TY - CHAP M1 - Book, Section TI - Anesthesia for Genitourinary Procedures A1 - Chaudhuri, Swapna A2 - Ellinas, Herodotos A2 - Matthes, Kai A2 - Alrayashi, Walid A2 - Bilge, Aykut PY - 2021 T2 - Clinical Pediatric Anesthesiology AB - FOCUS POINTSPediatric patients undergo a wide variety of genitourinary procedures, which can range from isolated outpatient surgeries to complex reconstructions.Most urological procedures are elective in nature, and majority of these patients are healthy or with stable chronic medical conditions.Latex-free precautions during perioperative management are highly recommended in patients with chronic urological conditions due to concerns of hypersensitivity after repeated latex exposure.Regional anesthesia and analgesia are excellent alternative/complementary techniques for genitourinary procedures with minimal risk when performed in asleep patients.Perioperative medications should be reviewed in advance and administration or discontinuation discussed [chronic steroids or other immunosuppressants, antihypertensive medications such as angiotensin-converting enzyme inhibitors (ACEIs) or angiotensin II receptor blockers (ARBs)].Renally excreted medications should be adjusted perioperatively to decrease the risk of further renal impairment.End-stage renal disease (ESRD) patients on dialysis should be particularly reviewed for fluid status and symptoms between dialysis sessions. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/04/20 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1176458410 ER -