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This comprehensive guide provides tips and instruction for the entire range of specialists that utilize pediatric sedation. Each specialty receives tailored coverage that focuses on its unique patient population, challenges, potential solutions, and sedation techniques. Each chapter is written by a leading specialist in the field. A comprehensive spectrum of pediatric sedation will be covered, which will be of interest to oncologists, pediatricians, hospitalists, intensivists, radiologists, emergency medicine specialists, anesthesiologists, nurses, dentists, and gastroenterologists. Background chapters cover pharmacology as well as pediatric anatomy, with special focus on the airway and respiratory mechanics. The future of pediatric sedation is also reviewed as well as the cutting-edge research that is being done in the field.
This book functions as an essential guide to the safe and effective sedation of pediatric patients outside the operating room. It is a multidisciplinary reference that features an international authorship and is also of use for a broad range of specialists who deliver pediatric sedation in the non-OR setting. Organized into four parts, Pediatric Sedation Outside of the Operating Room 3rd edition, begins with the foundational history of the pediatric sedation field. Subsequent chapters explore the basics of procedural sedation, pre-sedation assessments, and sedation policies across various specialties and continents. Part two then examines a multitude of sedation models divided by geographical location and subspecialty. Following this, Part three delves into standards of safety in sedation, including medicolegal risk factors, neurocognitive side effects, and aspiration risks. The book closes with chapters presenting discussions on the future of sedation, insofar as predictions for the role of simulation, medical malpractice, and the intersection of sedation and marijuana. An updated invaluable successor edition, Pediatric Sedation Outside of the Operating Room 3rd edition is accessible to a diverse group of sedation providers from all specialties. This textbook is an invaluable and necessary addition to all sedation providers worldwide.
Anesthesia Outside of the Operating Room is a comprehensive, up-to-date textbook that covers all aspects of anesthesia care in OOR settings, from financial considerations to anesthetic techniques to quality assurance. With increasing numbers of procedures such as cardiac catheterization and imaging taking place outside of the main OR, anesthesia providers as well as non-anesthesia members of the patient care team will find this book critical to their understanding of the principles of anesthesia care in unique settings which may have limited physical resources. Topics include patient monitoring techniques, pre-procedure evaluation and post-procedure care, and procedural sedation performed by non-anesthesia providers. The authors address problems of anesthesia that have unique answers in OOR settings, such as patient transport and cardiac arrest, and discuss technological progress and considerations for the future. The text also covers surgical procedures and anesthetic considerations by procedure location, such as radiology, infertility clinics, field and military environments, and pediatric settings, among many others Select guidelines from the American Society of Anesthesiologists (ASA) are provided as well. Edited by the senior faculty from Harvard Medical School and with contributions from other academic institutions, Anesthesia Outside of the Operating Room provides a unique and convenient compendium of expertise and experience.
This book provides a comprehensive overview on sedation and analgesia for the pediatric intensivist. Divided into two primary sections, the text presents a framework on how to care for patients who need sedation, analgesia, and neuromuscular blockade inside the pediatric ICU (PICU), and how to manage procedural sedation in an outpatient setting. The first section focuses on sedation and analgesia for the critically ill child, with an emphasis on analgesics, sedatives, neuromuscular blockade, tolerance and withdrawal, and the PICU environment. The second section centers around procedural sedation, detailing patient selection, pre-sedation assessment, how to choose a sedation regimen, available agents, and nursing considerations. Written by experts in the field, Sedation and Analgesia for the Pediatric Intensivist: A Clinical Guide is a valuable resource for the pediatric intensivist in caring for their patients both inside and outside the PICU.
This book highlights remarkable new endoscopic, laparoscopic, and thoracoscopic approaches to the removal of surgical lesions for different pathologic conditions under general endotracheal anesthesia in infants and children. It details how newer techniques in airway management, monitoring, regional nerve blocks for these innovative minimally invasive approaches have resulted in a decrease in intraoperative and postoperative morbidity and early recovery process after pediatric anesthesia. This unique book contains features that provide the audience with several clinical scenarios where exceptional surgical outcomes are achieved with optimum pre-op preparation via collaborative team efforts. To date there is no other textbook emphasizing the anesthetic and surgical management during the most innovative advances in endoscopic surgery in children. Per oral endoscopic myotomy (POEM) for the definitive treatment of achalasia in children is probably the most advanced endoscopic surgery done successfully in children. POEM is the best example of endoscopic surgery performed via natural orifices known as the Natural orifice transluminal endoscopic surgery (NOTES). Another new laparoscopic surgical intervention -Median Arcuate Ligament surgical release for Median Arcuate Ligament Syndrome (MALS) for patients with Postural Orthostatic Tachycardia Syndrome (POTS) is described with established perioperative protocols emphasizing the need for early admission, intravenous hydration, and premedication. Novel approaches in the anesthetic management in children with short bowel syndrome for bowel lengthening techniques like the serial transverse enteroplasty (STEP) and in teenagers for laparoscopic bariatric surgery with adjustable gastric banding (AGB) and vertical sleeve gastrectomy (VSG) for morbid obesity are new areas that would enlighten the readers. Anesthetic Management in Pediatric General Surgery is an invaluable resource for pediatric anesthesiologists, surgeons, and their trainees specializing in the care of pediatric patients.
Das Fachgebiet der Kinderanästhesie entwickelt sich stetig weiter. Damit stehen auch Anästhesisten vor immer mehr Herausforderungen. Gregory's Pediatric Anesthesia bereitet angehende Anästhesisten und gestandene Fachärzte für Anästhesie auf die neuen Anforderungen vor. Sie erhalten das notwendige Wissen und Informationen zu den neuesten Verfahren, um die Anästhesie von Kindern für eine Reihe von Operationen und anderen Eingriffen sich durchzuführen. Die Autoren präsentieren aktuelle Daten und Nachweise, beleuchten u. a. grundlegende Prinzipien, mögliche Komplikationen und Best-Practice-Verfahren und untermauern ihre Erkenntnisse mit ausführlichen Fallstudien zu allen wichtigen Fachrichtungen. Die Neuauflage bietet Zugang zu anschaulichen Videos, neue und erweiterte Kapitel u. a. zu folgenden Themen: - Anästhesie und Komplikationen bei Eingriffen an der Wirbelsäule, auch postoperative Erblindung. - Robotergestützte Operationsverfahren bei Eingriffen am kindlichen Urinaltrakt. - Anästhesie bei Eingriffen an Personen mit angeborenen Herzerkrankungen. Dieses neue Kapitel behandelt keine Herzoperationen. - Umfangreiche neue Ultraschallbilder bei örtlicher Betäubung. - Wiederbelebung bei Neugeborenen. - Betreuung und Rekonvaleszenz von Kindern nach chirurgischen Eingriffen (neues Kapitel). Auch die 6. Auflage von Gregory's Pediatric Anesthesia ist ein verlässlicher und zugänglicher Leitfaden für Anästhesisten, die jüngere Patienten betreuen.
The demand for anesthesiologists outside of the operating room continues to grow as the number of minimally invasive procedures proliferates and the complexity of diagnostic procedures undertaken outside of the OR increase. Non-Operating Room Anesthesia is an easy-to-access, highly visual reference that facilitates an in-depth understanding of NORA procedures and protocols needed to minimize risk and complications and to maximize growth opportunities. Effectively assess and manage risks and differences in procedures through in-depth discussions addressing the unique challenges and issues associated with non-traditional settings. Review the most recent knowledge with updated coverage of the use of the electrophysiology lab (EPL) and cardiac catheterization laboratory (CCL) in the care of the critically ill patient; patient assessment; and anesthetic considerations. Prepare for varying anesthetic conditions in non-OR settings with in-depth discussions on communication, management, and laboratory preparation for anticipated concerns or complications. Glean all essential, up-to-date, need-to-know information about NORA with coverage that surpasses the depth and scope of review articles and other references. Focus on the practical guidance you need thanks to a user-friendly color-coded format, key points boxes, drug descriptions, checklist boxes (for monitors, equipment, and drugs), and over 400 color photos that help you visualize each procedure and setting.
The Pediatric Procedural Sedation Handbook provides a comprehensive but concise review of the essential information needed to allow for the safe practice of pediatric procedural sedation. Written by a group of multidisciplinary authors, this text explores the fundamentals of sedation, procedural sedation, special patient considerations, diagnostic and therapeutic procedures, and more. Each chapter offers a starting point and suggestions for further in-depth study of all aspects of providing safe, effective, multidisciplinary-team based sedation care for children undergoing testing and procedures outside of an operating room setting. Appendices providing medication dosing and delivery route suggestions complement the text and can be used for quick reference. This book is a must-read for any clinician involved in modern, team-based patient-centered care, including physicians, nurses, dentists, and child life specialists. Editors and authors are members of the Society of Pediatric Sedation, a multidisciplinary society dedicated to the advance of pediatric sedation by promoting safe, high quality care, innovative research, and quality professional education.