As the field pediatric anesthesia advances and expands, so too does the gamut of challenges that are faced by today’s anesthesiologists. Gregory’s Pediatric Anesthesia aims to fully prepare trainees and experienced professionals for modern practice by equipping them with the knowledge and cutting-edge techniques necessary to safely and successfully anesthetize children for a range of different surgeries and other procedures. Supporting their work with current data and evidence, the authors explore topics including basic principles, potential complications, and best practice, and illustrate their findings with detailed case studies that cover all major subspecialties.
This essential new edition includes access to illustrative videos and features new and expanded sections, such as:
- Anesthesia for Spinal Surgery complications including postoperative blindness
- Robotic surgery for Pediatric Urological Procedures
- Anesthesia for Non-Cardiac Surgery in Patients with Congenital Heart Disease (new chapter)
- Extensive additional ultrasound images for regional anesthesia
- Neonatal Resuscitation
- The Pediatric Surgical Home and Enhanced Recovery after Surgery (new chapter)
Now in its sixth edition, Gregory’s Pediatric Anesthesia continues to provide reliable and easy-to-follow guidance to all anesthesiologists caring for younger patients.
Table of Contents
List of Contributors vii
Preface xii
List of Abbreviations xiii
Part 1 Principles of Pediatric Anesthesia
1 Ethics and Professionalism in Pediatric Anesthesia 1
David B. Waisel
2 History of Pediatric Anesthesia 17
T.C.K. Brown
3 Education in Pediatric Anesthesiology: Practice in the Present with the Future in Mind 45
Stephanie A. Black, Justin L. Lockman, and Alan Jay Schwartz
4 An Introduction to the Ethical Design, Conduct, and Analysis of Pediatric Clinical Trials 56
Myron Yaster, Jeffrey Galinkin, and Mark S. Schreiner
5 Development of the Cardiovascular System 76
Barry D. Kussman and Wanda C. Miller-Hance
6 Developmental Physiology of the Cardiovascular System 100
Dean B. Andropoulos
7 Developmental Physiology of the Respiratory System 120
Roland Neumann, Maria Victoria Fraga, Susan H. Guttentag, Dean B. Andropoulos, and Britta S. von Ungern-Sternberg
8 Developmental Physiology of the Central Nervous System 143
Zoel Quinonez, R. Blaine Easley, Bruno Bissonnette, and Ken M. Brady
9 Developmental Physiology of the Liver, Gastrointestinal Tract, and Renal System 164
Peter N. Bromley, Ellen Rawlinson, Zoe Harclerode, and James Bennett
10 Pharmacology 191
Jean X. Mazoit
11 Fluids, Electrolytes, and Nutrition 226
Peggy McNaull and Adam Suchar
12 Coagulation, Bleeding, and Blood Transfusion 247
Laura A. Downey, Margo R. Rollins, and Bruce E. Miller
13 Cardiopulmonary Resuscitation 276
Todd J. Kilbaugh, Robert M. Sutton, Ryan Morgan, Alexis A. Topjian, Vinay M. Nadkarni, and Robert A. Berg
Part 2 Pediatric Anesthesia Management
14 Anxiety, Psychological Preparation, Awareness, and Behavior Change 298
Michelle Wright and Mike Sury
15 Principles of the Pediatric Perioperative Surgical Home 312
Lynne Ferrari
16 Pediatric Airway Management 323
John E. Fiadjoe, Paul A. Stricker, and Ronald S. Litman
17 Induction of, Maintenance of, and Emergence from Anesthesia 356
Remek Kocz, James Armstrong, and Jerrold Lerman
18 Postanesthesia Care Unit Management 386
Warwick Ames and Allison Kinder Ross
19 Monitoring and Vascular Access 406
Dean B. Andropoulos
20 Pediatric Regional Anesthesia 444
Claude Ecoffey
Part 3 Practice of Pediatric Anesthesia
21 Anesthesia for Fetal Intervention and Surgery 475
Olutoyin A. Olutoye, Mark Rosen, and Mark D. Rollins
22 Anesthesia for Premature Infants 505
George A. Gregory
23 Anesthesia for the Full-term and Ex-premature Infant 524
Neil S. Morton, Ross Fairgrieve, Anthony Moores, and Ewan Wallace
24 Anesthesia for the Adolescent and Young Adult Patient 548
Rahul G. Baijal and Dean B. Andropoulos
25 Anesthesia for Neurosurgical Procedures 571
Nicholas Carling, Ken M. Brady, Bruno Bissonnette, and R. Blaine Easley
26 Anesthesia for Thoracic Surgery 607
Faith Ross, Grant McFadyen, Stefan Budac, Lynn D. Martin, and Michael Richards
27 Anesthesia for Congenital Heart Disease 626
David Whiting, James A. DiNardo, and Kirsten C. Odegard
28 Anesthesia for Non-cardiac Surgery in Patients with Congenital Heart Disease 689
Erin A. Gottlieb
29 Anesthesia for Spinal Surgery in Children 714
Joseph D. Tobias
30 Anesthesia for Transplantation 740
Manchula Navaratnam, Stephen A. Stayer, Glynn Williams, and Dean B. Andropoulos
31 Anesthesia for Abdominal Surgery 793
Lena S. Sun, Neeta R. Saraiya, and Philipp J. Houck
32 Anesthesia for Pediatric Urological Procedures 813
Laura N. Zeigler, Katharina B. Modes, and Jayant K. Deshpande
33 Anesthesia for Orthopedic Surgery 834
Cathy R. Lammers, Cecile Wyckaert, and Julianna Clark-Wronski
34 Otolaryngological and Dental Surgery 857
Olutoyin A. Olutoye, Arvind Chandrakantan, and Mehernoor Watcha
35 Anesthesia for Ophthalmological Surgery 881
Julia Chen and Olutoyin A. Olutoye
36 Anesthesia for Plastic and Craniofacial Surgery 893
Ehrenfried Schindler, Markus Martini, and Martina Messing-Jünger
37 Pain Management in Children 929
Christine Greco and Charles Berde
38 Outpatient Anesthesia 955
Joseph A. Scattoloni, Olubukola O. Nafiu, Shobha Malviya, and Dean B. Andropoulos
39 Anesthesia for Trauma 979
Monica S. Vavilala and Sarah A. Lee
40 Anesthesia for Burns 996
Gennadiy Fuzaylov
41 Anesthesia and Sedation Outside the Operating Room 1012
Mohamed Mahmoud, Robert S. Holzman, and Keira P. Mason
42 Pediatric Intensive Care 1041
Rajeev Wadia, Becky J. Riggs, Dheeraj Goswami, Jamie McElrath Schwartz, and Melania M. Bembea
43 Anesthesia for the Patient with a Genetic Syndrome 1085
David Mann, Priscilla J. Garcia, and Dean B. Andropoulos
44 Pediatric Anesthesia in Developing Countries 1106
Adrian T. Bosenberg
Part 4 Quality, Outcomes, and Complications in Pediatric Anesthesia
45 Clinical Complications in Pediatric Anesthesia 1118
Randall Flick, Christina M. Pabelick, Tracy E. Harrison, Kara A. Bjur, and Elena Ashikhmina
46 Impact of Pediatric Surgery and Anesthesia on Brain Development 1151
Andreas W. Loepke and Sulpicio G. Soriano
47 Patient Simulation and its Use in Pediatric Anesthesia 1182
Anita Honkanen, Michael I. Chen, and David A. Young
48 Databases, Registries, and Outcome Research in Pediatric Anesthesia 1208
Joseph Cravero
49 Electronic Anesthesia Records: Anesthesia Information Management Systems 1227
Allan F. Simpao and Mohamed A. Rehman
50 Operating Room Safety, Communication, and Teamwork,1243
Thomas L. Shaw, Lauren M. Y. Lobaugh, and Stephen A. Stayer
Appendices
Appendix A: Pediatric Anesthesia Drugs and Other Treatments in the Perioperative Period 1258
Dean B. Andropoulos
Appendix B: Pediatric Normal Laboratory Values 1263
Dean B. Andropoulos
Index 1281
