Dr. Robert Moors Smith's legacy is as a pioneer and a great educator in pediatric anesthesia. Long before the terminology became fashionable—before it even existed—Dr. Smith advocated patient monitoring and safety. In the 1950s, when pediatric anesthesia was still in its infancy, he made the use of the precordial stethoscope and the pediatric blood pressure cuff (Smith cuff) a standard of care. In 1959, he wrote a major comprehensive anesthesia textbook, Anesthesia for Infants and Children, which was specifically dedicated to the anesthetic management and care of children.
The first four editions of this book were written almost entirely by Dr. Smith himself. The scope of Dr. Smith's scholarship was reflected in the breadth of his firsthand clinical experience, his keen sense of observation, and his ability to apply scientific and technical developments in medicine and anesthesia to the field of pediatric anesthesia. In 1988, Dr. Smith became the first pediatric anesthesiologist to receive the Distinguished Service Award from the American Society of Anesthesiologists.
In 1980, with Dr. Smith's retirement from the Harvard Medical School faculty and the anesthesia directorship of Children's Hospital Boston, the task of updating this classic textbook was bestowed upon Drs. Motoyama and Davis. The fifth edition, published in 1990, was multi-authored and was reorganized to include new subjects of importance in the ever-expanding field of anesthesiology and pediatric anesthesiology in particular. In the fifth edition, the editors tried to maintain Dr. Smith's compassion, philosophy, and emphasis on the personal approach to patients. To honor his pioneering work and leadership (and against Dr. Smith's initial strong resistance), the title of the fifth edition of the textbook was modified to read Smith's Anesthesia for Infants and Children.
In 1996, the sixth edition of the textbook was published. New developments with inhaled anesthetic agents (sevoflurane and desflurane), intravenous agents (propofol), neuromuscular- blocking agents, and anesthetic adjuncts, coupled with changes in the approach to pediatric pain management and airway management, were highlights.
In 2006, the seventh edition further expanded those areas of development. The roles of airway management, regional anesthesia, new local anesthetic agents, and innovative regional anesthetic techniques had been further developed. Newer intravenous anesthetic agents and adjuncts were also included in this edition while maintaining Dr. Smith's principles regarding patient safety and compassion.
The eighth edition has been prepared with the same considerations as the previous seven editions: to give anesthesia care providers comprehensive coverage of the physiology, pharmacology, and clinical anesthetic management of infants and children of all ages. This edition remains organized into four sections. Part I, Basic Principles, has been updated with major revisions to the chapters Respiratory Physiology in Infants and Children, Cardiovascular Physiology, Regulation of Fluids and Electrolytes, Thermoregulation: Physiology and Perioperative Disturbances, and Pharmacology of Pediatric Anesthesia. A chapter on Behavioral Development has been added to this section to help the clinician to better understand the normal behavioral responses of children. Part II, General Approach to Pediatric Anesthesia, has had a number of changes in the authorship of the chapters. New chapters on Pain Managemant, Blood Conservation, Airway Management, and Regional Anesthesia have been added. In addition, real- time use of ultrasound has been incorporated into the website to further enhance the techniques of regional anesthesia. All other chapters in this section have been updated by the same group of contributors as in the seventh edition. Part III, Clinical Management of Specialized Surgical Problems, contains new material. In response to the increasing number of neonatal and fetal surgeries, a new chapter on Neonatology for Anesthesiologists has been added. This is a chapter designed to explore the physiology, development, and care of high-risk neonates. This chapter complements the chapters Anesthesia for Fetal Surgery and Anesthesia for General Surgery in the Neonate. In addition to Neonatology for Anesthesiologists, a chapter on Anesthesia for Conjoined Twins has been added. The chapters on congenital heart disease have been reorganized and written by new contributors. Other chapters with new contributors include Anesthesia for Plastic Surgery, Anesthesia for Neurosurgery, Anesthesia for Fetal Surgery, and Anesthesia for Burn Injuries. The remaining chapters in this section have been updated by the same group of contributors. Part IV, Associated Problems in Pediatric Anesthesia, contains updated and revised chapters on Cardiopulmonary Resuscitation, Medicolegal and Ethical Aspects, Malignant Hyperthermia, and Systemic Disorders. A new chapter on Critical Care Medicine has been added. Of note, the chapter History of Pediatric Anesthesia has been updated by Dr. Mark A. Rockoff, who had direct consultation with Dr. Robert M. Smith before Dr. Smith's death. The appendixes, which can be found online at www.expertconsult.com, include an updated list of drugs and their dosages, normal growth curves, normal values for pulmonary function tests in children, and an expanded list of common and uncommon syndromes of clinical importance for pediatric anesthesiologists.
In keeping with the advancement in technology, this edition is now in color and the text material is further supplemented by a website. Videos of airway techniques, single-lung isolation, regional anesthesia, the use of ultrasound, and anatomic disections of congenital heart lesions are accessible with just a click of the mouse. In addition, supplemental materials on organ transplantation, airway lesions, and pediatric syndromes are available.
In summary, considerable developments and progress in the practice of pediatric anesthesia over the past decade are reflected in this new edition. The emphasis on the safety and well-being of our young patients during the perianesthetic period remains unchanged.
-- Peter J. Davis, Franklyn P. Cladis, Etsuro K. Motoyama--
Key Features
- Get expert guidance from leading experts covering both basic science and clinical practice for every aspect of pediatric anesthesia.
- Incorporate the latest clinical guidelines and innovations in your practice.
- Find key facts fast with quick-reference appendices: drug dosages, growth curves, normal values for pulmonary function tests, and a listing of common and uncommon syndromes.
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.
- Videos: Access videos that demonstrate a variety of procedures.
- Images: Browse a Library of all book images. Easily select, organize, and download your images into a presentation.
- Online Chapter Questions: Quiz yourself with review questions from selected chapters.
Contents
PART I - Basic Principles
- Chapter 1 - Special Characteristics of Pediatric Anesthesia
- Chapter 2 - Behavioral Development
- Chapter 3 - Respiratory Physiology in Infants and Children
- Chapter 4 - Cardiovascular Physiology
- Chapter 5 - Regulation of Fluids and Electrolytes
- Chapter 6 - Thermoregulation: Physiology and Perioperative Disturbances
- Chapter 7 - Pharmacology of Pediatric Anesthesia
PART II - General Approach to Pediatric Anesthesia
- Chapter 8 - Psychological Aspects of Pediatric Anesthesia
- Chapter 9 - Preoperative Preparation
- Chapter 10 - Equipment
- Chapter 11 - Monitoring
- Chapter 12 - Airway Management
- Chapter 13 - Induction, Maintenance, and Recovery
- Chapter 14 - Blood Conservation
- Chapter 15 - Pain Management
- Chapter 16 - Regional Anesthesia
PART III - Clinical Management of Specialized Surgical Problems
- Chapter 17 - Neonatology for Anesthesiologists
- Chapter 18 - Anesthesia for General Surgery in the Neonate
- Chapter 19 - Anesthesia for Fetal Surgery
- Chapter 20 - Anesthesia for Congenital Heart Surgery
- Chapter 21 - Congenital Cardiac Anesthesia: Non-Bypass Procedures
- Chapter 22 - Anesthesia for Neurosurgery
- Chapter 23 - Anesthesia for General Abdominal, Thoracic, Urologic, and Bariatric Surgery
- Chapter 24 - Anesthesia for Pediatric Otorhinolaryngologic Surgery
- Chapter 25 - Anesthesia for Plastic Surgery
- Chapter 26 - Anesthesia for Orthopedic Surgery
- Chapter 27 - Anesthesia for Ophthalmic Surgery
- Chapter 28 - Anesthesia for Organ Transplantation
- Chapter 29 - Anesthesia for Conjoined Twins
- Chapter 30 - Anesthesia for the Pediatric Trauma Patient
- Chapter 31 - Anesthesia for Burn Injuries
- Chapter 32 - Anesthesia for Pediatric Dentistry
- Chapter 33 - Anesthesia and Sedation for Pediatric Procedures Outside the Operating Room
- Chapter 34 - Anesthesia for Same-Day Surgical Procedures
- Chapter 35 - Anesthesia for Office-Based Pediatric Anesthesia
PART IV - Associated Problems in Pediatric Anesthesia
- Chapter 36 - Systemic Disorders
- Chapter 37 - Malignant Hyperthermia
- Chapter 38 - Cardiopulmonary Resuscitation
- Chapter 39 - Critical Care Medicine
- Chapter 40 - Safety and Outcome in Pediatric Anesthesia
- Chapter 41 - History of Pediatric Anesthesia
- Chapter 42 - Medicolegal and Ethical Aspects
APPENDICES
- Appendix A
- Appendix B
- Appendix C
- Appendix D
Book Review
Dr. Robert Moors Smith, a distinguished pioneer of modern pediatric anesthesia who was known as the “Father of Pediatric Anesthesia” in the United States, passed away on November 25, 2009, 2 weeks before he would have turned 97. In 1959, Dr. Smith wrote the first comprehensive textbook, Anesthesia for Infants and Children, specifically dedicated to the anesthetic management and care of children when pediatric anesthesia was in its infancy and the essentials of pediatric anesthesia practice were barely taking form.
During the following 2 decades as pediatric anesthesia expanded along with the rapid development and expansion of pediatric surgery, Dr. Smith published three additional revised and updated editions with few contributors. The book remained popular as the primary reference source of pediatric anesthesia practice and was often referred to as the “Bible” for practicing pediatric anesthesiologists.
After the fourth edition was published in 1980 and before his retirement from Children's Hospital Boston and Harvard Medical School, Dr. Smith transferred the honor and responsibility of continuing the legacy of his textbook to me, a former fellow and associate in the 1960s and one of the few contributors to the later editions.
From the 1980s and onward, we witnessed continual, if not exponential, expansions in pediatric anesthesia and related fields, with the expansion of pediatric surgical subspecialties and techniques, including the development of neonatal and pediatric intensive care units and intensive care medicine; improvements in anesthesia-related equipment, monitors, and newer anesthetic and adjuvant drugs; establishment of clinical practice standards; expansions in postgraduate anesthesiology training programs; and the development of clinical and basic research activities directly or indirectly related to anesthesiology, physiology, pharmacology, and cell and molecular biology. It became obvious that a single-author textbook in our subspecialty was no longer feasible or desirable.
I was extremely fortunate to have Dr. Peter J. Davis join me to face the new challenge. Our cordial and productive collaboration has lasted for more than 2 decades and still continues today. Peter and I changed the format of the book and expanded it to a multi-author textbook. We published the fifth edition in 1990 with the modified title Smith's Anesthesia for Infants and Children to honor Dr. Smith's legacy (against Dr. Smith's initial protest). In subsequent editions in 1996 (sixth edition) and 2006 (seventh edition), we added new chapters authored by experts in specific fields to keep up with the development and expansion of science and practice of pediatric anesthesia, including critical care medicine, psychology, regional anesthesia, pain medicine, and bariatric surgery.
Anesthesia for Infants and Children has surpassed half a century of continual publication since the first edition in 1959, and I have been extremely fortunate to have been closely associated with Bob Smith professionally as well as personally since my fellowship days in Boston in the 1960s. (Bob was particularly pleased to note the half-century mark of his publication when I visited him for the last time in the early summer of 2009 in his lifelong hometown of Winchester, Massachusetts.) With the passing of a giant in the field, it is also the time to pass the torch to Peter Davis as the principal editor, with Dr. Franklyn Cladis as a new member, for the eighth edition, which is dedicated to the memory of Dr. Robert Moors Smith and his glorious life as a family man, compassionate pediatric physician, and a kind mentor to former trainees.
-- Etsuro K. Motoyama, MD, FAAP --
Product Details
- Hardcover: 1376 pages
- Publisher: Mosby; 8 edition (March 2, 2011)
- Language: English
- ISBN-10: 0323066127
- ISBN-13: 978-0323066129
- Product Dimensions: 11.1 x 9 x 2.4 inches
List Price: $229.00