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ANESTHESIA FOR ORTHOPEDIC AND SPINAL SURGERY provides a multitude of challenges. Children often present with concomitant diseases that affect cardiovascular and respiratory function. The ability to maintain a clear airway during anesthesia is not straightforward for some children, such as…

THE MOST COMMON INDICATIONS for total intravenous anesthesia (TIVA) techniques in children are as follows: those at risk for malignant hyperthermia (in whom inhalational agents are contraindicated); children with a high risk of postoperative nausea and vomiting, brief radiologic or…

THE PHARMACOKINETICS AND PHARMACODYNAMICS of most medications in children, especially neonates, differ from those in adults. Children exhibit different pharmacokinetics (PK) and pharmacodynamics (PD) from adults because of their immature renal and hepatic function, different body composition, altered protein binding,…

IN THIS CHAPTER, WE outline the basis of our collective practice of pediatric anesthesia. These basic principles of practice can be applied regardless of the circumstances; they provide the foundation for safe anesthesia. Preoperative Evaluation and Management Parents and Child…