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.…
MALIGNANT HYPERTHERMIA (MH) is a pharmacogenetic disease of skeletal muscle that may precipitate a potentially fatal sequence of metabolic responses in the presence of triggering anesthetics. The primary triggers for MH—inhalational anesthetics and succinylcholine—induce an uncontrollable release of intramyoplasmic calcium…
pediatric plastic surgery is performed in children of all ages, even in utero. However, the majority of children who undergo plastic surgical and reconstructive procedures are between 2 and 9 years of age, with a median age of 5 years.…
ABDOMINAL SURGERY AND UROLOGIC interventions make up a large fraction of anesthetic practice for the pediatric anesthesiologist. The field is rapidly evolving, with increased use of laparoscopic surgery, including robot-assisted procedures. This chapter focuses on the specific issues related to…
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…