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Clinical Pediatric Anesthesia

Through 71 case presentations, Clinical Pediatric Anesthesia covers the field of pediatric anesthesiology with a practical, point-of-care approach. Each concisely written case is organized by introduction, learning objectives, case presentation, discussion, summary, annotated references, and further reading. In a style akin to the oral board examinations, discussions are framed as questions and answers to encourage thorough analysis and understanding by the reader. Key words are highlighted to emphasize important points, and annotated references allow for further exploration of topics. Multiple approaches often exist for the care of children in any given situation, so various options are discussed when appropriate with advantages and disadvantages closely examined. Since questions posed by real-life clinical situations call for active thinking, this case-based book promotes the same evaluation and decision-making skills required of the pediatric anesthesia clinician.
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Table of Contents

Introduction: How to Use this Book ; Contributors ; Part 1: Challenges in Pre-operative consultation and preparation ; 1. Preoperative Anxiety Management ; 2. Electrolyte Disturbance in Pyloric Stenosis ; 3. Upper Respiratory Infection ; 4. Acute Fluid Resuscitation for Intussusception ; 5. Asthmatic for Adenotosillectomy ; 6. Do not Resuscitate Orders in the OR ; 7. Preoperative Fasting in the Pediatric Patient ; Part 2: Challenges in Pediatric Pharmacology ; 8. Malignant Hyperthermia ; 9. Anaphylaxis ; 10. Anesthesia for MRI ; 11. Egg and Soy allergies and Propofol Use ; Part 3: Challenges in Airway Management ; 12. Obstructive Sleep Apnea ; 13. Foreign body in the airway ; 14. Laryngospasm ; 15. Tonsillar Bleed ; 16. Difficult Airway ; 17. Airway Reconstruction ; 18. Laryngeal Papillomatosis ; 19. Bacterial Tracheitis vs. Epiglottitis ; Part 4: Challenges in patients with Pulmonary Disease ; 20. Intraoperative Wheezing ; 21. Cystic Fibrosis ; 22. Pectus Excavatum Repair ; 23. Difficult Ventilation during Laparoscopic Fundoplication ; Part 5: Challenges in Blood and Fluid Management ; 24. Massive Transfusion in a Child ; 25. Management of Acutely Burned Children ; 26. Management of Burn Patients for Grafting and Excision ; 27. Liver Transplant ; 28. Craniosynostosis Repair ; 29. Kidney Transplant ; Part 6: Challenges in Congenital Heart Disease ; 30. Children with Congenital Heart Disease for Non-cardiac Surgery ; 31. Single Ventricle Physiology ; 32. Tetralogy of Fallot ; 33. Cardiac Catheterization ; 34. Cardiac MRI ; 35. Pulmonary Hypertension ; Part 7: Challenges in Ophthalmology ; 36. Open Globe Repair ; Part 8: Challenges in Neurosurgical Conditions and Neuromonitoring ; 37. Prone Positoning for Posterior Fossa Tumor Resection ; 38. Spinal Surgery ; 39. Awareness and Recall during Anesthesia ; Part 9: Challenges in Patients with Hematologic and Oncologic Disorders ; 40. Sickle Cell Disease ; 41. Hemophilia ; 42. Oncology Patient ; 43. Opioid tolerant patient ; 44. Mediastinal Mass Biopsy ; 45. Neuroblastoma Resection ; Part 10: Challenges in Metabolic and Endocrinologic Conditions ; 46. Diabetic Patient ; 47. Diabetic Ketoacidosis during Appendicitis with Perforation ; 48. Hypopituitary ; 49. Mitochondrial Disorder for Muscle Biopsy ; 50. Obesity ; Part 11: Challenges in the Perinatal period ; 51. Exploratory Laparotomy for Necrotizing Enterocolitis ; 52. Former Premature Infant for Hernia Repair ; 53. Tracheoesophageal Fistula Repair ; 54. Omphalocele/Gastroschisis Repair ; 55. Congenital Diaphragmatic Hernia Repair ; 56. Myelomeningocele Repair ; Part 12: Challenges in Regional Anesthesia and Pain ; 57. Caudal vs. Penile Block ; 58. Neonatal Epidural ; 59. Acute Pain Management ; 60. Peripheral Nerve Block Catheter for Extremity Surgery ; 61. Complex Regional Pain Syndrome in the Emergency Department ; Part 13: Challenges in Pediatric Syndromes ; 62. Down Syndrome ; 63. Muscular Dystrophy ; 64. Mucopolysaccharidoses ; 65. Epidermolysis Bullosa ; 66. Osteogenesis Imperfecta ; 67. Cerebral Palsy ; Part 14: Challenges in the Post-Anesthesia Care Unit ; 68. Emergence Agitation ; 69. Stridor after Extubation ; 70. Postoperative Nausea and Vomiting in a Patient with Prolonged QTc ; 71. Disclosure after Complication in the OR ; Index

About the Author

Kenneth R. Goldschneider, MD, is Associate Professor, Clinical Anesthesia and Pediatrics and Director, Pain Management Center at Cincinnati Children's Hospital Medical Center, University of Cincinnati, College of Medicine, in Cincinnati, Ohio. Andrew Davidson, MBBS, FANZCA, is Associate Professor, Department of Anaesthesia and Pain Management at Royal Children's Hospital in Victoria, Australia. Eric P. Wittkugel, MD, is Associate Professor, Clinical Anesthesia and Pediatrics at Cincinnati Children's Hospital Medical Center, University of Cincinnati, College of Medicine in Cincinnati, Ohio. Adam Skinner, BSc(Hons), MB, ChB, MRCP(UK), FRCA, is Consultant Paediatric Anaesthetist at Royal Children's Hospital in Victoria, Australia.

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