Protocols
Clinical Resources
Tracheoesophageal Fistula (TEF)
Tonsillectomy and Adenoidectomy (T & A)
Neuroaxial Anesthesia in Infants and Children
Pyloric Stenosis
Preoperatively, ensure adequate hydration and correction of electrolyte abnormalities to achieve a bicarbonate concentration < 30 mEq/L; Cl > 100 mEq/L
Most patients are 2-3 months old and therefore require no premedication
Posterior Spinal Fusion
Patients are usually teenagers with scoliosis.
IV or inhalational induction
Small dose of muscle relaxant is appropriate to facilitate intubation
2 large bore peripheral intravenous lines and arterial catheter
Fetal Surgery-Twin-Twin Transfusion Syndrome
Fetal Surgery-Myelomeningocele Repair
General anesthesia and occasionally boluses of nitroglycerine generally required for uterine relaxation (alternative is neuraxial block with nitroglycerine infusion; rarely used)
Premed with bicitra
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