0.6714000105857849},{"id":"https://openalex.org/C2776778433","wikidata":"https://www.wikidata.org/wiki/Q1266401","display_name":"Duodenal atresia","level":3,"score":0.6692000031471252},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.6556000113487244},{"id":"https://openalex.org/C2780795376","wikidata":"https://www.wikidata.org/wiki/Q243547","display_name":"Ketamine","level":2,"score":0.6026999950408936},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5569000244140625},{"id":"https://openalex.org/C2778549623","wikidata":"https://www.wikidata.org/wiki/Q1601921","display_name":"Annular pancreas","level":3,"score":0.542900025844574},{"id":"https://openalex.org/C2781072394","wikidata":"https://www.wikidata.org/wiki/Q407541","display_name":"Fentanyl","level":2,"score":0.46959999203681946},{"id":"https://openalex.org/C2776359302","wikidata":"https://www.wikidata.org/wiki/Q413918","display_name":"Isoflurane","level":2,"score":0.37139999866485596},{"id":"https://openalex.org/C2779309525","wikidata":"https://www.wikidata.org/wiki/Q4597494","display_name":"Intestinal atresia","level":3,"score":0.353300005197525},{"id":"https://openalex.org/C10162356","wikidata":"https://www.wikidata.org/wiki/Q1135939","display_name":"Pathophysiology","level":2,"score":0.3003999888896942},{"id":"https://openalex.org/C2776277131","wikidata":"https://www.wikidata.org/wiki/Q422740","display_name":"Propofol","level":2,"score":0.2718000113964081},{"id":"https://openalex.org/C200457457","wikidata":"https://www.wikidata.org/wiki/Q584049","display_name":"Ventilation (architecture)","level":2,"score":0.26350000500679016},{"id":"https://openalex.org/C178853913","wikidata":"https://www.wikidata.org/wiki/Q1642137","display_name":"Hemodynamics","level":2,"score":0.25220000743865967}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.37275/jacr.v6i2.802","doi":"https://doi.org/10.37275/jacr.v6i2.802","is_oa":true,"landing_page_url":"https://doi.org/10.37275/jacr.v6i2.802","pdf_url":"https://hmpublisher.com/index.php/JACR/article/download/802/1134","source":{"id":"https://openalex.org/S4210189715","display_name":"Journal of Anesthesiology and Clinical Research","issn_l":"2745-9497","issn":["2745-9497"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Anesthesiology and Clinical Research","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.37275/jacr.v6i2.802","doi":"https://doi.org/10.37275/jacr.v6i2.802","is_oa":true,"landing_page_url":"https://doi.org/10.37275/jacr.v6i2.802","pdf_url":"https://hmpublisher.com/index.php/JACR/article/download/802/1134","source":{"id":"https://openalex.org/S4210189715","display_name":"Journal of Anesthesiology and Clinical Research","issn_l":"2745-9497","issn":["2745-9497"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Anesthesiology and Clinical Research","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.98580002784729,"id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4414398317.pdf","grobid_xml":"https://content.openalex.org/works/W4414398317.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Introduction:":[0],"The":[1,142,153,188],"anesthetic":[2,33,42,96,201],"management":[3,127],"of":[4,53,137,198,216],"low-birth-weight":[5],"(LBW)":[6],"neonates":[7],"with":[8,49,72,77,117,149,176,235,242],"complex":[9,243],"congenital":[10,244],"anomalies":[11],"like":[12],"duodenal":[13,54,80],"atresia":[14,55],"presents":[15],"a":[16,39,45,57,87,144,177,199,223],"profound":[17],"physiological":[18],"challenge.":[19],"These":[20],"patients":[21],"exhibit":[22],"immature":[23],"organ":[24],"systems,":[25],"precarious":[26],"fluid":[27,133,220],"balance,":[28],"and":[29,56,105,122,139,164,222],"heightened":[30],"sensitivity":[31],"to":[32,157,184],"agents.":[34,113],"This":[35],"case":[36],"report":[37],"describes":[38],"successful":[40,189],"hemodynamically-focused":[41],"strategy":[43,208],"in":[44,120,191,204,239],"particularly":[46],"high-risk":[47],"neonate":[48,194],"the":[50,158,168,196,230],"combined":[51],"pathology":[52],"constricting":[58],"annular":[59],"pancreas.":[60],"Case":[61],"presentation:":[62],"A":[63,93,207],"4-day-old,":[64],"1800-gram":[65],"male":[66],"infant,":[67],"born":[68],"at":[69],"37":[70],"weeks":[71],"intrauterine":[73],"growth":[74],"restriction,":[75],"presented":[76],"prenatally":[78],"diagnosed":[79],"atresia.":[81],"Preoperative":[82],"stabilization":[83],"focused":[84],"on":[85,130,167],"correcting":[86],"severe":[88],"hypochloremic,":[89],"hypokalemic":[90],"metabolic":[91,217],"alkalosis.":[92],"hemodynamically":[94,210],"stable":[95,211],"induction":[97,212],"was":[98,115,128,146,155,165,174],"achieved":[99,175],"using":[100],"intravenous":[101],"fentanyl":[102],"(2.8":[103,107],"mcg/kg)":[104],"ketamine":[106,180],"mg/kg),":[108],"avoiding":[109],"myocardial":[110],"depressant":[111],"volatile":[112],"Anesthesia":[114],"maintained":[116],"60%":[118],"oxygen":[119],"air":[121],"intermittent":[123,185],"opioid":[124],"boluses.":[125],"Intraoperative":[126],"centered":[129],"meticulous,":[131],"goal-directed":[132,219],"therapy,":[134,221],"rigorous":[135],"maintenance":[136],"normothermia,":[138],"lung-protective":[140],"ventilation.":[141],"surgery,":[143],"duodenojejunostomy,":[145],"completed":[147],"successfully":[148],"remarkable":[150],"hemodynamic":[151],"stability.":[152],"infant":[154],"transferred":[156],"NICU":[159],"for":[160],"planned":[161],"postoperative":[162,170],"ventilation":[163],"extubated":[166],"second":[169],"day.":[171],"Postoperative":[172],"analgesia":[173],"continuous":[178],"sub-anesthetic":[179],"infusion,":[181],"later":[182],"transitioned":[183],"metamizole.":[186],"Conclusion:":[187],"outcome":[190],"this":[192],"fragile":[193],"underscores":[195],"value":[197],"tailored":[200],"approach":[202],"grounded":[203],"neonatal":[205],"pathophysiology.":[206],"utilizing":[209],"agents,":[213],"proactive":[214],"correction":[215],"derangements,":[218],"planned,":[224],"staged":[225],"recovery":[226],"can":[227],"effectively":[228],"mitigate":[229],"significant":[231],"perioperative":[232],"risks":[233],"associated":[234],"major":[236],"abdominal":[237],"surgery":[238],"LBW":[240],"infants":[241],"anomalies.":[245]},"counts_by_year":[],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2025-10-10T00:00:00"}