A Practical Approach to Pediatric Anesthesia by Robert S. Holzman MD, Thomas J. Mancuso MD, David M. Polaner

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By Robert S. Holzman MD, Thomas J. Mancuso MD, David M. Polaner MD

This new addition to our hugely winning a realistic method of Anesthesia sequence is a finished, available consultant to pediatric anesthesia, with the substance and intensity of a textbook and the handy, basic beneficial properties of a guide. It makes a speciality of medical concerns, comprises sufficient educational fabric for board evaluate, and is written in bulleted and description layout, with a number of illustrations and tables. significant sections concentrate on method of the pediatric sufferer, scientific and operational features of pediatric anesthesia, anesthetic administration of normalities and abnormalities of every organ process, and precise occasions equivalent to fetal surgical procedure, anesthesia outdoors the working room, and trauma. Emphasis is at the developmental aspects—anatomic, physiologic, and pharmacologic—that require detailed consciousness in anesthesia making plans.

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The implications are staggering but, again, there is no study that evaluates anesthetic risk and outcome for adolescents. Information about anesthetic and surgical plans, including potential sequelae of treatment that require the disclosure of any risk-related behavior, must be shared with the patient. Pregnancy testing should be performed on every menarcheal female. Dietary risk behaviors such as high sodium, high fat, or recurrent crash diets may result in hypertension or anorexia. â Likewise, adolescents should be asked about their use of alcohol and other abusable substances and over-the-counter or prescription drugs for nonmedical purposes, including anabolic steroids.

Cognitive function and age at repair of transposition of the great arteries in children. N Engl J Med. 1984;310:1495â 1499. 74 Ross R, Daniels S, Schwartz D, et al. Plasma norepinephrine levels in infants and children with congestive heart failure. Am J Cardiol. 1987;59:911â 914. 75 Ross R, Daniels S, Schwartz D, et al. Return of plasma norepinephrine to normal after resolution of congestive heart failure in congenital heart disease. Am J Cardiol. 1987;60:1411â 1413. 76 Vetter VL, Horowitz LN. Electrophysiologic residua and sequelae of surgery for congenital heart defects.

J Law Med Ethics. 1995;23:15â 19. 6 Leviticus 7:27 (RSV). 7 Watch Tower Bible and Tract Society of Pennsylvania. How can blood save your life? Brooklyn: Watchtower Bible and Tract Society of New York; 1990. 8 Council on Scientific Affairs, American Medical Association. Confidential health services for adolescents. JAMA. 1993;269:1420â 1424. 75 9 American Academy of Pediatrics. Committee on Adolescence. Counseling the adolescent about pregnancy options. Pediatrics. 1998;101:938â 940. 10 Sigman GS, O'Connor C.

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