Andreas W. Loepke Archives

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Surgery, Anesthesia, and the Immature Brain

MILLIONS OF CHILDREN UNDERGO SURGERY with anesthesia every year. During the perioperative period they are exposed to a multitude of stressors capable of interfering with normal brain development. Pain, stress, inflammation, hypoxia, and ischemia have all been shown to adversely…

Anesthetic Considerations for Cardiac and Noncardiac Surgery in the Child With Congenital Cardiac Disease

Introduction The complexity of congenital cardiac lesions and increased requirements for imaging studies and interventions in this growing patient population necessitate the specialized skills of the pediatric cardiac anesthesiologist. The great majority of these practitioners undergo primary training in anesthesiology,…