Chapter 1 – Disaster Anesthesia
Abstract A disaster is by definition a situation in which the resources available do not match the demands of the population impacted. This frequent reality often forces serious modifications in…
ANESTHESIA
Chapter 2 – Preparing to Deploy to a Remote Disaster
Abstract In order to prepare to respond to a disaster event, one must consider the type of disaster. Is it a one-time event, the result of weather, seismic activity, or…
Chapter 3 – Principles of Emergency and Trauma Surgery
Abstract Natural disasters and armed conflict kill and maim. In the immediate, emergency phase, patients suffering from trauma receive the highest priority. It is only later that the public health…
Using Electroencephalography (EEG) to Guide Propofol and Sevoflurane Dosing in Pediatric Anesthesia
Sevoflurane and propofol–based anesthetics are dosed according to vital signs, movement, and expired sevoflurane concentrations, which do not assess the anesthetic state of the brain and, therefore, risk underdose and…
Trends in Pediatric Pain
Trends in pediatric pain management are moving toward thinking beyond opioids. Regional anesthetic techniques, such as quadratus lumborum and erector spinae plane blocks, demonstrate efficacy and safety in pediatric populations….
Pediatric Obstructive Sleep Apnea and Neurocognition
Pediatric obstructive sleep apnea affects a large number of children and has multiple end-organ sequelae. Although many of these have been demonstrated to be reversible, the effects on some of…
Sustainability in the Operating Room
Climate change will be the defining health crisis of the twenty-first century, and environmental health is directly linked with human health. The health sector should lead the sustainability effort by…
Managing the Adult Patient with Congenital Heart Disease
The focus of this article is noncardiac surgery in the adult with congenital heart disease (CHD). The purpose is to provide the general and pediatric anesthesiologist with a basic overview…
Anesthetic Implications of Common Congenital Anomalies
The most common congenital anomalies are congenital heart defects, cleft lip and palate, Down syndrome, and neural tube defects. Anesthetic considerations for Down syndrome include cervical spine instability, history of…
New Trends in Fetal Anesthesia
Fetal anesthesia teams must understand the pathophysiology and rationale for the treatment of each disease process. Treatment can range from minimally invasive procedures to maternal laparotomy, hysterotomy, and major fetal…
