Lung Isolation in Infants Children
- When lung isolation is required for infants, we often intentionally mainstem single lumen endotracheal tubes. In older infants and toddlers, bronchial blockers can be used.
Protocols
Clinical Resources
Cransiosysostosis
- Premature fusion of one or more cranial sutures requires surgical treatment within the first 9-10 months of life.
- Premedication: versed 0.5-1mg/kg in response to patient's need, clinical status, and parents' input.
Congenital Diaphragmatic Hernia (CDH)
Cleft Palate
- Usually performed at ~1 year of age
- Accompanied by ear tube placement
- Premedication: versed 0.5-1mg/kg in response to patient's need, clinical status, and parents' input
- Inhalational induction with nitrous oxide and sevoflurane
Cleft Lip
- Usually performed at 10-12 weeks
- No premedication
- Inhalational induction with nitrous oxide and sevoflurane
- Peripheral IV after induction
- +/- muscle relaxant or propofol to facilitate intubation of the trachea
Craniotomy for Awake Seizure Surgery (CPT 61536, 61538-9)
Deep Brain Electrode Implantation (DBS) (CPT 61862 and 61885)
Aim
To ensure the integrity of the spinal cord and nerve roots especially at the site of surgery, while providing safe and adequate anesthesia.