The Pediatric Burn
Management of the pediatric burn patient presents a variety of clinical challenges for the pediatric anesthesiologist. Despite the high incidence of burn injuries, standard management strategies are far from universal….
Is Anesthesia Bad for the Brain? Current Knowledge on the Impact of Anesthetics on the Developing Brain
There are compelling preclinical data that common general anesthetics cause increased neuroapoptosis in juvenile animals. Retrospective studies demonstrate that young children exposed to anesthesia have school difficulties, which could be…
The Pediatric Difficult Airway
Children have unique characteristics that make them particularly vulnerable to perioperative adverse events. Skilled airway management is a cornerstone of high-quality anesthetic management. The use of hybrid airway techniques is…
Pediatric Mass Casualty Preparedness
Disaster medicine refers to situations in which the need to care for patients outweighs the available resources. It is imperative for anesthesiologists to be involved at a leadership level in…
Anesthesia for Innovative Pediatric Surgical Procedures
Over the past few decades, there have been many advances in pediatric surgery, some using new devices (eg, VEPTR, MAGEC rods) and others using less invasive approaches (eg, Nuss procedure,…
Self-assessment
Single best answer 1 A 24-year-old presents to the emergency department following a stab injury in the right side of the lower chest . His BP is 65/20 mmHg, HR 110…
Pharmacology and clinical use of plasma expanders
Abstract Plasma expanders are colloidal solutions that expand the circulating blood volume more than isotonic crystalloids and are among the most commonly used fluids in critical care and perioperative medicine…
Major incidents
Abstract A major incident is one that causes casualties on a scale beyond the usual capabilities of the emergency and healthcare services usual ability to manage. Major incident planning and…
The metabolic and endocrine response to trauma
Abstract Metabolic and endocrine pathways are central to the body’s compensatory response to trauma. They drive mobilization of energy substrates, volume conservation and haemostasis via activation of the hypothalamic pituitary…
Spinal cord injury
Abstract In the UK, the annual incidence of acute spinal cord injury (SCI) is 19 new cases per million population, contributing to an estimated 50,000 people who are currently living…
