This fourth edition of A Practice of Anesthesia for Infants and Children has undergone a radical evolution from its original version published in 1985. Drs. Goudsouzian and Ryan have retired as editors, and Dr. Jerrold Lerman has joined Drs. Coté and Todres. Dr. Lerman brings a new, international perspective to the editorship. This book has blossomed from its humble beginnings as a synopsis of local practice to an international authoritative and evidence-based tome. In parallel with its growth, the contributorship has expanded beyond pediatric anesthesiologists to include pediatricians, internists, surgeons, a lawyer, and a pharmacologist. More than 20 of the pediatric anesthesiologists are also board-certifi ed pediatricians, two with further subspecialty board certifi cation (in cardiology and neonatology). Th e inclusion of 110 contributors from six continents represents a tribute to the global child-care network.
This edition has a new feel and style to advances in state-of-the-art publishing, including Internet access; it is now divided into ten color-coded sections: Introduction, Drug and Fluid Therapy, The Chest, Th e Heart, The Brain and Glands, The Abdomen, Other Surgeries, Emergencies, Pain, and Special Topics. This color-coding format enables the reader to find chapters and topics of interest easily and quickly. In keeping with mission to publish a comprehensive global text on pediatric anesthesia, the number of chapters have expanded, as well as their content, to cover a wide range of anesthetic and pediatric subjects. To maintain a size similar to that of previous editions, all but a few select references from each chapter to the accompanying website have shifted , with hypertext links to the original publications. Color has been added to the illustrations, photographs, and graphics to maximize clarity and to enhance visual appeal. In keeping with mission to transform the book into a comprehensive text, contributions from a number of pediatric specialists, who have shared their perspectives on and insights into basic pediatric physiology and the pathophysiologic implications of diseases in children have included. In each case, these specialists have been paired with a pediatric anesthesiologist to ensure a clinical anesthetic perspective.
The largest chapter of the book is that on pharmacology, with more than 1500 references; as in previous editions, this chapter benefits from the input of a neonatologist–pharmacologist and a clinical pharmacologist–pharmacist, with the addition of Dr. Lerman as a coauthor for this edition. Throughout, this fourth edition maintains content on older medications, with the understanding that the book will be used by a wide variety of practitioners who work in very different environments. A separate chapter has been devoted to total intravenous anesthesia (TIVA) for children, an area of growing interest. The pediatric airway chapter now includes a discussion of the numerous supraglottic devices as well as emergency airway management strategies and equipment currently available for use in infants and children.
The transfusion chapter has been updated with contributions from a pediatric hematologist (specializing in hemophilia) and the Director of the Blood Transfusion Service of the Massachusetts General Hospital. A variety of chapters dealing with such specialized issues as thoracic anesthesia, orthopedics, plastic surgery, general and urologic surgery, and the practice of anesthesia in medically disadvantaged countries have added
The cardiac anesthesia section to include separate chapters on cardiopulmonary bypass, medications used for hemostasis, cardiac assist devices, and the cardiac catheterization laboratory have expanded. In the section on the abdomen, the chapter on organ transplantation remains a centerpiece. Other new chapters in this edition address medical-legal issues, infectious diseases, and the extremely premature infant, as well the ex-utero intrapartum treatment (EXIT) procedure. The trauma chapter is now coauthored by a pediatric trauma surgeon.
The increasing awareness of the importance of adequately treating children’s pain is highlighted by chapters devoted to landmark- and ultrasound-guided regional anesthesia, chronic pain, and the management of acute postoperative pain. Various pain scoring systems for both normal and cognitively impaired children are discussed, to permit further insight into pain management strategies for these special children.
Finally, the accompanying website has enabled us to expand the audiovisual content of the book with a myriad of illustrations, pictures, video clips, and sample order forms. The addition of videos, in particular, affords the opportunity to view a hands-on approach to procedures such as ultrasound- and landmark-guided nerve blocks, catheter insertions, radiological investigations, ultrasound procedures, and echocardiograms, as well as various levels of sedation and analgesia. A pocket reference card is also provided that allows the reader to obtain general recommendations on doses of commonly used medications for a child of a given body weight.
Undertaking this revision has been quite a journey, oftentimes appearing to be a microcosm of the world and life. Many of contributors have experienced a variety of life’s challenges during the writing of their chapters. Nevertheless, they all have succeeded in crafting masterful chapters to create what believe to be a state-of-the-art text on pediatric anesthesia.
The editors spent many days and nights “discussing” opposing viewpoints on many controversial issues in pediatric anesthesia before reaching common middle ground. These discussions, together with a global perspective on selection of our contributing authors, served to greatly strengthen the quality of the text and to infuse a truly international flavor.
A Practice of Anesthesia for Infants and Children will continue to provide a framework for students in specialty, as well for the practicing clinician. The book is a truly practical resource for pediatric anesthesiologists and other pediatric care providers in clinical practice around the world.
Book Features
- Reviews underlying scientific information and addresses preoperative assessment and anesthesia management in detail to help you make better informed decisions.
- Provides guidelines for postoperative care, emergencies, and special procedures in one single source for your reference convenience.
Website Features
- Consult the book from any computer at home, in your office, or at any practice location.
- Instantly locate the answers to your clinical questions via a simple search query.
- Quickly find out more about any bibliographical citation by linking to its MEDLINE abstract.
- Images Browse a Library of all book images. Easily select, organize, and download your images into a presentation.
- Videos View video clips illustrating a variety of conditions.
- Intravenous Admixture Calculators Dosing guidelines for epinephrine, dobutamine, and other drugs are provided. Simply enter the patient's weight to see the dosages.
- Emergency Drug Calculators Dosing guidelines for dozens of resuscitation drugs are provided. Simply enter the patient's weight to see the dosages, concentrations, and delivery routes.
New to this edition
- Includes access to the complete fully searchable contents online as well as video clips of pediatric anesthesia procedures, pediatric drug dosage calculators, extended references, and downloadable images.
- Discusses the full range of pediatric anesthesiology from preoperative evaluation through neonatal emergencies to the PACU to prepare you for any situation you encounter.
- Incorporates sweeping revisions and updates throughout, including new chapters on congenital heart disease, conscious sedation, and anesthesia in developing countries that keep you apprised of the latest techniques and procedures.
- Features a new editor, Dr. Jerrold Lerman, who contributes a wealth of experience in pediatric anesthesiology.
- Provides new insights from neonatologists and neonatal pharmacologists who give you a clear, up-to-date picture of the pharmacologic responses of neonates.
- Incorporates numerous figures and tables throughout for easy retention of information.
- Presents a new full-color format and hundreds of new color illustrations that clarify complex principles of techniques.
Contents Section I - Introduction
- CHAPTER 1 - The Practice of Pediatric Anesthesia
- CHAPTER 2 - Growth and Development
- CHAPTER 3 - Perioperative Behavior Stress in Children
- CHAPTER 4 - Preoperative Evaluation, Premedication, and Induction of Anesthesia
- CHAPTER 5 - Ethical Issues in Pediatric Anesthesiology
Section II - Drug and Fluid Therapy
- CHAPTER 6 - Pharmacokinetics and Pharmacology of Drugs Used in Children
- CHAPTER 7 - Total Intravenous Anesthesia and Target-Controlled Infusion
- CHAPTER 8 - Fluid Management
- CHAPTER 9 - Essentials of Hematology
- CHAPTER 10 - Strategies for Blood Product Management and Reducing Transfusions
Section III - The Chest
- CHAPTER 11 - Essentials of Pulmonology
- CHAPTER 12 - The Pediatric Airway
- CHAPTER 13 - Anesthesia for Thoracic Surgery
Section IV - The Heart
- CHAPTER 14 - Essentials of Cardiology
- CHAPTER 15 - Anesthesia for Children Undergoing Heart Surgery
- CHAPTER 16 - Cardiac Physiology and Pharmacology
- CHAPTER 17 - Cardiopulmonary Bypass and Management
- CHAPTER 18 - Medications for Hemostasis
- CHAPTER 19 - Cardiac Assist Devices
- CHAPTER 20 - Interventional Cardiology
- CHAPTER 21 - Anesthesia for Noncardiac Surgery in Children with Congenital Heart Disease
Section V - The Brain and Glands
- CHAPTER 22 - Essentials of Neurology and Neuromuscular Disease
- CHAPTER 23 - Pediatric Neurosurgical Anesthesia
- CHAPTER 24 - Essentials of Endocrinology
- CHAPTER 25 - Thermal Regulation
Section VI - The Abdomen
- CHAPTER 26 - Essentials of Nephrology
- CHAPTER 27 - General Abdominal and Urologic Surgery
- CHAPTER 28 - Essentials of Hepatology
- CHAPTER 29 - Organ Transplantation
Section VII - Other Surgeries
- CHAPTER 30 - Orthopedic and Spine Surgery
- CHAPTER 31 - Otorhinolaryngologic Procedures
- CHAPTER 32 - Ophthalmology
- CHAPTER 33 - Plastic and Reconstructive Surgery
- CHAPTER 34 - Burn Injuries
Section VIII - Emergencies
- CHAPTER 35 - The Extremely Premature Infant (Micropremie)
- CHAPTER 36 - Neonatal Emergencies
- CHAPTER 37 - Pediatric Emergencies
- CHAPTER 38 - Fetal Intervention and the EXIT Procedure
- CHAPTER 39 - Trauma
- CHAPTER 40 - Cardiopulmonary Resuscitation
- CHAPTER 41 - Malignant Hyperthermia
Section IX - Pain
- CHAPTER 42 - Regional Anesthesia
- CHAPTER 43 - Ultrasound-Guided Regional Anesthesia
- CHAPTER 44 - Acute Pain
- CHAPTER 45 - Chronic Pain
Section X - Special Topics
- CHAPTER 46 - Anesthesia Outside the Operating Room
- CHAPTER 47 - The Postanesthesia Care Unit and Beyond
- CHAPTER 48 - Sedation for Diagnostic and Therapeutic Procedures Outside the Operating Room
- CHAPTER 49 - Procedures for Vascular Access
- CHAPTER 50 - Infectious Disease Considerations for the Operating Room
- CHAPTER 51 - Pediatric Anesthesia in Developing Countries
- CHAPTER 52 - Medicolegal Issues
- CHAPTER 53 - Pediatric Equipment
Book Details
- Hardcover: 1192 pages
- Publisher: Saunders; 4 edition (December 1, 2008)
- Language: English
- ISBN-10: 1416031340
- ISBN-13: 978-1416031345
- Product Dimensions: 11.1 x 8.8 x 1.9 inches