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Chapter 33 - Perioperative Care of the Paediatric Patient

Published online by Cambridge University Press:  18 August 2022

By
Faye Lowry  and
Daniel Rodger
Edited by
Daniel Rodger ,
Kevin Henshaw ,
Paul Rawling  and
Scott Miller
Daniel Rodger
Affiliation:
Senior Lecturer in Perioperative Practice, London South Bank University
Kevin Henshaw
Affiliation:
Associate Head of Allied Health Professions, Edge Hill University, Ormskirk
Paul Rawling
Affiliation:
Senior Lecturer in Perioperative Practice, Edge Hill University, Ormskirk
Scott Miller
Affiliation:
Consultant Anaesthetist, St Helens and Knowsley Hospitals NHS Trust
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Summary

This chapter focuses on the perioperative care of the paediatric patient and aims to undermine the common misconception that children are just little adults. Providing safe and effective care for children requires a clear underpinning knowledge of their unique needs. Conscious consideration of age-dependent characteristics such as anatomical, physiological, psychological, and behavioural are essential in the delivery of paediatric patient care. The rationale for adaptations to the delivery of care is to ensure children receive anaesthesia and surgery in a safe and appropriate environment.

Keywords

PerioperativePaediatricChildrenAnaesthesiaFastingAnatomyPhysiologyInductionLaryngospasmAirway
Type
Chapter
Information
Fundamentals of Operating Department Practice , pp. 365 - 374
Publisher: Cambridge University Press
Print publication year: 2022

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References

Chidambaran, V., Costandi, A., and D’Mello, A.. Propofol: a review of its role in pediatric anesthesia and sedation. CNS Drugs 2015; 29: 543–563.CrossRefGoogle ScholarPubMed
Lesch, V.. Anatomy, physiology and psychology. In Doyle, E. (ed.), Paediatric Anaesthesia. Cambridge: Cambridge University Press, 2007, pp. 3–25.Google Scholar
Peyton, J., Gummerson, M. C., Ramamurthi, R. J., et al. Physics and anesthesia equipment. In Matthes, K., Laubach, A. E., and Anderson, T. A. (eds.), Pediatric Anesthesiology: A Comprehensive Board Review. Oxford: Oxford University Press, 2015, pp. 21–41.Google Scholar
Goodman, T. and Spry, C.. Essentials of Perioperative Nursing. Burlington, MA: Jones & Bartlett Learning, 2016.Google Scholar
Advanced Paediatric Life Support Group. Advanced Paediatric Life Support: A Practical Approach to Emergencies. Chichester: Wiley-Blackwell, 2016.Google Scholar
Colin, A. A., McEvoy, C., and Castile, R. G.. Respiratory morbidity and lung function in preterm infants of 32 to 36 weeks’ gestational age. Pediatrics 2010; 126: 115–128.Google Scholar
Nelson, K., Nicholls, C., and Muckler, V. C.. Pediatric review and perioperative considerations. Journal of Pediatric Nursing 2018; 33: 265–274.Google Scholar
Holzman, R. S.. Fundamental differences between children and adults. In Holzman, R. S., Mancuso, T. J., and Polaner, D. M. (eds.), A Practical Approach to Pediatric Anesthesia. Philadelphia, PA: Wolters Kluwer, 2016, pp. 22–44.Google Scholar
Borucki, A. N. and Ellinas, H.. Anatomy. In Matthes, K., Laubach, A. E., and Anderson, T. A. (eds.), Pediatric Anesthesiology: A Comprehensive Board Review. Oxford: Oxford University Press, 2015, pp. 3–20.Google Scholar
Whyte, S. and Butterworth, S.. Paediatric cases. In Sturgess, J, Davies, J, and Valchanov, K (eds.), A Surgeon’s Guide to Anaesthesia and Peri-operative Care. Cambridge: Cambridge University Press, 2014, pp. 168–180.CrossRefGoogle Scholar
Kassai, B., Rabilloud, M, Dantony, E, et al. Introduction of a paediatric anaesthesia comic information leaflet reduced preoperative anxiety in children. British Journal of Anaesthesia 2016; 117: 95–102.CrossRefGoogle ScholarPubMed
Harvey, M. and Geary, T.. Preoperative assessment and preparation for safe paediatric anaesthesia. Anaesthesia and Intensive Care Medicine 2018; 19: 401–408.Google Scholar
Short, J. A. and Jordan, J. K. Preoperative assessment and preparations for anaesthesia in children. Anaesthesia and Intensive Care Medicine 2015; 16: 381–388.CrossRefGoogle Scholar
Nandi, R.. Pre-operative assessment for paediatric anaesthesia. In James, I. and Walker, I. (eds.), Core Topics in Paediatric Anaesthesia. Cambridge: Cambridge University Press, 2013, pp. 51–59.Google Scholar
Thomas, M., Morrison, C., Newton, R., et al. Consensus statement on clear fluids fasting for elective pediatric general anesthesia. Pediatric Anesthesia 2018; 28: 411–414.Google Scholar
Ponde, V.. Recent trends in paediatric regional anaesthesia. Indian Journal of Anaesthesia 2019; 63: 746–753.Google Scholar
Lönnqvist, P.. Adjuncts should always be used in pediatric regional anesthesia. Pediatric Anesthesia 2015; 25: 100–106.Google Scholar
Byun, S. and Pather, N.. Pediatric regional anesthesia: a review of the relevance of surface anatomy and landmarks used for peripheral nerve blockades in infants and children. Clinical Anatomy 2019; 32: 803–823.CrossRefGoogle ScholarPubMed
Dave, N. M.. Premedication and induction of anaesthesia in paediatric patients. Indian Journal of Anaesthesia 2019; 63: 713–720.CrossRefGoogle ScholarPubMed
Brioni, J. D., Varughese, S., Ahmed, R., et al. A clinical review of inhalation anesthesia with sevoflurane: from early research to emerging topics. Journal of Anesthesia 2017; 31: 764–778.CrossRefGoogle ScholarPubMed
Engelhardt, T. and Weiss, M.. A child with a difficult airway: what do I do next?Current Opinion in Anaesthesiology 2012; 25: 326–332Google Scholar
Rodríguez-Calero, M. A., Blanco-Mavillard, I., Morales-Asencio, J. M., et al. Defining risk factors associated with difficult peripheral venous cannulation: a systematic review and meta-analysis. Heart and Lung 2020; 49: 273–286.Google Scholar
Greene, N., Bhananker, S., Ramaiah, R.. Vascular access, fluid resuscitation, and blood transfusion in pediatric trauma. International Journal of Critical Illness and Injury Science 2012; 2: 135–142.Google Scholar
Hruby, A. and Hu, F. B.. The epidemiology of obesity: a big picture. Pharmacoeconomics 2015; 33: 673–689.Google Scholar
Leslie, D., Froom, S., and Gildersleve, C.. Equipment and monitoring for paediatric anaesthesia. Anaesthesia and Intensive Care Medicine 2015; 16: 389–394.CrossRefGoogle Scholar
Sen, I., Dave, N., Bhardwaj, N., et al. Specialised training in paediatric anaesthesia: need of the hour. Indian Journal of Anaesthesia 2021; 65: 17–22.Google Scholar
Hansen, T. G.. Developmental paediatric anaesthetic pharmacology. Anaesthesia and Intensive Care Medicine 2015; 16: 417–422.Google Scholar
Bhansali, R. and Armstrong, J.. Smartphone applications for pediatric anesthesia. Pediatric Anesthesia 2012; 22: 400–404.Google Scholar
Oswald, L., Smith, E. J, Mathew, M., et al. The Ayre’s T-piece turns 80: a 21st century review. Pediatric Anesthesia 2018; 28: 694–696.Google Scholar
Patel, B. and Bingham, R.. Laryngeal mask airway and other supraglottic airway devices in paediatric practice. Continuing Education in Anaesthesia Critical Care and Pain 2009; 9: 6–9.Google Scholar
Passi, Y., Sathyamoorthy, M., Lerman, J., et al. Comparison of the laryngoscopy views with the size 1 Miller and Macintosh laryngoscope blades lifting the epiglottis or the base of the tongue in infants and children <2 yr of age. British Journal of Anaesthesia 2014; 113: 869–874.Google Scholar
Newton, R. and Hack, H.. Place of rapid sequence induction in paediatric anaesthesia. BJA Education 2016; 16: 120–123.Google Scholar
Park, R., Peyton, J. M., Fiadjoe, J. E., et al. The efficacy of GlideScope® videolaryngoscopy compared with direct laryngoscopy in children who are difficult to intubate: an analysis from the paediatric difficult intubation registry. British Journal of Anaesthesia 2017; 119: 84–992.Google Scholar
Bailey, C. R.. Time to stop using uncuffed tracheal tubes in children? Anaesthesia 2018; 73: 147–150.Google Scholar
Collins, S., Schedler, P., Veasey, B., et al. Prevention and treatment of laryngospasm in the pediatric patient: a literature review. AANA Journal 2019; 87: 145–151.Google Scholar
Reduque, L. L. and Verghese, S. T.. Paediatric emergence delirium. Continuing Education in Anaesthesia Critical Care and Pain 2013; 13: 39–41.Google Scholar
Royal College of Surgeons of England. Paediatric surgery. Available from: www.rcseng.ac.uk/news-and-events/media-centre/media-background-briefings-and-statistics/paediatric-surgery/ (accessed 5 August 2021).Google Scholar
Kovac, A. L.. Management of postoperative nausea and vomiting in children. Pediatr-Drugs 2007; 9: 47–69.CrossRefGoogle ScholarPubMed

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