Postoperative Care and Pain Management
The Postanesthesia Care Unit General Management All children should be transported to the postanesthesia care unit (PACU) in the lateral decubitus position with the head extended so as to provide…
Techniques and Procedures
Routine Preparation for Surgery Preoperative Assessment A careful assessment of the child must be made at the time of the preoperative visit. Although many children are healthy, some have diseases…
Medical Conditions Influencing Anesthetic Management
Upper Respiratory Tract Infection Infants and children often have or are recovering from a runny nose or other manifestations of upper respiratory tract infection (URTI) when they are seen for…
Clinical Pharmacology
Routes of Administration Intravenous. The intravenous route is the most certain route to deliver drugs to the bloodstream under all conditions and is the principal route for all anesthetic drugs…
Anatomy and Physiology
Central Nervous System The central nervous system in the neonate differs from that in the older child: the myelination of nerve fibers is incomplete, and the cerebral cortex is less…
Psychological Aspects
PSYCHOLOGICAL ASPECTS OF ANESTHESIA FOR CHILDREN Hospitalization and/or medical procedures can have profound emotional consequences for infants and children. Some children demonstrate behavior disturbances that persist long after the event….
Regional Analgesia Techniques
Local Anesthetic Drugs Local analgesic drugs are now very widely used in children, particularly in the management of postoperative pain ( Table 5-1 ). TABLE 5-1 Maximum Doses of Local…
Provision of Anesthesia in Difficult Situations and the Developing World
Chapter Outline Difficult Situations Within Hospitals 321 Remote Anesthesia 321 Major Accidents And Disasters 321 The Battlefield 322 Nuclear Biological Chemical (NBC) Capability 324 Equipment For Other Battlefield Anesthetic Techniques…
Basic Physics of Electricity
Chapter Outline Electric Charge 352 Static Electricity and Electric Potential 352 Electric Current 352 Resistance and Ohm’s Law 353 Heating Effect of Electric Currents 353 Root Mean Square (RMS) Values…
Anesthesia Equipment Outside of the Operating Room
Chapter Outline General Considerations 309 The OOOR Location 309 Procedures 311 The Patient 311 Locations 312 Magnetic Resonance Imaging 312 Computed Tomography 317 Interventional Neuroradiology 317 Cardiovascular Suite 318 Radiation…
