Intro; Preface; Contents; Contributors; Editor's Biography; 1: Evolution of Anesthesia for Pediatric Airway Surgery: From Ether to TIVA and Current Controversies; Evolution of Anesthetic Agents in Pediatric Anesthesia; First the Mask, Then the Tracheal Tube, and Then the Laryngoscope; First the Needle, Then the Syringe, Then Intravenous Anesthetics, and Finally the Amazing Amazonian Arrow Poison; Extraglottic Airway Devices (EAD); Intraoperative Ventilation Techniques During Airway Surgery; Drug-Induced Sleep Endoscopy (DISE); Controversies in Airway Management in Children; Highlights
2: Preop Considerations in the Evaluation of Children with Airway PathologiesExpert Consultation and Patient Preparation of the Complex Patient; Complex Child Followed by Multiple Specialists; Considerations During Evaluation; Information Vital to the Anesthesiologist; Pre-induction Preparation; Information Key to the Otolaryngologist; Summary; References; 3: Airway Pathologies Requiring Specialized Pediatric Anesthesia; The Pediatric Airway; The Pediatric Airway Team; Pediatric Airway Lesions; Airway Masses; Functional Pathology of the Airway; Airway Stenosis
Infectious Lesions of the AirwayEpiglottitis; Acute Laryngotracheitis; Conclusion; References; 4: Preferred Anesthesia for Routine Otolaryngologic Procedures; Anesthesia for Tympanostomy Tube Placement; Anesthesia Approaches for Same-Day Surgery; Anesthetic Considerations for Same-Day Surgery; Upper Respiratory Infections; Obesity; Obstructive Sleep Apnea; Perioperative Care; Discharge from Same-Day Surgery; Optimal Anesthetic Management of Tonsillectomy/Adenoidectomy; Post-tonsillectomy Bleed; Cochlear Implantation with Sensory Monitoring; Anesthetic Considerations for Cochlear Implantation
Should One Anticipate Unexpected Airway Loss in Every Patient Scheduled for Surgery and Have an LMA as a Backup Plan, Even in a Newborn?Who Should Anesthetize These Children? Where?; Use of Cuffed Endotracheal Tube Versus Uncuffed Endotracheal Tubes in Neonates, Infants, and Very Young Children: Should We Check Cuff Pressure Frequently?; Is There a Role for True Rapid Sequence Induction (RSI) in Children? Should We Use Rocuronium Instead of Succinylcholine Now that We Have Sugammadex?; Extubation in Children: Deep Versus Awake; Timing and Positioning for Extubation; Preface; References
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The advancement of tactics used in managing pediatric airway disorders can be attributed to an overall growth of collective knowledge among medical health professionals. This book is designed to sustain that growth of knowledge, with 18 chapters of insight and information by distinguished medical experts in both pediatric anesthesia and pediatric otolaryngology. It concisely and thoroughly covers topics such as subglottic stenosis, pharyngeal airway obstruction, laryngeal airway obstruction, obesity and sleep apnea and thoracic airway obstruction, among others. Chapters include scenarios where the skills and expertise of both anesthesiologists and otolaryngologists are being continually tested; the use of newer drugs and repurposing of older drugs; the combination of smaller amounts of different types of sedatives while avoiding intra-op narcotics and maintaining spontaneous ventilation are described in detail; Finally, a comprehensive review of new research emerging about ultra-rapid narcotics metabolizers among patients, making them more susceptible to medications, such as codeine, along with the latest information on the purported potential neurodevelopmental toxicity of some anesthetic agents are also included. Working as both an educational tool and a practical resource, medical practitioners, students and educators will find this text to be a valuable tool for the safely managing the pediatric patient undergoing anesthesia for difficult airway scenarios.