pedianesthesia
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
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