By Robert S. Holzman MD, Thomas J. Mancuso MD, David M. Polaner MD
This new addition to our hugely winning a realistic method of Anesthesia sequence is a complete, available consultant to pediatric anesthesia, with the substance and intensity of a textbook and the handy, straight forward positive factors of a guide. It makes a speciality of scientific matters, comprises adequate educational fabric for board evaluate, and is written in bulleted and description structure, with a variety of illustrations and tables. significant sections concentrate on method of the pediatric sufferer, scientific and operational elements of pediatric anesthesia, anesthetic administration of normalities and abnormalities of every organ procedure, and precise occasions resembling fetal surgical procedure, anesthesia outdoor the working room, and trauma. Emphasis is at the developmental aspects—anatomic, physiologic, and pharmacologic—that require distinctive realization in anesthesia making plans.
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Additional info for A Practical Approach to Pediatric Anesthesia
Postoperative apnea, bradycardia, and oxygen desaturation in formerly premature infants: Prospective comparison of spinal and general anesthesia. Anesth Analg. 1995;80:7â 13. 57 Webster A, McKishnie J, Kenyon C, et al. Spinal anaesthesia for inguinal hernia repair in high-risk neonates. Can J Anaesth. 1991;38:281â 286. 58 Cox R, Goresky G. Life-threatening apnea following spinal anesthesia in former premature infants. Anesthesiology. 1990;73:345â 347. 69 59 Welborn LG, Rice LJ, Hannallah RS, et al.
Dead space exists only when fresh and exhaled gases are mixed; it does not exist when fresh and exhaled gases are completely separated. The proper size rebreathing bag for children has a volume approximately equal to the patient's vital capacity, or three times the tidal volume. The same calculation is applicable for the doubly open (Boothby-Lovelace-Bourbillion) rebreathing bags used on the Jackson-Rees modification of the Ayre T-piece. For patients sensitive to latex products, rebreathing bags are now made of neoprene as an alternative.
Capable and present parents are generally the appropriate decision makers for their children. This approach honors society's respect for the concept of family and, presuming that children will incorporate some of the parents' values as they mature, provides a reasonable approximation of the future values of the child (3). In our multicultural society, parents appropriately have extensive leeway in determining what is in a child's best interests. Determining when parental preference constitutes unacceptable decision making requires recognizing the boundaries of acceptable decision making.
A Practical Approach to Pediatric Anesthesia by Robert S. Holzman MD, Thomas J. Mancuso MD, David M. Polaner MD