Book chapter
Induction, Maintenance, and Emergence
Pediatric Anesthesia: A Guide for the Non-Pediatric Anesthesia Provider Part I, pp 141-155
Apr 2022
Abstract
Induction of anesthesia in the pediatric population differs significantlycompared to adult care. Many pediatric inductions are performed with a mask-onlytechnique. Intravenous access is rapidly obtained prior to securing the airway in themajority of cases. Maintenance of anesthesia can be achieved via an inhalational agent,intravenous agent, or a combination of both. Fluid should be administered judiciously.Multimodal pain management is superior to an opioid-only technique. Premature orsick infants and neonates require added glucose to their fluids and frequent glucosechecks. Additional intravenous access, arterial access, or foley should be obtained oncethe patient’s airway is secure and the patient is under a surgical plane of anesthesia.Emergence includes reversal agents if muscle relaxant was administered. Regardless ofdeep versus awake extubation, preparations for significant emergence delirium shouldbe made for children aged 2-12 years. Common postoperative sequelae such aslaryngospasm and emergence delirium are discussed.
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Details
- Title
- Induction, Maintenance, and Emergence
- Creators
- Aysha Hasan - St. Christopher's Hospital for ChildrenArvind Chandrankantan - Department of Anesthesiology, Texas Children’s Hospital, Houston, TX, USAAndrea Gomez Morad - Department of Anesthesiology, Boston Children’s Hospital, Boston, MA, USA
- Publication Details
- Pediatric Anesthesia: A Guide for the Non-Pediatric Anesthesia Provider Part I, pp 141-155
- Publisher
- Bentham Science Publishing
- Number of pages
- 15
- Resource Type
- Book chapter
- Language
- English
- Academic Unit
- Pediatrics; Anesthesiology and Perioperative Medicine
- Scopus ID
- 2-s2.0-85211309109
- Other Identifier
- 991022237865104721