Discussions are framed as questions and answers, mimicking board examinations.
Detailed annotated references promote learning in different topics.
Covers multiple approaches when appropriate, and addresses their advantages and disadvantages.
Through 71 case presentations, Clinical Pediatric Anesthesia covers the field of pediatric anesthesiology with a practical, point-of-care approach. Each concisely written case is organized by introduction, learning objectives, case presentation, discussion, summary, annotated references, and further reading. In a style akin to the oral board examinations, discussions are framed as questions and answers to encourage thorough analysis and understanding by the reader. Key words are highlighted to emphasize important points, and annotated references allow for further exploration of topics. Multiple approaches often exist for the care of children in any given situation, so various options are discussed when appropriate with advantages and disadvantages closely examined. Since questions posed by real-life clinical situations call for active thinking, this case-based book promotes the same evaluation and decision-making skills required of the pediatric anesthesia clinician.
Readership: Anesthesiologists; anesthesiology residents and fellows; technicians, nurses, nurse anesthetists, medical students.
Introduction: How to Use this Book Contributors Part 1: Challenges in Pre-operative consultation and preparation 1. Preoperative Anxiety Management 2. Electrolyte Disturbance in Pyloric Stenosis 3. Upper Respiratory Infection 4. Acute Fluid Resuscitation for Intussusception 5. Asthmatic for Adenotosillectomy 6. Do not Resuscitate Orders in the OR 7. Preoperative Fasting in the Pediatric Patient Part 2: Challenges in Pediatric Pharmacology 8. Malignant Hyperthermia 9. Anaphylaxis 10. Anesthesia for MRI 11. Egg and Soy allergies and Propofol Use Part 3: Challenges in Airway Management 12. Obstructive Sleep Apnea 13. Foreign body in the airway 14. Laryngospasm 15. Tonsillar Bleed 16. Difficult Airway 17. Airway Reconstruction 18. Laryngeal Papillomatosis 19. Bacterial Tracheitis vs. Epiglottitis Part 4: Challenges in patients with Pulmonary Disease 20. Intraoperative Wheezing 21. Cystic Fibrosis 22. Pectus Excavatum Repair 23. Difficult Ventilation during Laparoscopic Fundoplication Part 5: Challenges in Blood and Fluid Management 24. Massive Transfusion in a Child 25. Management of Acutely Burned Children 26. Management of Burn Patients for Grafting and Excision 27. Liver Transplant 28. Craniosynostosis Repair 29. Kidney Transplant Part 6: Challenges in Congenital Heart Disease 30. Children with Congenital Heart Disease for Non-cardiac Surgery 31. Single Ventricle Physiology 32. Tetralogy of Fallot 33. Cardiac Catheterization 34. Cardiac MRI 35. Pulmonary Hypertension Part 7: Challenges in Ophthalmology 36. Open Globe Repair Part 8: Challenges in Neurosurgical Conditions and Neuromonitoring 37. Prone Positoning for Posterior Fossa Tumor Resection 38. Spinal Surgery 39. Awareness and Recall during Anesthesia Part 9: Challenges in Patients with Hematologic and Oncologic Disorders 40. Sickle Cell Disease 41. Hemophilia 42. Oncology Patient 43. Opioid tolerant patient 44. Mediastinal Mass Biopsy 45. Neuroblastoma Resection Part 10: Challenges in Metabolic and Endocrinologic Conditions 46. Diabetic Patient 47. Diabetic Ketoacidosis during Appendicitis with Perforation 48. Hypopituitary 49. Mitochondrial Disorder for Muscle Biopsy 50. Obesity Part 11: Challenges in the Perinatal period 51. Exploratory Laparotomy for Necrotizing Enterocolitis 52. Former Premature Infant for Hernia Repair 53. Tracheoesophageal Fistula Repair 54. Omphalocele/Gastroschisis Repair 55. Congenital Diaphragmatic Hernia Repair 56. Myelomeningocele Repair Part 12: Challenges in Regional Anesthesia and Pain 57. Caudal vs. Penile Block 58. Neonatal Epidural 59. Acute Pain Management 60. Peripheral Nerve Block Catheter for Extremity Surgery 61. Complex Regional Pain Syndrome in the Emergency Department Part 13: Challenges in Pediatric Syndromes 62. Down Syndrome 63. Muscular Dystrophy 64. Mucopolysaccharidoses 65. Epidermolysis Bullosa 66. Osteogenesis Imperfecta 67. Cerebral Palsy Part 14: Challenges in the Post-Anesthesia Care Unit 68. Emergence Agitation 69. Stridor after Extubation 70. Postoperative Nausea and Vomiting in a Patient with Prolonged QTc 71. Disclosure after Complication in the OR Index