BOOK
Smith's Anesthesia for Infants and Children E-Book
Etsuro K. Motoyama | Peter J. Davis | Franklyn P. Cladis
(2010)
Additional Information
Book Details
Abstract
Smith’s Anesthesia for Infants and Children, 8th Edition, edited by Drs. Peter J. Davis, Franklyn P. Cladis, and Etsuro K. Motoyama, delivers all the state-of-the-art guidance you need to provide optimal perioperative care for any type of pediatric surgery. Now in full color throughout, it also features online access to an image and video library, including ultrasound-guided pediatric regional blocks, review-style questions, plus the complete fully-searchable text at expertconsult.com.
- 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.
- Access the complete contents and illustrations online at expertconsult.com – fully searchable!
- Watch online video demonstrations of ultrasound-guided and conventional pediatric regional blocks, airway management, cardiac anesthesia, single-lung ventilation, neonatal surgery, and fetal surgery.
- Gain new insight into today’s hottest topics, including sleep-disordered breathing, cuffed endotracheal tubes, premedication, emergence agitation, postoperative vomiting, and new airway devices.
- Stay current with new chapters on ICU management, conjoined twins, and basic neonatal physiology, plus new coverage of pharmacology and monitoring techniques.
- Get outstanding visual guidance with full-color illustrations throughout the book.
Table of Contents
Section Title | Page | Action | Price |
---|---|---|---|
Front Cover | Cover | ||
Smith’s Anesthesia for Infants and Children | i | ||
Copyright | ii | ||
Contributors | iv | ||
Contributors to the Supplemental Material | ix | ||
Foreword to the Eighth Edition | xi | ||
Preface | xiii | ||
Acknowledgments | xv | ||
Contents | xvi | ||
Supplemental Material | xviii | ||
Dedication | xx | ||
Abbreviations | xxi | ||
Part I: Basic Principles | 1 | ||
Chapter 1: Special Characteristics of Pediatric Anesthesia | 2 | ||
Perioperative Monitoring | 2 | ||
Anesthetic Agents | 3 | ||
Airway Devices and Adjuncts | 3 | ||
Intraoperative and Postoperative Analgesia in Neonates | 4 | ||
Regional Analgesia in Infants and Children | 5 | ||
Fundamental Differences in Infants and Children | 5 | ||
Summary | 9 | ||
References | 9 | ||
Chapter 2: Behavioral Development | 10 | ||
Prenatal growth | 10 | ||
Postnatal growth | 11 | ||
Developmental assessment | 11 | ||
Motor development | 12 | ||
Language development | 17 | ||
Cognitive development | 17 | ||
Clinical relevance of growth and development in pediatric anesthesia | 19 | ||
Chapter 3: Respiratory Physiology in Infants and Children | 22 | ||
Development of the Respiratory System | 23 | ||
Neonatal Respiratory Adaptation | 25 | ||
Control of Breathing | 27 | ||
Lung Volumes | 41 | ||
Ventilation | 54 | ||
Gas Diffusion | 57 | ||
Pulmonary Circulation | 57 | ||
Oxygen Transport | 60 | ||
Ciliary Activity | 66 | ||
Measurements of Pulmonary Function in Infants and Children | 67 | ||
Special Considerations for Pediatric Lung Disease | 74 | ||
Summary | 79 | ||
References | 79 | ||
Chapter 4: Cardiovascular Physiology | 80 | ||
Fetal circulation | 81 | ||
Transitional circulation | 85 | ||
Myocardial performance | 87 | ||
Developmental aspects of cardiomyocyte structure and function | 95 | ||
Assessment of the cardiovascular system | 100 | ||
Cardiac Magnetic Resonance Imaging | 109 | ||
Effects of Anesthesia on the Cardiovascular System | 112 | ||
Summary | 115 | ||
References | 115 | ||
Chapter 5: Regulation of Fluids and Electrolytes | 116 | ||
Overview of anatomy and physiology | 116 | ||
Maturation of renal function | 124 | ||
Fluid and electrolyte needs in healthy infants and children | 125 | ||
Dehydration in infants and children | 126 | ||
Perioperative parenteral guidelines of fluids and electrolytes | 129 | ||
Disorders of sodium metabolism | 131 | ||
Disorders of potassium metabolism | 136 | ||
Diuretic therapy | 144 | ||
Anesthetic agents and the kidneys | 146 | ||
Disorders of divalent ion metabolism | 146 | ||
Summary | 156 | ||
References | 156 | ||
Chapter 6: Thermoregulation: Physiology and Perioperative Disturbances | 157 | ||
Temperature Monitoring | 158 | ||
Physiology of Thermal Regulation | 159 | ||
Thermal Regulation in the Newborn | 162 | ||
Heat Loss Mechanisms | 163 | ||
Heat Generation | 165 | ||
Effect of Anesthesia on Thermoregulation | 168 | ||
Adverse Effects of Hypothermia | 174 | ||
Prevention of Hypothermia | 176 | ||
Summary | 178 | ||
References | 178 | ||
Chapter 7: Pharmacology of Pediatric Anesthesia | 179 | ||
Developmental Pharmacology | 179 | ||
Neurotoxicity | 196 | ||
Intravenous Agents | 197 | ||
Opioids | 208 | ||
Inhaled Anesthetic Agents | 223 | ||
Local Anesthetic Agents | 235 | ||
Neuromuscular Blocking Agents | 239 | ||
Commonly Administered Anesthetic Adjuncts | 257 | ||
Summary | 261 | ||
References | 261 | ||
Part II: General Approach to Pediatric Anesthesia | 263 | ||
Chapter 8: Psychological Aspects of Pediatric Anesthesia | 264 | ||
Psychological Preparation for Anesthesia and Surgery | 264 | ||
Behavioral Outcomes of Preoperative Anxiety in Children | 273 | ||
Summary | 276 | ||
References | 276 | ||
Chapter 9: Preoperative Preparation | 277 | ||
Preanesthetic visit | 277 | ||
Physical examination | 278 | ||
The child with physical or mental disabilities | 284 | ||
Drug abuse in the child and adolescent | 285 | ||
Preoperative pregnancy testing | 288 | ||
Preoperative orders | 288 | ||
Preanesthetic medications | 289 | ||
Summary | 292 | ||
References | 292 | ||
Chapter 10: Title | 293 | ||
Humidifiers | 293 | ||
Anesthesia breathing systems | 294 | ||
Anesthesia machines | 297 | ||
Summary | 321 | ||
References | 321 | ||
Chapter 11: Monitoring | 322 | ||
Monitoring | 322 | ||
Anesthetic Techniques | 337 | ||
General Monitoring Procedures | 338 | ||
Summary | 343 | ||
References | 343 | ||
Chapter 12: Airway Management | 344 | ||
Developmental anatomy | 344 | ||
Developmental Physiology | 351 | ||
Developmental Airway Physics | 352 | ||
Airway Equipment | 354 | ||
Clinical airway care | 359 | ||
Care of the child with a difficult airway | 360 | ||
Summary | 364 | ||
References | 364 | ||
Chapter 13: Induction, Maintenance, and Recovery | 365 | ||
Induction of General Anesthesia | 366 | ||
Maintenance of anesthesia | 372 | ||
Emergence and Extubation | 385 | ||
Postanesthetic recovery | 387 | ||
Summary | 394 | ||
References | 394 | ||
Chapter 14: Blood Conservation | 395 | ||
Hemoglobin structure and function in the neonate, infant, and child | 395 | ||
Physiologic anemia and the anemia of prematurity | 398 | ||
Perioperative strategies for blood conservation | 399 | ||
Transfusion triggers | 407 | ||
Transfusion of red blood cells | 408 | ||
Transfusion of fresh frozen plasma | 410 | ||
Transfusion of platelets | 411 | ||
Transfusion-associated complications | 411 | ||
Massive transfusion | 413 | ||
Intraoperative blood recovery | 416 | ||
Blood substitutes | 416 | ||
Summary | 417 | ||
References | 417 | ||
Chapter 15: Pain Management | 418 | ||
Pain Assessment | 419 | ||
Neurophysiology of Pain | 420 | ||
Pharmacologic Management of Pain: The Conundrum of \"off-Label\" Drug Use | 424 | ||
Pharmacologic Management of Pain | 424 | ||
Complications of Opioid Therapy | 434 | ||
Analgesic Adjuvants | 438 | ||
Regional Anesthesia And Analgesia | 440 | ||
Chronic Pain | 443 | ||
Palliative Care | 449 | ||
Conclusion | 451 | ||
References | 451 | ||
Chapter 16: Regional Anesthesia | 452 | ||
Local Anesthesia in Children | 452 | ||
Introduction to Ultrasound | 461 | ||
Central Neuraxial Blockade | 463 | ||
Peripheral Nerve Blocks | 476 | ||
Truncal Blocks | 497 | ||
Blocks of the Face and Scalp | 507 | ||
Intravenous Regional Anesthesia | 508 | ||
Topical Anesthesia | 509 | ||
Practical Considerations to Pediatric Regional Anesthesia | 510 | ||
Summary | 510 | ||
References | 510 | ||
Part III: Clinical Management of Specialized Surgical Problems | 511 | ||
Chapter 17: Neonatology for Anesthesiologists | 512 | ||
Development of the fetus and the intrauterine environment | 513 | ||
Labor and delivery and perinatal events | 513 | ||
Gestational age | 515 | ||
The premature infant | 516 | ||
Review of systems and developmental physiology | 517 | ||
Outcomes | 546 | ||
Summary | 553 | ||
References | 553 | ||
Chapter 18 Anesthesia for General Surgery in the Neonate | 554 | ||
Anesthetic Pharmacology in the Neonate | 554 | ||
General Approach to Intraoperative Monitoring of the Neonate | 558 | ||
Minimal-Access Surgery in the Neonate | 561 | ||
Specific Neonatal Surgical Lesions | 564 | ||
Summary | 588 | ||
References | 588 | ||
Chapter 19: Anesthesia for Fetal Surgery | 589 | ||
Diseases | 589 | ||
Physiology | 595 | ||
Surgical Issues | 599 | ||
Anesthetic Plan | 600 | ||
Summary | 604 | ||
References | 604 | ||
Chapter 20: Anesthesia for Congenital Heart Surgery | 605 | ||
Pathophysiology of Congenital Heart Disease | 606 | ||
Specific Lesions | 612 | ||
Cardiopulmonary Bypass in Infants and Children | 637 | ||
Heart, Lung, and Heart-Lung Transplantation | 654 | ||
Summary | 673 | ||
References | 673 | ||
Chapter 21: Congenital Cardiac Anesthesia:Non-Bypass Procedures | 674 | ||
Cardiac Factors Influencing Outcome And Anesthetic Risk | 675 | ||
Preoperative Assessment | 681 | ||
Intraoperative Management | 682 | ||
Postoperative Management | 684 | ||
Outcomes Of Common Congenital Heart Defects | 684 | ||
Anesthesia For Closed Cardiac Procedures | 696 | ||
Anesthesia For Cardiac Catheterization | 702 | ||
Current And Future Directions | 712 | ||
Summary | 712 | ||
Chapter 22: Anesthesia for Neurosurgery | 713 | ||
Developmental Considerations | 713 | ||
Effects of Drugs on Neurophysiology | 718 | ||
Preoperative Evaluation and Preparation | 723 | ||
General Principles of Intraoperative Management | 725 | ||
Monitoring | 729 | ||
Specific Pediatric Neurosurgical Conditions | 732 | ||
Summary | 744 | ||
References | 744 | ||
Chapter 23: Anesthesia for General Abdominal, Thoracic, Urologic, and Bariatric Surgery | 745 | ||
Video Endoscopy | 745 | ||
General Abdominal Surgery | 746 | ||
General Thoracic Surgery | 763 | ||
Urologic Surgery | 778 | ||
Bariatric Surgery | 782 | ||
Summary | 785 | ||
References | 785 | ||
Chapter 24: Anesthesia for Pediatric Otorhinolaryngologic Surgery | 786 | ||
Anesthesia For Otologic Procedures | 786 | ||
Anesthesia For Rhinologic Procedures | 789 | ||
Anesthesia For Pharyngeal And Laryngeal Procedures | 791 | ||
Anesthesia For Endoscopy | 813 | ||
Summary | 820 | ||
References | 820 | ||
Chapter 25: Anesthesia for Plastic Surgery | 821 | ||
Craniofacial Surgery | 821 | ||
Extremity Surgery | 840 | ||
summary | 841 | ||
Chapter 26: Anesthesia for Orthopedic Surgery | 842 | ||
Scoliosis | 844 | ||
Joint Disorders | 857 | ||
Syndromes Of Disproportionate Short Stature: Dwarfism | 860 | ||
Osteogenesis Imperfecta | 862 | ||
Osteopetrosis | 863 | ||
Cerebral Palsy | 863 | ||
Ilizarov Method | 865 | ||
Tourniquets | 866 | ||
Clubfoot | 867 | ||
Developmental Dysplasia Of The Hip | 867 | ||
Slipped Capital Femoral Epiphysis | 867 | ||
Fractures | 868 | ||
Fat Embolism Syndrome | 868 | ||
Summary | 869 | ||
References | 869 | ||
Transplantation Supplemental Material | e69 | ||
A. Artificial Organs and Assist Devices | e69 | ||
B. Management Protocol for Patients with Fulminant Hepatic Failure | e71 | ||
C. Children's Hospital of Pittsburgh of UPMC Liver Transplantation Protocol | e75 | ||
D. Xenotransplantation | e78 | ||
References | e88 | ||
Chapter 27: Anesthesia for Ophthalmic Surgery | 870 | ||
Anatomy And Physiology | 870 | ||
General Considerations In Caring For The Ophthalmologic Patient | 873 | ||
General Anesthetic Considerations | 878 | ||
Intraoperative And Postoperative Complications | 880 | ||
Specific Pathology And Surgical And Anesthetic Management | 882 | ||
Summary | 888 | ||
References | 888 | ||
Chapter 28: Anesthesia for Organ Transplantation | 889 | ||
Determination Of Brain Death In Children | 891 | ||
Donor Strategies | 892 | ||
Living Related Organ Donor | 900 | ||
Immunosuppression | 902 | ||
Liver Transplantation | 905 | ||
Multivisceral And Intestinal Transplantations | 928 | ||
Kidney Transplantation | 931 | ||
Islet Cell, Pancreas, And Kidney-Pancreas Transplantations | 938 | ||
Hematopoietic Stem-Cell Transplantation | 943 | ||
Hepatocyte Transplantation | 946 | ||
Posttransplantation Side Effects | 946 | ||
Summary | 949 | ||
Chapter 29: Anesthesia for Conjoined Twins | 950 | ||
Incidence | 950 | ||
Historical Perspectives | 951 | ||
Embryology | 952 | ||
Classification, Nomenclature, And Terminology | 952 | ||
Ethics | 954 | ||
Perinatal Considerations | 955 | ||
Medical And Surgical Management | 956 | ||
Investigations | 956 | ||
Planning Before Surgery | 957 | ||
Anesthetic Care Of Conjoined Twins | 958 | ||
Anesthesia For Non–Separation Procedures | 963 | ||
Anesthesia For Separation | 966 | ||
Conclusion | 969 | ||
References | 970 | ||
Chapter 30: Anesthesia for the Pediatric Trauma Patient | 971 | ||
Epidemiology | 972 | ||
Pediatric Trauma Systems | 972 | ||
Trauma Scoring Systems | 974 | ||
Primary and Secondary Surveys | 977 | ||
Anesthetic Perioperative Management | 983 | ||
Specific Injuries | 988 | ||
Summary | 1002 | ||
References | 1002 | ||
Chapter 31: Anesthesia for Burn Injuries | 1003 | ||
Epidemiology | 1003 | ||
Burn-Wound Assessment | 1003 | ||
Pathophysiology | 1006 | ||
Pharmacologic Alterations | 1013 | ||
Considerations For Initial Management | 1016 | ||
Perioperative Considerations | 1019 | ||
Considerations For Other Burn Injuries | 1021 | ||
Rehabilitation And Reconstructive Procedures | 1022 | ||
Summary | 1022 | ||
Acknowledgments | 1022 | ||
References | 1022 | ||
Chapter 32: Anesthesia for Pediatric Dentistry | 1023 | ||
Human Dentition | 1023 | ||
Dental Pathophysiology | 1027 | ||
Patient Spectrum | 1030 | ||
Dentist’s Needs And Techniques | 1030 | ||
Sedation And Anesthesia For Dental Procedures | 1033 | ||
Postoperative Problems | 1037 | ||
Summary | 1040 | ||
References | 1040 | ||
Chapter 33: Anesthesia and Sedation for Pediatric Procedures Outside the Operating Room | 1041 | ||
Requirements For Extramural Locations | 1041 | ||
Periprocedural Patient Care: Standards Of Practice And Quality Assurance | 1043 | ||
Postanesthesia Care | 1045 | ||
Resuscitation | 1046 | ||
Specific Extramural Sites | 1046 | ||
Safety Issues For Patients And Their Anesthesiologists | 1054 | ||
Difficult-Airway Management In The Radiology Suite | 1057 | ||
Blood-Loss Management Outside Of The Operating Room | 1057 | ||
Summary | 1057 | ||
References | 1057 | ||
Chapter 34: Anesthesia for Same-Day Surgical Procedures | 1058 | ||
Procedures And Patients Amenable To Outpatient Surgery And Anesthesia | 1059 | ||
Contraindications For Outpatient Anesthesia | 1059 | ||
Preoperative Evaluation And Planning | 1060 | ||
Underlying Illnesses And Complicating Factors | 1063 | ||
Preoperative Preparation Of The Child And Family | 1066 | ||
Anesthetic Techniques | 1067 | ||
Postoperative Analgesia | 1072 | ||
Pacu, Recovery, And Discharge Issues | 1074 | ||
Complications And Unanticipated Admission | 1075 | ||
Facility Design And Patient Throughput | 1075 | ||
Summary | 1076 | ||
References | 1076 | ||
Chapter 35: Anesthesia for Office-Based Pediatric Anesthesia | 1077 | ||
Why Office-Based Surgery And Anesthesia? | 1080 | ||
Safety And Outcome | 1080 | ||
Legislation And Regulations | 1084 | ||
Clinical Aspects | 1086 | ||
Establishing An Office-Based Practice | 1092 | ||
Summary | 1095 | ||
References | 1095 | ||
Chapter 36: Systemic Disorders | 1098 | ||
Endocrine Disorders | 1099 | ||
Respiratory Disorders | 1112 | ||
Cardiovascular Disorders | 1125 | ||
Hematology And Oncology Issues: Hereditary And Congenital Disorders | 1130 | ||
Coagulation: Developmental Aspects, Disorders Of Coagulation, And Perioperative Management Of Hemostasis | 1144 | ||
Treatment Of The Bleeding Patient | 1160 | ||
Miscellaneous Problems | 1165 | ||
Genetic Muscle Disorders | 1174 | ||
Summary | 1182 | ||
References | 1182 | ||
Part IV: Associated Problems in Pediatric Anesthesia | 1097 | ||
Chapter 37: Malignant Hyperthermia | 1183 | ||
Muscle Physiology | 1184 | ||
Clinical Presentation | 1186 | ||
Masseter Spasm | 1187 | ||
Treatment Of An Acute Episode Of Malignant Hyperthermia | 1189 | ||
Prophylactic Management | 1191 | ||
Anesthesia Techniques | 1195 | ||
Disorders Associated With Malignant Hyperthermia | 1196 | ||
Contracture Test | 1198 | ||
Anesthesiologists’ Responsibility To Other Physicians | 1198 | ||
Summary | 1199 | ||
References | 1199 | ||
Chapter 38: Cardiopulmonary Resuscitation | 1200 | ||
Cardiac Arrest During Anesthesia | 1201 | ||
Cardiopulmonary Resuscitation | 1206 | ||
Drugs For Resuscitation | 1219 | ||
Electrical Interventions In Cardiopulmonary Resuscitation | 1229 | ||
Arrhythmias In Cardiopulmonary Resuscitation | 1232 | ||
Anesthesia-Associated Considerations During Cardiopulmonary Resuscitation | 1242 | ||
Extracorporeal Support As Adjunctive Therapy During Cardiopulmonary Resuscitation | 1243 | ||
Teamwork During Intraoperative Cardiac Arrest | 1245 | ||
Postresuscitation Care | 1248 | ||
References | 1249 | ||
Chapter 39: Critical Care Medicine | 1250 | ||
Respiratory System | 1251 | ||
Cardiovascular System | 1258 | ||
Renal System | 1263 | ||
Neurologic Systems | 1266 | ||
Hematology And Immunology | 1268 | ||
Prophylaxis | 1269 | ||
Summary: The Role of The Intensivist | 1271 | ||
References | 1272 | ||
Chapter 40: Safety and Outcome in Pediatric Anesthesia | 1273 | ||
Anesthesia-Related Mortality | 1274 | ||
Anesthesia-Related Morbidity In Infants And Children | 1276 | ||
Common Causes of Anesthesia-Related Mishaps | 1288 | ||
Prevention of Anesthesia-Related Mishaps | 1290 | ||
Summary | 1293 | ||
References | 1293 | ||
Chapter 41: History of Pediatric Anesthesia | 1294 | ||
Phase I: Pediatric Anesthesia Before 1940 | 1294 | ||
Phase II: Emergence Of Pediatric Anesthesia, 1940 to 1960 | 1296 | ||
Phase III: Era of Nonflammable Anesthetics, 1960 to 1980 | 1301 | ||
Phase IV: Progress and Sophistication, 1980 to Present | 1304 | ||
Summary | 1308 | ||
References | 1308 | ||
Chapter 42: Medicolegal and Ethical Aspects | 1309 | ||
Informed Consent | 1309 | ||
Medical Malpractice Litigation | 1312 | ||
References | 1314 | ||
Index | 1315 | ||
Appendix A: Pediatric Drug Dosages | A1 | ||
Appendix B: Growth Curves | A6 | ||
Appendix C: Normal Pulmonary Function Values | A14 | ||
Appendix D: Index of Syndromes and Their Pediatric Anesthetic Implications | A22 | ||
References | A36 | ||
Chapter Questions | 1 | ||
Chapter 2: Behavioral Development | 1 | ||
Chapter 3: Respiratory Physiology in Infants and Children | 1 | ||
Chapter 4: Cardiovascular Physiology | 1 | ||
Chapter 5: Regulation of Fluids and Electrolytes | 1 | ||
Chapter 6: Thermoregulation: Physiology and Perioperative Disturbances | 2 | ||
Chapter 7: Pharmacology of Pediatric Anesthesia | 2 | ||
Chapter 9: Preoperative Preparation | 2 | ||
Chapter 12: Airway Management | 3 | ||
Chapter 13: Induction, Maintenance, and Recovery | 3 | ||
Chapter 14: Blood Conservation | 4 | ||
Chapter 15: Pain Management | 4 | ||
Chapter 16: Regional Anesthesia | 4 | ||
Chapter 17: Neonatology for Anesthesiologists | 4 | ||
Chapter 18: Anesthesia for General Surgery in the Neonate | 5 | ||
Chapter 19: Anesthesia for Fetal Surgery | 5 | ||
Chapters 20: Anesthesia for Congenital Heart Surgery, and 21: Congenital Cardiac Anesthesia: Non-Bypass Procedures | 5 | ||
Chapter 22: Anesthesia for Neurosurgery | 6 | ||
Chapter 23: Anesthesia for General Abdominal, Thoracic, Urologic, and Bariatric Surgery | 7 | ||
Chapter 24: Anesthesia for Pediatric Otorhinolaryngologic Surgery | 7 | ||
Chapter 25: Anesthesia for Plastic Surgery | 7 | ||
Chapter 26: Anesthesia for Orthopedic Surgery | 7 | ||
Chapter 27: Anesthesia for Ophthalmic Surgery | 8 | ||
Chapter 28: Anesthesia for Organ Transplantation | 8 | ||
Chapter 30: Anesthesia for the Pediatric Trauma Patient | 8 | ||
Chapter 31: Anesthesia for Burn Injuries | 8 | ||
Chapter 32: Anesthesia for Pediatric Dentistry | 8 | ||
Chapter 36: Systemic Disorders | 9 | ||
Chapter 37: Malignant Hyperthermia | 9 | ||
Chapter 38: Cardiopulmonary Resuscitation | 9 | ||
Answer Key | 11 |