Pediatric Anesthesia, An Issue of Anesthesiology Clinics

1st Edition, Volume 38-3 - August 25, 2020
Editors: Alison R. Perate, Vanessa A. Olbrecht
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 7 6 1 3 1 - 4
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 7 6 1 3 2 - 1

This issue of Anesthesiology Clinics, guest edited by Drs. Alison Perate and Vanessa Olbrecht, focuses on Pediatric Anesthesia. This is one of four issues each year selected by the… Read more

Pediatric Anesthesia, An Issue of Anesthesiology Clinics

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This issue of Anesthesiology Clinics, guest edited by Drs. Alison Perate and Vanessa Olbrecht, focuses on Pediatric Anesthesia. This is one of four issues each year selected by the series consulting editor, Dr. Lee Fleisher. Articles in this issue include, but are not limited to: The Pediatric Difficult Airway: Updates and Innovations; Current Knowledge of the Impact of Anesthetics on the Developing Brain; Anesthesia for Innovative Pediatric Surgical Procedures; Pediatric Mass Casualty Preparedness; The Pediatric Burn: Current Trends and Future Directions; Managing the Child with Complex Congenital Heart Disease; Modernizing Education of the Pediatric Anesthesiologist; Regional Anesthesia: Options for the Pediatric Patient; Managing the Pediatric Patient for Anesthesia Outside of the OR; New Trends in Fetal Anesthesia; Anesthetic Implications of the Common Congenital Anomalies; Managing the Adult Patient with Congenital Disease; Trends in Pain Management: Thinking Beyond Opioids; Sustainability in the OR: Reducing Our Impact on the Planet; Current Trends in OSA; and Processed EEG Guided Propofol Infusion in Children.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Foreword
Preface
The Pediatric Difficult Airway: Updates and Innovations
Key points
Introduction
Unique characteristics of the pediatric airway
Incidence and predictors of the pediatric difficult airway
Complications during pediatric difficult airway management
Devices and techniques for the pediatric difficult airway
Summary
Is Anesthesia Bad for the Brain? Current Knowledge on the Impact of Anesthetics on the Developing Brain
Key points
Preclinical data
Clinical studies
Perioperative factors associated with adverse pathophysiology in pediatric patients
Summary
Anesthesia for Innovative Pediatric Surgical Procedures
Key points
Introduction
The Nuss procedure
Vertical expandable prosthetic titanium rib
Endoscopic cranial suture release
Minimally invasive tethered cord release
Pediatric Mass Casualty Preparedness
Key points
Philosophic approach to disaster medicine
Types of disaster events
How to design a disaster plan for the anesthesiologist
Summary
The Pediatric Burn: Current Trends and Future Directions
Key points
Introduction
Initial stabilization
Perioperative management
Summary
Perioperative Considerations for the Fontan Patient Requiring Noncardiac Surgery
Key points
Introduction
Incidence and epidemiology
Fontan anatomy and physiologic considerations
Preoperative assessment of the Fontan patient
Summary
Modernizing Education of the Pediatric Anesthesiologist
Key points
Background
External drivers affecting pediatric anesthesia education
Current education requirements and identified gaps
Simulation training
Competency-based education and assessment
Have lifelong learners been created through pediatric anesthesiology fellowships and maintenance of certification in pediatric anesthesiology?
Conclusions: looking toward the future of pediatric anesthesia education
Regional Anesthesia: Options for the Pediatric Patient
Key points
Introduction
Discussion
Summary
Pediatric Anesthesia Outside the Operating Room: Safety and Systems
Key points
Introduction
Demographic trends
Preanesthetic assessment, patient selection, and risk stratification
Monitoring and equipment
Risk of pediatric nonoperating room anesthesia
Responding to emergencies
Personal and patient safety
Pediatric procedural sedation by nonanesthesiologists
Summary
Pediatric Anesthesia Outside the Operating Room: Case Management
Key points
Anesthetic management in off-site locations
Diagnostic radiology
Advanced diagnostic imaging
Interventional radiology
Radiation oncology
Gastroenterology procedure unit
Cardiac catheterization laboratory
Summary
New Trends in Fetal Anesthesia
Key points
Introduction
Diseases and treatments
Types of fetal interventions
Summary
Anesthetic Implications of Common Congenital Anomalies
Key points
Introduction
Down syndrome
Cleft lip and cleft palate
Neural tube defects
Summary
Managing the Adult Patient with Congenital Heart Disease
Key points
Atrial septal defect
Ventricular septal defects
Valve abnormalities
Coarctation of the aorta
Single-ventricle patients
Atrioventricular canal and tetralogy of fallot
Transposition of the great arteries
Summary
Trends in Pediatric Pain: Thinking Beyond Opioids
Key points
Introduction
Discussion
Summary
Sustainability in the Operating Room: Reducing Our Impact on the Planet
Key points
Introduction
Volatile anesthetic agents
Nitrous oxide
Medication waste
Single-use devices
Heating, ventilation, and air conditioning
Summary
Pediatric Obstructive Sleep Apnea and Neurocognition
Key points
Introduction
Neurocognitive expression of obstructive sleep apnea in children
Clinical manifestations of obstructive sleep apnea
Changes in executive functioning
Behavioral changes
Learning and memory deficits
Preclinical models of pediatric obstructive sleep apnea
Comorbid risk factors for pediatric obstructive sleep apnea
Rhinosinusitis
Asthma
Impact of race and socioeconomic status on pediatric obstructive sleep apnea
Postsurgical complications of adenotonsillectomy
Summary
Using Electroencephalography (EEG) to Guide Propofol and Sevoflurane Dosing in Pediatric Anesthesia
Key points
Introduction
Eeg fundamentals
Anesthetic state
Pediatric EEG changes with age
EEG to guide anesthetic dose
Summary