4206 Litman-28.qxd
نویسنده
چکیده
Abdominal surgery in infants and children presents a number of unique anesthetic challenges that are reviewed in this chapter. The first section consists of a discussion of anesthetic concerns for intraabdominal procedures, especially in neonates and small infants.This discussion is general in nature, and the reader should remember that there exists a wide spectrum of patient conditions and surgical techniques for which the anesthetic technique is individualized. The second section reviews unique aspects of a number of common pediatric surgical conditions of the abdomen that are of interest to anesthesiologists. Anesthetic considerations for indwelling vascular access placement (e.g., Hickman or Broviac catheters) are also covered.
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4206 Litman-30.qxd
Pediatric neurosurgical patients present a unique set of anesthetic challenges that include treatment of increased intracranial pressure (ICP), the use of positions other than supine, and the anesthetic implications of neurophysiologic monitoring. These and other general considerations are addressed in the first part of this chapter, followed by a discussion of anesthetic techniques for common ...
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Prior to the day of surgery,preanesthetic preparation of pediatric patients involves the appropriate choice of laboratory tests that will influence anesthetic management, the assignment of a preoperative fasting interval, and a focused history and physical exam that may influence anesthetic management (although this may occur on the day of surgery). On the day of surgery, the history and physic...
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Orthopedic surgery is common in pediatric patients because of the wide variety of bone and muscle injury or disease during childhood.These entities range from simple fractures in healthy children to complex spinal fusions in children with debilitating neuromuscular disorders. Anesthetic considerations for children with these specific disorders are covered in Chapter 5. This chapter focuses on c...
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