A Practical Approach to Pediatric Anesthesia

Section I: Approach to Pediatric Pa tients
1. Fundamental Differences between Children and Adults..........................................................................................1
Robert S. Holzman
2. Developmental Pharmacology.......................................................................................................................................18
Brian J. Anderson, James Peyton, and George H. Meakin
3. General Preoperative Evaluation and Consultative Pediatric Anesthesia........................................................55
Lynne R. Ferrari
4. Risk Management, Assessment and Quality Improvement..................................................................................67
Judit Szolnoki and David M. Polaner
5. Ethical and Legal Considerations in Pediatric Anesthesia.....................................................................................78
David B. Waisel
Section II: Clinical and Operational Aspects of Pediatric Anesthesia
6. Anesthetic Equipment and Facilities............................................................................................................................83
Robert S. Holzman
7. Management of General Anesthesia..........................................................................................................................106
David M. Polaner
8. Regional Anesthesia.........................................................................................................................................................125
David M. Polaner and Corrie T. M. Anderson
9. Postanesthetic Recovery.................................................................................................................................................162
Laura A. Downey and Richard H. Blum
10. Pediatric Pain Management...........................................................................................................................................178
Corrie T. M. Anderson and David M. Polaner
11. Systems-Based Pediatric Anesthesia..........................................................................................................................202
David M. Polaner and Joseph P. Cravero
12. Healing and Recovery in Pediatric Surgery...............................................................................................................209
Seema P. Anandalwar and Shawn J. Rangel
13. Training and Education in Pediatric Anesthesiology: A Developmental Approach...................................216
Robert S. Holzman, Andres T. Navedo, J. William Sparks, and Mary Landrigan- Ossar
Section III: Anesthetic Management of Norma lities and Abnorma lities
14. The Central Nervous System: Pediatric Neuroanesthesia....................................................................................226
Craig D. McClain and Sulpicio G. Soriano
15. The Eye: Pediatric Ophthalmological Surgery..........................................................................................................265
Elizabeth Eastburn and Thomas J. Mancuso
16. The Head and Neck: Specialty and Multidisciplinary Surgery............................................................................274
Robert S. Holzman and Charles D. Nargozian
17. The Body Cavity and Wall...............................................................................................................................................343
Robert S. Holzman
18. The Cardiovascular System............................................................................................................................................365
Barry D. Kussman and James A. DiNardo
19. Vascular Biology and Vascular Anomalies.................................................................................................................445
Mary F. Landrigan-Ossar
20. Gut Development: Surgical and Anesthetic Implications....................................................................................469
Robert S. Holzman
21. The Foregut and Chest....................................................................................................................................................477
Megan A. Clinton and Babu V. Koka
22. The Midgut...........................................................................................................................................................................507
Robert S. Holzman
23. The Hindgut.........................................................................................................................................................................513
Robert S. Holzman
24. Abdominal Tumors............................................................................................................................................................527
Daniel Vo
25. The Urogenital System....................................................................................................................................................547
Robert S. Holzman
26. The Musculoskeletal System and Orthopedic Surgery.........................................................................................561
Mary Ellen McCann, Robert M. Brustowicz, and Robert S. Holzman
27. Integumentary System....................................................................................................................................................612
Jennifer Zieg
28. Hematopoietic System....................................................................................................................................................627
Ellen Y. Choi and Thomas J. Mancuso
29. Endocrine Disease.............................................................................................................................................................641
Megan Brockel and David M. Polaner
30. Neuromuscular Disorders...............................................................................................................................................656
Ellen Y. Choi and Thomas J. Mancuso
31. Metabolic Diseases and Inborn Errors of Metabolism..........................................................................................670
Christopher L. Ciarallo
32. Abnormalities of the Immune Response and Infection........................................................................................694
Thomas J. Mancuso
Section IV: Special Situations in Pediatric Anesthesia
33. Fetal Medicine and Anesthesia for Fetal Surgery....................................................................................................701
Debnath Chatterjee and Jeffrey L. Galinkin
34. Delivery Room Issues and Resuscitation of the Newborn...................................................................................724
Thomas J. Mancuso
35. Pediatric Resuscitation....................................................................................................................................................732
Lianne Stephenson and Thomas J. Mancuso
36. Anesthesia for the Preterm Newborn.........................................................................................................................738
Mali Hetmaniuk and Thomas J. Mancuso
37. Minimally Invasive Surgery............................................................................................................................................747
Thomas Weissmueller, Kai Matthes, and Robert S. Holzman
38. Solid Organ and Bone Marrow Transplantation......................................................................................................759
Mindy Cohen
39. Anesthesia Outside the Operating Room..................................................................................................................767
David M. Polaner
40. Trauma and Casualty Management............................................................................................................................778
Robert S. Holzman
41. Anesthesia and Childhood Obesity............................................................................................................................801
Debnath Chatterjee
Index.......................................................................................................................................................................................817

Key Features

• Features new chapters on vascular biology and vascular anomalies, healing and recovery in pediatric surgery, and training and education in pediatric anesthesia. All existing chapters have been fully updated to keep you up to date.
• Covers key issues of growth and development – anatomic, physiologic, and pharmacologic – that form the basis for a better understanding of pediatric anesthesia.
• Discusses the approach to the pediatric patient, clinical and operational aspects of pediatric anesthesia, anesthetic management of normalities and abnormalities of each organ system, and special situations such as fetal surgery, anesthesia outside the operating room, and trauma.
• Provides a clear understanding of anomalies, embryology, anatomy, and surgery so that you’re well prepared to choose the best induction, maintenance, and emergence techniques, as well as make informed monitoring and equipment decisions.
• Presents information in a bulleted, outline format for easy reference and review.

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