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Section I: The Normal Child
1. Transition From Fetal to Pediatric Anesthesia
Lung Growth and Development
Development of the Circulatory System
Cardiopulmonary Changes at Birth
Persistent Pulmonary Hypertension of the Newborn
2. Developmental Physiology and Pharmacology
Cardiovascular Physiology
Central Nervous System Physiology
Developmental Pharmacology
Pharmacokinetics of Intravenous Anesthetics
Pharmacodynamics of Intravenous Anesthetics
Pharmacokinetics of Inhaled Anesthetics
Section II: Pediatric Medicines for Anesthesiologists
3. Congenital Heart Disease
Pathophysiology of Congenital Heart Disease
Cyanotic Congenital Heart Diseasae
Anesthetic Management of Children With CHD
Upper Respiratory Infection
5. Neurologic and Neuromuscular Diseases
6. Gastrointestinal Diseases
Inflammatory Bowel Disease
Neonatal Hyperbilirubinemia
Inherited Coagulation Disorders
Common Oncologic Disorders
Miscellaneous Problems in Children With Cancer
9. Genetic and Inherited Diseases
Trisomy 21 (Down Syndrome)
Dwarfism (Osteochondrodystrophy)
Respiratory Distress Syndrome
Intraventricular Hemorrhage
Retinopathy of Prematurity
Section III: Anesthetic Management
12. The Formerly Premature Infant
Bronchopulmonary Dysplasia
Anesthetic Management of Infants With BPD
Laryngeal and Tracheal Injury
13. Preanesthetic Preparation of the Pediatric Patient
The Patient: History and Physical Exam
Pharmacologic Preparation
Perioperative Antimicrobial Prophylaxis
Preoperative Preparation of the Patient
14. Fluid and Blood Administration
Normal Fluid Requirements
Intraoperative Fluid Requirements
Postoperative Intravenous Fluids
Complications of Blood Product Administration
Blood Pressure Monitoring
Precordial or Esophageal Stethoscope
Monitoring During Transport
16. Temperature Regulation
Normal Temperature Physiology in Children
Normal Compensation for Hypothermia
Complications of Hypothermia in Infants
Heat Loss During Anesthesia
Prevention and Treatment of Perioperative Hypothermia
Where Should Temperature Be Measured?
Effects of Regional Anesthesia on Intraoperative Temperature Regulation
Perioperative Hyperthermia
17. Routine Airway Management
Anatomy of the Pediatric Upper Airway
Pediatric Airway Management Techniques
Supraglottic Airways (SGA)
18. The Difficult Pediatric Airway
Preanesthetic Preparation
Etiologies of Difficult Intubation
Anticipated Difficult Ventilation From Upper Airway Obstruction
Infectious Causes of Difficult Ventilation
Unanticipated Difficult Ventilation
19. Management of General Anesthesia
Nondepolarizing Neuromuscular Blockers
Ventilating Children During General Anesthesia
Emergence From General Anesthesia
Are Anesthetic Agents Neurotoxic to the Developing Brain?
Prevention of Surgical Site Infections
Central Neuraxial Techniques
Pharmacology of Local Anesthetics in Children
21. Malignant Hyperthermia
Prevalence, Incidence, and Penetrance
Malignant Hyperthermia Association of the United States
Section IV: Pediatric Surgery
Dental and Oral Surgical Procedures
Congenital Diaphragmatic Hernia
Indwelling Intravenous Access
Malrotation and Midgut Volvulus
Necrotizing Enterocolitis
Omphalocele and Gastroschisis
Preoperative Considerations
One-Lung Ventilation Techniques
Anesthetic Management During One-Lung Ventilation
Anesthetic Management for Thoracoscopy
Neonatal Thoracic Surgery
Congenital Cystic Adenomatoid Malformation
Congenital Lobar Emphysema
Tracheoesophageal Fistula
Developmental Dysplasia or Dislocation of the Hip
Postoperative Considerations
Pathophysiology and Treatment of Increased ICP
Positioning Children for Neurosurgery
Neurophysiologic Monitoring
Common Pediatric Neurosurgical Procedures
Central Nervous System Trauma
27. Ophthalmologic Surgery
Preoperative Considerations
Procedural Considerations
Postoperative Considerations
Anesthetic Management of Common Pediatric Ophthalmologic Procedures
Unique Complications During Pediatric Ophthalmologic Procedures
Subcutaneous Epinephrine Use in Children
Testicular Torsion Repair
30. Remote Anesthetizing Locations
Magnetic Resonance Imaging
31. Postoperative Considerations
Routine Postoperative Care
Postoperative Complications
Section V: Pain Management
32. Pediatric Pain Assessment
At What Age are Children Capable of Experiencing Pain?
Assessing Pain in Children
33. Analgesic Medications
Pharmacokinetic Considerations
34. Local Anesthetics and Adjuvant Analgesics
Pharmacology of Local Anesthetics
Pharmacology of Adjuvant Analgesics
35. Acute Pain Management
Pathophysiology of Acute Pain
Setting Pain Expectations
Patient-Controlled Analgesia
Continuous Intravenous Opioid Infusion
Continuous Epidural Analgesia
Patient-Controlled Epidural Analgesia
Complex Regional Pain Syndrome
Section VI: Critical Care
37. Trauma and Burn Management
Pediatric Burn Management
Initial Management of the Burned Child
Anesthetic Management of the Burned Child
Postoperative Considerations
38. The Critically Ill Child
Pediatric Advanced Life Support
Common Pediatric Critical Illnesses
Invasive Line Placement and Monitoring
Confidence is ClinicalKey