RT Book, Section
A1 Ferrari, Lynne R.
A2 Ellinas, Herodotos
A2 Matthes, Kai
A2 Alrayashi, Walid
A2 Bilge, Aykut
SR Print(0)
ID 1176457399
T1 Preoperative Evaluation
T2 Clinical Pediatric Anesthesiology
YR 2021
FD 2021
PB McGraw Hill
PP New York, NY
SN 9781259585746
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1176457399
RD 2024/04/20
AB FOCUS  POINTSPast  medical  history  with  emphasis  on  prior  anesthetic  experiences  and  familial  disorders  (ie,  bleeding,  malignant  hyperthermia,  hemoglobinopathies)  should  be  explored  during  the  preoperative  visit.Fasting  guidelines  have  been  modified  to  allow  for  the  age  of  the  child  and  for  clear  liquids  up  to  2  hours  prior  to  general  anesthesia.In  general,  children  with  chronic  disorders  should  take  their  medications  on  the  day  of  surgery  (exceptions  are  diuretics,  antihypertensives).Asthma  is  the  leading  cause  of  chronic  illness  in  children;  specific  questions  such  as  history  of  emergency  department  visits,  recent  oral  or  intravenous  steroid  use,  and  hospitalizations  should  be  inquired  during  the  preanesthetic  period.Sleep-disordered  breathing  (SDB)  affects  about  10%  of  the  population  with  about  1%  to  4%  progressing  to  obstructive  sleep  apnea  syndrome  (OSAS).Children  with  cold  symptoms  have  an  increased  risk  for  perioperative  complications  such  as  atelectasis,  bronchospasm,  laryngospasm,  and  postoperative  pneumonia.Former  premature  infants  are  at  risk  for  postanesthetic  apnea  especially  if  the  hematocrit  is  less  than  30%.Children  with  history  of  congenital  heart  disease  should  have  the  most  updated  cardiology  note  and  procedures  (ECG,  Echo,  cardiac  catheterization,  CXR)  documented  in  the  chart  prior  to  any  anesthetic  administration.