This book provides a comprehensive overview of current practices in pediatric perioperative care.
Current knowledge on vascular and nonvascular access, regional anesthesia, and noninvasive cardiovascular and respiratory monitoring is described. The prevention and treatment of postoperative pain and unsettled behavior after surgery, as well as the long-term consequences of anesthesia and surgery are discussed. Prevention of chronic postsurgical pain and the brain damage that may be associated with anesthesia and surgery are also considered.
The opening section is dedicated to patient care prior to surgery and includes preoperative assessment and preparation. Care in the intraoperative period is then described, including the appropriate care when performing surgery in different locations and in various specialties, such as orthopedic surgery, neurosurgery, thoracic surgery, and abdominal and urological surgery. The subsequent section addresses perioperative care in children with special conditions, such as difficult airway, metabolic or neuromuscular diseases, or cancer. The remainder of the book is devoted to a range of further important topics and postoperative care.
- Provides a comprehensive resource for anesthesiologists, pediatricians, and surgeons
- Explains the care required when performing surgery in different locations and specialties and in children with special conditions
- Includes new topics such as the prevention of chronic postsurgical pain
Introduction.- Perioperative medicine and anesthesia.- PART I Perioperative care before surgery.- Preoperative evaluation.- Preoperative preparation.- Prehospital care and transport.- PART II Perioperative care during surgery.- Perioperative care in day hospital surgery.- Perioperative care in remote locations.- Perioperative care in orthopedic surgery.- Perioperative care of the neurosurgical patient.- Perioperative care in thoracic surgery.- Perioperative care in abdominal and urological surgery.- PART III Perioperative care in special situations and conditions.- Perioperative care of children with difficult airway.- Perioperative care of children with neuromuscular disease.- Perioperative care of children with metabolic disease.- Perioperative care in children with congenital heart disease.- Perioperative care of children with OSA.- Perioperative care of children with trauma.- Perioperative care of children with cancer.- Perioperative care of children with cerebral palsy and behavioural problems.- PART IV Important techniques for perioperative care.- Vascular and nonvascular access in the perioperative period.- US-guided nerve targets.- Noninvasive hemodynamic and respiratory monitoring during the perioperative period.- PART V. Early and long term consequences of anesthesia and surgery.- Negative behavior after surgery.- Acute pain prevention and control.- How to protect the infant brain during surgery .- Can anesthesia induce apoptosis in children?- Long-term consequences of anesthesia and surgery on the infant brain.- Prevention of chronic postsurgical pain.
Marinella Astuto is Associate Professor of Anesthesia and Director of the School of Anesthesia and Intensive Care, School of Medicine, Catania, Italy. She has conducted research in anesthesiology since 1980 and has collaborated with various national and international centers. Dr. Astuto is current President of the Italian Society for Neonatal and Pediatric Anesthesia and Intensive Care (SARNePI) and is a member of different study groups of the Italian Society for Anesthesia, Analgesics, and Intensive Care (SIAARTI).
She has edited two previous Springer books, Basics: Anesthesia Intensive Care and Pain in Neonates and Children (2009) and Pediatric Anesthesia, Intensive Care and Pain: Standardization in Clinical Practice (2013) and in total has more than 150 publications to her name, including numerous original articles and book chapters.
Pablo Mauricio Ingelmo is Assistant Professor at the McGill University, Director of Continuous Medical Education of the Department of Anesthesia and Director of the Chronic Pain Service at Montreal Children's Hospital, Canada. Dr. Ingelmo completed his medical degree at the University of Buenos Aires, Argentina, and at the Universita degli Study di Milano. He specialized in anesthesia, Intensive Care, and Pain treatment at the University of Buenos Aires, Argentina and Milano-Bicocca University in Italy. He was assistant professor of Anesthesia at the University of Buenos Aires and at the Milano-Bicocca University. Italy. McGill
University. He was director of the acute pain program at the National Pediatric Hospital Dr. Pedro E Garrahan. Buenos Aires. Argentina and Director of Pediatric anesthesia and Pain treatment Service. San Gerardo Hospital. Monza. Italy. Dr. Ingelmo is a member of the Italian Society for Neonatal and Pediatric Anesthesia and Intensive Care (SARNePI) study group on preoperative evaluation and of the SARNePI executive board. He is the author of many journal articles and of six book in pediatric anesthesia.