4206 Litman-34.qxd
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چکیده
The anesthetic management of plastic surgical procedures in the pediatric population is often challenging because of the variety of congenital syndromes that require cosmetic repair.These syndromes are associated with altered airway anatomy, as well as complex coexisting medical conditions.This chapter reviews anesthetic management of the more commonly performed plastic surgery procedures – cleft lip and palate, and craniosynostosis repair. In addition, considerations for subcutaneous administration of epinephrine are reviewed.
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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 ...
متن کامل4206 Litman-15.qxd
This chapter reviews the importance of thermoregulation and temperature monitoring in anesthetized children. It addresses the significance of keeping children normothermic, and will help the novice understand why pediatric anesthesiologists become apoplectic when faced with the possibility that the small infant they are caring for may become hypothermic. The chapter also covers the management o...
متن کامل4206 Litman-02.qxd
Developmental physiology encompasses the bodily changes taking place after birth that affect clinical anesthetic management. This chapter covers the basic principles of these changes, including cardiac, respiratory, neurologic, hematologic, and renal physiology. In addition, principles of developmental pharmacology as they pertain to the administration of intravenous and inhalational anesthetic...
متن کامل4206 Litman-12.qxd
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...
متن کامل4206 Litman-28.qxd
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 sur...
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