pedianesthesia

Clinical Resources

Vertebral Body Stapling

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

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

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