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In this chapter, the authors discuss the issues related to post-operative neonatal apnea with an example of an infant hernia repair. Neonatal apnea, its etiology and associated risk factors is reviewed. The use of infant spinal anesthesia versus general anesthesia and its relationship to neonatal post-operative apnea is discussed.
This chapter, provides an overview of the basics of pharmacology and physiology in the neonate. The authors focus on the physiological differences between children and adults using a background case of omphalocele. Key concepts for pediatric anesthesia are considered including, hyperbilirubinemia, oxygenation, hepatic function and metabolism and thyroid function.
Pediatric anesthesiologists will encounter numerous challenges when caring for children, as their work involves more than simply adjusting drug dosages and equipment for smaller patients. In response, this practical book provides clinical guidance in an easily accessible and digestible question-answer format. Case Studies in Pediatric Anesthesia reviews the entire breadth of pediatric anesthesia and pain management, taking a case-based approach. Each chapter commences with a clinical case or scenario, guiding the reader through a tailored discussion. The chapters review the pathophysiology, anesthetic techniques, and surgical and perioperative considerations. High quality tables and figures feature throughout to help solidify key concepts. The chapters are prepared to be read in isolation and for reference when appropriate. Case Studies in Pediatric Anesthesia is aimed at anesthesiologists of all levels, from the trainee on their first pediatric rotation, to the pediatric fellow preparing for boards examination to the seasoned clinician.
Expertise in airway management in infants and young children requires a comprehensive knowledge and understanding of the developmental anatomy of the human upper airway from birth through adolescence. This chapter will review these topics as well as the anatomical and developmental causes for common syndromes that are associated with difficult mask ventilation or difficult tracheal intubation.
The care of children in the perianesthetic period requires a unique knowledge base and skill set that differs widely from that required for the anesthetic care of the adult patient. The physiology of organ systems is developing throughout childhood, and thus, anesthetic pharmacology differs correspondingly. Infancy and childhood are associated with a myriad of medical problems that often carry into adolescence and adulthood. For these reasons, anesthesiology residents and anesthesia practitioners who are not experts in pediatric anesthesia require a complete and accurate guide to providing care that is consistent with the standards implemented at the leading children's hospitals. Pediatric Anesthesia Practice aims to provide such a point-of-care guide, utilizing contributions by 61 authors from institutions throughout the world, and edited in a uniform style.
This text is organized into three main sections: Surgical Procedures, Coexisting Diseases, and Regional Anesthesia. The Surgical Procedures section contains details on the anesthetic management of more than 100 common pediatric surgical procedures. Each is divided into six separate important sections that cover the entire perioperative period. These include the common coexisting diseases associated with that particular procedure, preoperative assessment strategies, procedural considerations, anesthetic plan recommendations, pain management strategies, and postoperative considerations.
The section on Coexisting Diseases contains chapters encompassing the most common and most important pediatric diseases with anesthetic implications. Each chapter is divided into four main sections that include information on the aspects of that particular disease, preoperative assessment of patients with that disease, intraoperative management of those patients, and postoperative considerations.
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