Anesthetic Management in Pediatric General Surgery. Evolving and Current Concepts

1. Vascular Access in neonates, infants and children: newer techniques
2. Perioperative care of children with CHD- Congenital Heart Disease scheduled for non-cardiac surgery
3. Antibiotics and Surgical Site Infections (SSI): current concepts
4. Newborn Surgery: minimally invasive approach vs Open approach
5. Pyloric Stenosis: Optimal patient preparation, anesthetic management for the laparoscopic approach.
6. Laparoscopic Vs Open approach to Inguinal Hernia in children
7. Surgical approach to CPAM (congenital pulmonary airway malformation) a developmental anomaly of the lower respiratory tract.
8. Thoracoscopic repair of newborn TEF: periop anesthetic/surgical concerns
9. Minimally invasive pectus excavatum repair (Nuss procedure): Advances in controlling pain by modalities other than epidural placement.
10. POEM - Per Oral Endoscopic Myotomy for children with Achalasia - anesthetic techniques to improve safety and success in children.
11. MALS (Median Arcuate Ligament Sling Release by Laparoscopic approach: in adolescents with symptomatic POTS - recent protocol to improve safety.
12. Gastroschisis /Omphalocele surgery in newborn: Current techniques and anesthetic of intraoperative and post-operative pain
13: NEC (Necrotizing Enterocolitis) in the premature.-Anesthetic Dilemmas
14. Wilms tumor, pheochromocytoma, paragangliomas in children -pre-op optimization, surgical techniques and pain management strategies
15. Pediatric pain management in the acute surgical setting: epidural placement (Thoracic, Lumbar or caudal route): local anesthetic infusion protocols to improve safety in newborns.
16. Thyroid Goiters in older children- Preop preparation/ intra-op monitoring and techniques to visualize vocal cord function after extubation.
17. Short Gut syndrome but surgeries to correct the problem is Long!- intraoperative and post-operative pain management.
18. Bariatric surgery in children- laparoscopic approach and anesthetic management.

This book highlights remarkable new endoscopic, laparoscopic, and thoracoscopic approaches to the removal of surgical lesions for different pathologic conditions under general endotracheal anesthesia in infants and children. It details how newer techniques in airway management, monitoring, regional nerve blocks for these innovative minimally invasive approaches have resulted in a decrease in intraoperative and postoperative morbidity and early recovery process after pediatric anesthesia.

This unique book contains features that provide the audience with several clinical scenarios where exceptional surgical outcomes are achieved with optimum pre-op preparation via collaborative team efforts. To date there is no other textbook emphasizing the anesthetic and surgical management during the most innovative advances in endoscopic surgery in children. Per oral endoscopic myotomy (POEM) for the definitive treatment of achalasia in children is probably the most advanced endoscopic surgery done successfully in children. POEM is the best example of endoscopic surgery performed via natural orifices known as the Natural orifice transluminal endoscopic surgery (NOTES). Another new laparoscopic surgical intervention -Median Arcuate Ligament surgical release for Median Arcuate Ligament Syndrome (MALS) for patients with Postural Orthostatic Tachycardia Syndrome (POTS) is described with established perioperative protocols emphasizing the need for early admission, intravenous hydration, and premedication. Novel approaches in the anesthetic management in children with short bowel syndrome for bowel lengthening techniques like the serial transverse enteroplasty (STEP) and in teenagers for laparoscopic bariatric surgery with adjustable gastric banding (AGB) and vertical sleeve gastrectomy (VSG) for morbid obesity are new areas that would enlighten the readers.

Anesthetic Management in Pediatric General Surgery is an invaluable resource for pediatric anesthesiologists, surgeons, and their trainees specializing in the care of pediatric patients.

Author Information

Susan Verghese, M.D
Professor of Anesthesiology and Pediatrics
The George Washington University Medical Center,
Department of Anesthesiology and Pain Medicine,
Children's National Medical Center, 111, Michigan Avenue, N.W
Washington, DC 20010-2970

Timothy D. Kane M.D
Professor of Surgery and Pediatrics
The George Washington University Medical Center,
Division of General & Thoracic Surgery
Children's National Medical Center, 111, Michigan Avenue, N.W
Washington, DC 20010-2970