pedianesthesia

Clinical Resources

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)

    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

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