Clinical pediatric anesthesia : a case-based handbook PDF
Preview Clinical pediatric anesthesia : a case-based handbook
CLINICAL PEDIATRIC ANESTHESIA This page intentionally left blank Clinical Pediatric Anesthesia A Case-Based Handbook Edited by Kenneth R. Goldschneider, MD, FAAP Associate Professor, Clinical Anesthesia and Pediatrics Director, Pain Management Center Cincinnati Children’s Hospital Medical Center University of Cincinnati, College of Medicine Cincinnati, Ohio Andrew J. Davidson, MBBS, MD, FANZCA Associate Professor Department of Anaesthesia and Pain Management Director of Clinical Research Royal Children’s Hospital Victoria, Australia Eric P. Wittkugel, MD, FAAP Associate Professor, Clinical Anesthesia and Pediatrics Cincinnati Children’s Hospital Medical Center University of Cincinnati, College of Medicine Cincinnati, Ohio Adam V. Skinner, BSc (Hons), MB, ChB, MRCP (UK), FRCA Consultant Paediatric Anaesthetist Royal Children’s Hospital Victoria, Australia 1 1 Oxford University Press, Inc., publishes works that further Oxford University’s objective of excellence in research, scholarship, and education. Oxford New York Auckland Cape Town Dar es Salaam Hong Kong Karachi Kuala Lumpur Madrid Melbourne Mexico City Nairobi New Delhi Shanghai Taipei Toronto With offi ces in Argentina Austria Brazil Chile Czech Republic France Greece Guatemala Hungary Italy Japan Poland Portugal Singapore South Korea Switzerland Th ailand Turkey Ukraine Vietnam Copyright © 2012 by Oxford University Press, Inc. Published by Oxford University Press, Inc. 198 Madison Avenue, New York, New York 10016 www.oup.com Oxford is a registered trademark of Oxford University Press All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopy- ing, recording, or otherwise, without the prior permission of Oxford University Press. ______________________________________ Library of Congress Cataloging-in-Publication Data Clinical pediatric anesthesia : a case-based handbook / edited by Kenneth R. Goldschneider ... [et al.]. p. ; cm. Includes bibliographical references and index. ISBN 978-0-19-976449-5 I. Goldschneider, Kenneth R. [DNLM: 1. Anesthesia—Case Reports. 2. Child. 3. Infant. WO 440] 617.96—dc23 2011039720 ___________________________________ Th is material is not intended to be, and should not be considered, a substitute for medical or other professional advice. Treatment for the conditions described in this material is highly dependent on the individual circumstances. And, while this material is designed to off er accurate information with respect to the subject matter covered and to be current as of the time it was written, research and knowledge about medical and health issues is constantly evolving and dose schedules for medications are being revised continually, with new side eff ects recognized and accounted for regularly. Readers must therefore always check the product information and clinical procedures with the most up-to-date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulation. Th e publisher and the authors make no representa- tions or warranties to readers, express or implied, as to the accuracy or completeness of this material. Without limiting the foregoing, the publisher and the authors make no representations or warranties as to the accuracy or effi cacy of the drug dosages mentioned in the material. Th e authors and the publisher do not accept, and expressly disclaim, any responsibility for any liability, loss or risk that may be claimed or incurred as a consequence of the use and/or application of any of the contents of this material. 9 8 7 6 5 4 3 2 1 Printed in the USA on acid-free paper KG: To Toby and Irving Goldschneider — the amount one realizes that he has learned from his parents is proportional to the time lived since adolescence. EW: To my wife, Kim, and my three children, Andrew, Erica and Ben. Th ank you for your steadfast love and the great joy that you bring to life! AD: To Eliza; and to all my mentors and muses that have inspired and supported me. AS: To my wife, Gerry. She has supported me throughout and has the patience of a saint. All: To India Davidson, who made us all hold our breath. This page intentionally left blank ACKNOWLEDGMENTS W hat worthy project is done alone? As for so many ventures, this book would not exist without the support and assistance of others whose role is out of the proverbial limelight. W e would like to acknowledge those people who helped make this book a reality. Gillian Ormond of the Royal Children’s Hospital: Even though you were recruited well into the process, your organizational skills and support were priceless. We are grateful for your help. S taci Hou of Oxford University Press: Th ank you for your support and for putting up with the inevitable but unwanted delays and for taking care of the details. Th e authors: You cheerfully contributed your expertise and you represent the best in pediatric anesthesia teaching. viii | ACKNOWLEDGMENTS And the most heartfelt acknowledgement goes to. . . K im Wittkugel, Jen Goldschneider, Sophie Davidson, and Gerry Skinner, our better halves: Th ank you for your patience and your encouragement. We love you. CONTENTS Introduction: How to Use this Book xvii Robert McDougall Contributors xxi PART 1 CHALLENGES IN PREOPERATIVE CONSULTATION AND PREPARATION 1 . Preoperative Anxiety Management 3 Nancy S. Hagerman and Anna M. Varughese 2 . Electrolyte Disturbance in Pyloric Stenosis 13 Ben Turner 3 . Upper Respiratory Infection 22 Nancy B. Samol and Eric P. Wittkugel 4 . Acute Fluid Resuscitation for Intussusception 32 Britt Fraser 5 . Asthmatic for Adenotonsillectomy 41 Eugene Neo 6 . Do-Not-Resuscitate Orders in the OR 51 Mark J. Meyer and Norbert J. Weidner
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