Abnormalities of the Immune Response and Infection

Aug 24, 2016 by in ANESTHESIA Comments Off on Abnormalities of the Immune Response and Infection

   1.   While many patients with a diagnosis of asthma have relatively uneventful anesthetics, all children who carry that diagnosis should be carefully and thoroughly evaluated prior to induction and plans made…

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Neuromuscular Disorders

Aug 24, 2016 by in ANESTHESIA Comments Off on Neuromuscular Disorders

   1.   The four components of the motor unit are the motor neuron, the axon of that motor neuron, the neuromuscular junction, and the muscle fibers innervated by the dendrites of the…

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Postanesthetic Recovery

Aug 24, 2016 by in ANESTHESIA Comments Off on Postanesthetic Recovery

   1.   Children should not be transported to the postanesthesia care unit (PACU) until they have a patent airway, adequate gas exchange, stable HR and BP, and SpO2 at or close to…

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Ethical and Legal Considerations in Pediatric Anesthesia

Aug 24, 2016 by in ANESTHESIA Comments Off on Ethical and Legal Considerations in Pediatric Anesthesia

   1.   Informed consent is the process by which adult patients’ autonomy and agency are honored in medicine decision making.    2.   In pediatrics, parents are the surrogate decision makers for the children, and…

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Obstetric Anesthesia for Parturients with Respiratory Diseases

Aug 24, 2016 by in ANESTHESIA Comments Off on Obstetric Anesthesia for Parturients with Respiratory Diseases

         II.Asthma A. Introduction 1.   Asthma presentation and symptoms. Asthma causes episodic partially reversible airway obstruction resulting from bronchoconstriction, inflammation, hyperresponsiveness, and mucous plugging. Symptoms include wheezing, chest tightness, difficulty breathing, and…

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Cardiac Disease in the Obstetric Patient

Aug 24, 2016 by in ANESTHESIA Comments Off on Cardiac Disease in the Obstetric Patient

3.   Left heart obstruction (mitral valve area <2 cm2, aortic valve area <1.5 cm2, or peak left ventricular outflow tract gradient >30 mm Hg by echocardiography) 4.   Reduced left ventricular function (ejection…

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