This text is designed as a ready reference for anesthesiologists caring for children. It expresses the practical opinions and reflects the experience of the authors as practicing pediatric anesthesiologists.
Because a child's job is growth and development, it made sense to us to organize our book around this point philosophically. One might wonder at the wisdom of this departure from traditional pharmacology and physiology approaches to anesthesia for various subspecialties, and fear that it would reflect a leaning toward embryology rather than anesthesiology. We wanted, therefore, to set the record straight that while pediatric anesthesia is not just “anesthesia for little people,” the reality is that much of anesthesia for children is just that. Only when one actually looks at the evolution of pediatric medicine, surgery, and anesthesia together is an appreciation gained that what makes “pediatric” anesthesia distinct are the unique developmental aspects—physiologically, pharmacologically, anatomically and surgically—that require special attention and thought. Other than technical aspects of size adjustment and equipment as well as personnel, diseases of adults occurring in children are not terribly different. However, there are many diseases of children (including older children) that are not within the broad realm of the generalist anesthesiologist, and more than any other overall approach, developmental normalities and abnormalities made the most sense to us.
Preparation for a pediatric anesthetic, therefore, must begin, in the most practical sense, by understanding the reason for the abnormality in the first place. Anyone can memorize the steps of what to do, but an understanding, even if brief, of the reason for an anomaly, will inform decisions about anesthetic and further medical care and will help to sort out evolving problems and influence anesthetic technique choices. At the same time, a methodical approach, once the underlying embryology, anatomy and surgery is understood, will help the anesthesiologist prepare for the best induction, maintenance, and emergence technique as well as specific monitoring and equipment readiness. All of this information should be rapidly and easily retrievable from the formatting and layout of the text.
Robert S. Holzman and Thomas J. Mancuso
Book Features
- Comprehensive reach of a textbook and accessibility of a handbook.
- Outline and bullet format.
- Numerous illustrations and tables.
Major sections focus on:
- Approach to the pediatric patient.
- Clinical and operational aspects of pediatric anesthesia.
- Anesthetic management of normalities and abnormalities of each organ system.
- Special situations such as fetal surgery, anesthesia outside the operating room, and trauma.
- Logically groups childhood surgical disorders into developmentally related systems, emphasizing specific congenital or developmental disorders.
- Outlines the pathophysiology underlying each disorder to help clinicians understand anesthetic goals.
- Emphasis is on the developmental aspects--anatomic, physiologic, and pharmacologic--that require special attention in anesthesia planning.
Contents
I. APPROACH TO THE PEDIATRIC PATIENT
- Fundamental Differences between Children and Adults
- Developmental Pharmacology
- General Preoperative Evaluation and Consultative Pediatric Anesthesia
- Risk Management and Quality Improvement
- Ethical and Legal Considerations in Pediatric Anesthesia
II. CLINICAL AND OPERATIONAL ASPECTS OF PEDIATRIC ANESTHESIA
- Anesthetic Equipment and Facilities
- Management of General Anesthesia
- Regional Anesthesia
- Post Anesthetic Recovery
- Pain Management (Acute and Chronic) (including Regional Anesthesia)
- Systems-Based Pediatric Anesthesia
III. ANESTHETIC MANAGEMENT OF NORMALITIES AND ABNORMALITIES
- The Central Nervous System: Pediatric Neuroanesthesia
- The Eye: Pediatric Ophthalmological Surgery
- The Head and Neck: Anesthesia for Craniofacial, Orthopedic, Neurosurgery, Otolaryngology, Oral and Maxillofacial Surgery, and Dentistry
- The Body Cavity and Wall
- The Cardiovascular System
- Gut Development: Surgical and Anesthetic Implications
- The Foregut and Chest
- The Midgut
- The Hindgut
- Abdominal Tumors
- The Urogenital System
- The Musculoskeletal System and Orthopedic Surgery
- Integumentary System and Orthopedic Surgery
- Hematopoietic System
- Endocrine Disease
- Neuromuscular Disorders
- Metabolic Diseases and Inborn Errors of Metabolism
- Abnormalities of the Immune Response and Infection
IV. SPECIAL SITUATIONS IN PEDIATRIC ANESTHESIA
- Anesthesia for Fetal Surgery
- Delivery Room Issues and Resuscitation of the Newborn
- Pediatric Resuscitation
- Anesthesia for the Preterm Newborn
- Minimally Invasive Surgery
- Solid Organ and Bone Marrow Transplantation
- Anesthesia Outside the Operating Room
- Trauma and Casualty Management
INDEX
Book Details
- Paperback: 720 pages
- Publisher: Lippincott Williams & Wilkins; 1 edition (May 23, 2008)
- Language: English
- ISBN-10: 078177943X
- ISBN-13: 978-0781779432
List Price: $92.95