This second edition of Clinical Pediatric Anesthesia: A Case-Based Handbook offers a comprehensive review of the options, advantanges, and disadvantages of different aspects of the perioperative management of the pediatric patient, as well as examples of a wide range of relevant clinical scenarios. Chapters are organized into 15 sections and cover the field of pediatric anesthesiology with a point-of-care approach. Written by a team of over 50 Pediatric Anesthesiologists at tertiary children's hospitals, this highly accessible text provides readers with multiple approaches to the anesthetic care of the pediatric patient. Each chapter includes an introduction to the topic, followed by learning objectives, clinical vignettes, and a discussion section styled in a question-and-answer format, concluding with a summary of the highest-yield and most salient information. Chapters also provide annotated references and suggestions for further reading to facilitate in-depth study of topic. The variety of cases presented, along with the contributors' expertise, render valuable real-life clinical situations that promote critical thinking and evaluation necessary for all pediatric anesthesiology consultants.
Contents
PART 1: Challenges in Pre-operative Consultation and Preparation
1) Preoperative Anxiety Management
Thomas Shaw
2) Electrolyte Disturbance in Pyloric Stenosis
Imelda Tjia
3) Upper Respiratory Infection
Kenneth Wayman
4) Acute Fluid Resuscitation for Intussusception
Erin Williams
5) Asthmatic for Adenotonsillectomy
Erin Williams
6) Preoperative Fasting in the Pediatric Patient
Nancy Hagerman and Eric Wittkugel
PART 2: Challenges in Pediatric Pharmacology
7) Malignant Hyperthermia
Erin Williams
8) Anaphylaxis
Lori Aronson, Diane Gordon, and Matthew Sjoblom
9) Anesthesia for MRI
Trung Du and Mohamed Mahmoud
10) Egg and Soy Allergies and Propofol Use
Lisa Heyden
PART 3: Challenges in Airway Management
11) Obstructive Sleep Apnea
Laura Ryan and Paul Hopkins
12) Foreign Body in the Airway
Vidya Chidambaran, Senthilkumar Sadhasivam
13) Laryngospasm (FESS or Ear Tubes)
Kathleen Chen and Brent Schakett
14) Tonsillar Bleed
Titilopemi Aina and Sharon Redd
15) Difficult Airway
Paul Hopkins and Laura Ryan
16) Laryngeal Papillomatosis
Carlos Rodriguez
PART 4: Challenges in Patients with Pulmonary Disease
17) Intraoperative Wheezing
Erin Williams and Julie Schackman
18) Cystic Fibrosis
Brian Tinch
19) Pectus Excavatum Repair
Chris Glover and Wallis Muhly
PART 5: Challenges in Blood and Fluid Management
20) Massive Transfusion in a Child
Stefan Sabato and Rachel Chapman
21) Management of Acutely Burned Children
Robert McDougall
22) Liver Transplant
Rahul Baijal and Carlos Campos
23) Craniosynostosis Repair
Helena Karlberg
24) Kidney Transplant
Titilopemi Aina and Miguel Prada
PART 6: Challenges in Congenital Heart Disease
25) Management of Children with CHD for Non-Cardiac Surgery
Dean Andropoulos
26) Single Ventricle Physiology
Erin Gottlieb and David Vener
27) Tetralogy of Fallot
Premal Trivedi and Pablo Motta
28) Cardiac Catheterization
Emad Mossad
29) Pulmonary Hypertension
Erin Williams
PART 7: Challenges in Ophthalmology
30) Open Globe Repair
Michael Lin and Erin Williams
PART 8: Challenges in Neurosurgical Conditions and Neuromonitoring
31) Prone Positioning for Posterior Fossa Tumor Resection
Matthew James
32) Spinal Surgery
Chris Glover and Kim Nguyen
PART 9: Challenges in Patients with Hematologic and Oncologic Disorders
33) Sickle Cell Disease
Erin Williams and Ann Ng
34) Hemophilia (Orthopedic surgery)
Rebecca McIntyre
35) Leukemic for LP/BMA/Radiation Treatment
Ann Ng and Erin Williams
36) Opioid Tolerant Patient
Michael Zelisko
37) Mediastinal Mass Biopsy
Lisa Caplan
38) Neuroblastoma Resection
Stefan Sabato
PART 10: Challenges in Metabolic and Endocrinologic Conditions
39) Diabetic Patient
Mario Patino and Anna Varughese
40) Diabetes with Ketoacidosis During Appendicitis with Perforation
Rahul Baijal and Carlos Campos
41) Hypopituitarism
Lori Aronson, Diane Gordon, and Matthew Sjoblom
42) Mitochondrial Disorder for Muscle Biopsy
Mary A. Felberg
43) Obesity
Kim Nguyen and Chris Glover
44) Perioperative Management of Pheochromocytoma
Yang Liu
45) Thyroid mass resection
Kalyani Govindan
PART 11: Challenges in the Perinatal period
46) Exploratory Laparotomy for Necrotizing Enterocolitis
Olutoyin Olutoye and Karla Wyatt
47) Former Premature for Hernia Repair
Geoff Frawley
48) Tracheoesophageal Fistula Repair
Titilopemi Aina and Catherine Seipel
49) Omphalocele/Gastroschisis
Olutoyin Olutoye and Karla Wyatt
50) Congenital Diaphragmatic Hernia Repair
Catherine Seipel
51) Myelomeningocele Repair
Annie Boat, Jagroop Mavi, and Senthilkumar Sadhasivam
52) Fetal: Exit Procedure for Cervical Mass
Olutoyin Olutoye and Caitlin Sutton
PART 12: Challenges in Pediatric Regional Anesthesia and Pain
53) Caudal vs. Penile Block
Kenneth Goldschneider, Michele Hendrickson, and Cheryl Maenpaa
54) Neonatal Epidural
Kenneth Goldschneider and David Moore
55) Complex Regional Pain Syndrome for Ambulatory Surgery
Caro Monico
56) Perioperative Management of the Child Following an Extremity Amputation
Jamie Sinton
PART 13: Challenges in Pediatric Syndromes
57) Down Syndrome
Melanie Handley
58) Muscular Dystrophy (Gastrostomy Tube Placement)
Renee Kreeger and James Spaeth
59) Mucopolysaccharidoses
Titilopemi Aina and Catherine Seipel
60) Epidermolysis Bullosa
Kim Nguyen
61) Osteogenesis Imperfecta
Aimee Kakascik
62) Cerebral Palsy
Megha Kanjia
PART 14: Challenges in the Post-Anesthesia Care Unit
63) Awareness and Recall
Erin Williams and Andrew Davidson
64) Acute Pain Management
Nihar Patel
65) Emergence Agitation
Mehernoor Watcha and Arvind Chandrakantan
66) Stridor after Extubation
Cheryl Gore
67) Postoperative Nausea and Vomiting in Patients with Prolonged QTc
Mehernoor Watcha and Adam Adler
68) Disclosure after Complication in the Operating Room
David Young
PART 15: CHALLENGES IN ETHICS
69) Blood Loss in the Jehovah's Witness Patient
Michelle Dalton
70) Organ Donation after Cardiac Death
David Mann and Caitlin Sutton
71) Do-Not- Resuscitate Order in the Operating Room
David Mann and Caitlin Sutton
