US-Guided Nerve Targets

Sep 22, 2016 by in ANESTHESIA Comments Off on US-Guided Nerve Targets

and Valeria Mossetti1   (1) Anesthesiology and Intensive Care, Regina Margherita Children Hospital, Turin, Italy     Valeria Mossetti Email: valeriamossetti@libero.it KeywordsUltrasoundRegional anesthesiaTechniquesPediatric There has been a recent increase in the use of…

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Vascular Access in the Perioperative Period

Sep 22, 2016 by in ANESTHESIA Comments Off on Vascular Access in the Perioperative Period

Fig. 19.1 Pre-procedural US screening to detect anatomical variants. (a) Normal anatomy, (b) abnormal internal jugular vein (V) position (median to the carotid artery), (c) abnormal surrounding structure (*, ganglion),…

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Perioperative Care in Paediatric Orthopaedic Surgery

Sep 22, 2016 by in ANESTHESIA Comments Off on Perioperative Care in Paediatric Orthopaedic Surgery

Fig. 7.1 An 8-year-old (12 kg) female affected by osteogenesis imperfecta 7.1.2 Ambulatory Orthopaedic Surgery in Children Ambulatory surgery is a somewhat lighter burden for health services, resulting in considerable…

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Perioperative Care of Children with Trauma

Sep 22, 2016 by in ANESTHESIA Comments Off on Perioperative Care of Children with Trauma

Fig. 15. 1 Causes of high rate of blunt injury in children Major and lethal pediatric traumas are relatively rare. This aspect makes difficult to accomplish guidelines for the management…

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Preoperative Evaluation in Pediatric Anesthesia

Sep 22, 2016 by in ANESTHESIA Comments Off on Preoperative Evaluation in Pediatric Anesthesia

JHSRCS status Description Example 1 Noninvasive procedure, minimal risk Excision of lesion of the skin 2 Procedures limited in their invasive nature mild risk Inguinal hernia repair, diagnostic laparoscopy 3…

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Perioperative Care of Children with a Difficult Airway

Sep 22, 2016 by in ANESTHESIA Comments Off on Perioperative Care of Children with a Difficult Airway

Anatomical airway obstructions Functional airway obstructions Causes Causes Inadequate head position Inadequate anaesthesia Poor face mask technique Laryngospasm Large adenoids/tonsils/obesity Muscle rigidity Secretions Bronchospasm Treatment Treatment Repositioning/reopening/Guedel Deepen anaesthesia Two-hand/two-person…

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Perioperative Care of Neonates with Airway Obstruction

Sep 22, 2016 by in ANESTHESIA Comments Off on Perioperative Care of Neonates with Airway Obstruction

Fig. 18.1 Benjamin’s and Inglis’ classification of laryngeal clefts. Type 1: Interarythenoid defect, type 2: extending partially into the cricoid cartilage, type 3 complete seperation of the cricoid cartilage extending…

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Prevention of Chronic Postsurgical Pain

Sep 22, 2016 by in ANESTHESIA Comments Off on Prevention of Chronic Postsurgical Pain

© Springer International Publishing Switzerland 2016Marinella Astuto and Pablo M Ingelmo (eds.)Perioperative Medicine in Pediatric AnesthesiaAnesthesia, Intensive Care and Pain in Neonates and Children10.1007/978-3-319-21960-8_25 25. Prevention of Chronic Postsurgical Pain Gonzalo Rivera1, 2   (1) Department of…

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Acute Pain Management and Prevention

Sep 22, 2016 by in ANESTHESIA Comments Off on Acute Pain Management and Prevention

Age Self-report scale Hetero-evaluation scale Premature and infants n/a PIPP-R,COMFORT Before 3 years n/a FLACC After 5–6 years Faces, Poker Chips, NRS, VAS FLACC, CHEOPS Situation PACU/ward VAS, Faces, Poker…

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