Neurosurgery
Pediatric neurosurgical patients present a unique set of anesthetic challenges that include treatment of increased intracranial pressure (ICP), the frequent use of lateral and prone positions, and the anesthetic implications…
Plastic Surgery
In this chapter we review plastic surgery procedures that pose a wide range of perioperative challenges for the anesthesiologist, including difficult airway management, significant intraoperative blood loss, and comorbidities secondary…
Ophthalmologic Surgery
This chapter covers general considerations for ophthalmologic procedures in children, specific anesthetic considerations for the more commonly performed pediatric ophthalmologic procedures, and several unique anesthetic complications that occur in pediatric…
Orthopedic Surgery
Musculoskeletal Trauma General Considerations Whether via monkey bar falls or trampoline accidents, children often find a way into the operating room for the treatment of musculoskeletal injuries. Approximately 40% of…
Thoracic Surgery
Anesthetic care for pediatric thoracic surgery covers a wide range of ages, concomitant disease processes, and surgical pathology. The clinical scenario ranges from an elective, outpatient procedure on an otherwise…
ENT Surgery
Anesthesia for ENT surgery is one of the most challenging because of the frequency of airway obstruction in infants and small children and requisite sharing of the airway that is…
General Surgery
In this chapter, we review principles of anesthetic management of some common and unique surgical procedures that are within the purview of the general pediatric surgeon. The first section contains…
Malignant Hyperthermia
Malignant hyperthermia (MH) is a serious and possibly fatal syndrome of skeletal muscle hypermetabolism and calcium dysregulation that occurs when genetically susceptible individuals are exposed to certain anesthetic “triggering” agents-…
The Difficult Pediatric Airway
In this chapter we review principles of pediatric difficult airway management, with a focus on those entities that cause anatomic or functional airway obstruction above the level of the glottis….
Regional Anesthesia
Nearly all regional anesthetic blocks in children are performed while they are anesthetized because conscious or sedated children will not cooperate sufficiently to ensure their safety. The main disadvantage of…
