Pedi

Clinical Resources

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

Pyeloplasty

Pediatric Posterior and Anterior Spinal Fusion

Introduction

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

Fetal Surgery Cases

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.

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)

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