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THE FIELD OF PEDIATRIC anesthesia has become increasingly subspecialized, with unique challenges that demand high-quality teaching and training. Pediatric anesthesia is focused in detail, diverse in surgical and technical complexity, and tolerates an exceedingly small margin for error. With the…
Heating and Cooling Systems Consider for a moment the design of the surgical gown. It is designed to be a sterile barrier to protect the patient, yet it also must be a barrier to body fluids to protect the wearer.…
THE POPULATION IN THE DEVELOPING WORLD CONTINUES TO GROW while world demographics trend toward an aging population in an urbanized, developed world. Children, many orphaned by the ravages of war, human immunodeficiency virus (HIV) infection, and famine, constitute more than…
THE RABBIT HOLE THAT IS THE PERIOPERATIVE ENVIRONMENT is not well understood by the majority of our general pediatric colleagues. Similarly, the rabbit hole of the primary care clinic or the pediatric inpatient ward is not well understood by the…
VASCULAR CANNULATION IS AN IMPORTANT PROCEDURE in the anesthetic and perioperative management of children. Its routine use was introduced in the 1950s. The indications are to provide routes to administer fluids, drugs, and blood products, monitor cardiopulmonary function, and access…
The Evolution of Pediatric Sedation and the Anesthesiologist's Role Perhaps more than ever, the care of children in the hospital setting requires the provision of sedation in a timely and effective manner. Many children who require an imaging procedure or…