RT Book, Section
A1 Chaudhuri, Swapna
A2 Ellinas, Herodotos
A2 Matthes, Kai
A2 Alrayashi, Walid
A2 Bilge, Aykut
SR Print(0)
ID 1176458410
T1 Anesthesia for Genitourinary Procedures
T2 Clinical Pediatric Anesthesiology
YR 2021
FD 2021
PB McGraw Hill
PP New York, NY
SN 9781259585746
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1176458410
RD 2024/04/18
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.