Plastic and Reconstructive Surgery

Mar 27, 2019 by in ANESTHESIA Comments Off on Plastic and Reconstructive Surgery

Many children require plastic surgery to correct congenital deformities. The head and neck are commonly affected, which may introduce special problems for the anesthesiologist. In addition, some children undergo plastic…

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Dental Surgery

Mar 27, 2019 by in ANESTHESIA Comments Off on Dental Surgery

GENERAL PRINCIPLES 1. Children do not usually cooperate very well under moderate sedation (so called “conscious sedation”) unless they are very motivated and specially prepared and therefore require general anesthesia…

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Ophthalmology

Mar 27, 2019 by in ANESTHESIA Comments Off on Ophthalmology

General Principles 1. General anesthesia is almost always required because children do not tolerate sedation and local analgesia for eye surgery. 2. Intraocular surgery and surgery of the nasolacrimal duct…

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Neurosurgery and Invasive Neuroradiology

Mar 27, 2019 by in ANESTHESIA Comments Off on Neurosurgery and Invasive Neuroradiology

General Principles 1. Perioperative management must be planned to minimize the possibility of increasing the intracranial pressure (ICP) and to ensure optimal operating conditions for the neurosurgeon. 2. Light general…

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Postoperative Care and Pain Management

Mar 27, 2019 by in ANESTHESIA Comments Off on Postoperative Care and Pain Management

The Postanesthesia Care Unit General Management All children should be transported to the postanesthesia care unit (PACU) in the lateral decubitus position with the head extended so as to provide…

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Techniques and Procedures

Mar 27, 2019 by in ANESTHESIA Comments Off on Techniques and Procedures

Routine Preparation for Surgery Preoperative Assessment A careful assessment of the child must be made at the time of the preoperative visit. Although many children are healthy, some have diseases…

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Clinical Pharmacology

Mar 27, 2019 by in ANESTHESIA Comments Off on Clinical Pharmacology

Routes of Administration Intravenous. The intravenous route is the most certain route to deliver drugs to the bloodstream under all conditions and is the principal route for all anesthetic drugs…

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Anatomy and Physiology

Mar 27, 2019 by in ANESTHESIA Comments Off on Anatomy and Physiology

Central Nervous System The central nervous system in the neonate differs from that in the older child: the myelination of nerve fibers is incomplete, and the cerebral cortex is less…

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Psychological Aspects

Mar 27, 2019 by in ANESTHESIA Comments Off on Psychological Aspects

PSYCHOLOGICAL ASPECTS OF ANESTHESIA FOR CHILDREN Hospitalization and/or medical procedures can have profound emotional consequences for infants and children. Some children demonstrate behavior disturbances that persist long after the event….

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