Paed Anaesthesia

Paediatric pain management is a challenging area of anaesthesia and pain medicine. This tutorial describes the aetiology of pain in children, methods of pain assessment in different age groups and pharmacological options for pain management.Paediatric Pain: Physiology, Assessment and Pharmacology (289) – July 8, 2013

Part one of this tutorial pair covered laryngospasm and suxamethonium apnoea. This tutorial aims to provide a better understanding of the presentation, immediate treatment and subsequent management of MH and anaphylaxis.Paediatric Anaesthetic Emergencies Part 2 (288) – July 1, 2013

Part one of this series will look at Laryngospasm and Suxamethonium apnoea. Part two will cover Malignant Hyperpyrexia and Anaphylaxis.Paediatric Anaesthetic Emergencies Part 1(287) – June 24, 2013

The aim of this article is to provide the reader with an overview of the current guidelines and evidence for the management of sepsis in children.Management of Paediatric Sepsis (278) – January 28, 2013

Pyloric stenosis is an uncommon condition requiring both medical stabilisation and surgical treatment. This tutorial covers the underlying pathophysiology and appropriate peri-operative management.Infantile Hypertrophic Pyloric Stenosis (276) – November 26, 2012

Coarctation of the aorta is a narrowing of the aorta resulting from an abnormal junction of the aortic isthmus and the arterial duct. It accounts for 5% of all congenital cardiac defects and mortality is greater than 80% if unrepaired. This tutorial describes the anaesthetic and intensive care management of patients with this condition. Coarctation of the Aorta (265) – July 23, 2012

259 Anaesthesia for the Pre-term InfantAnaesthesia for the Pre-term Infant (259) – May 14, 2012

This tutorial discusses pre-operative airway assessment in children and management options for both the predicted and unpredicted difficult airwayThe difficult paediatric airway (250) – February 13, 2012

This tutorial covers the prompt and appropriate management of this neurological emergency in children.Status Epilepticus in Children (248) – January 30, 2012

URTI is highly prevalent in the paediatric population and often poses a conundrum to clinicians involved with preoperative care. This tutorial discusses the additional risks posed, factors affecting the decision to proceed with surgery and the anaesthetic management of this group.Upper Respiratory Tract Infection and Paediatric Anaesthesia (246) – January 16, 2012

This tutorial follows on from ATOTW 72 Anaesthesia for cleft lip and palate surgery. Airway complications, including airway obstruction are the most significant postoperative concerns. This article will focus on the aetiology and risk factors for airway complications after cleft palate (CP) repair and address ways in which they may be prevented or managed. Postoperative airway complications after cleft palate surgery (237) – August 22, 2011

TOF is the most common form of cyanotic heart disease. This tutorial discusses its presentation and treatment as well as longterm prognosis following surgical correction.Tetralogy of Fallot (219) – April 18, 2011

Based around a case report, this explores the presentation, aetiology and management of paediatric retropharyngeal abscessAnaesthetic management of Retropharyngeal abscess in Children (211) – January 31, 2011

The use of day surgery is increasing worldwide. This tutorial discusses the background principles and gives an overview of day surgery from a paediatric perspective, including organisational issues.Anaesthesia for day case paediatric surgery (203) – November 1, 2010

This tutorial reviews the assessment and peri-operative management of paediatric patients with asthma.Childhood asthma and anaesthesia (187) – July 12, 2010

MRI is the technique of choice for many neurological, cardiovascular, oncological and musculoskeletal conditions. This tutorial discusses the principles behind its use and implications for the anaesthetist.Understanding Magnetic Resonance Imaging (177) – May 3, 2010

A practical guide to intubating sick children for the adult anaesthetist or intensive care specialist.Intubation of sick children (169) – February 8, 2010

This tutorial describes the potentially hazardous anaesthetic for a patient with a post-tonsillectomy bleed.Anaesthesia for the bleeding tonsil (44) – January 26, 2010

Illustrated with a case history, this tutorial discusses the aetiology of foetal distress, intra-uterine resuscitation and resuscitation of the newborn.Resuscitation of the newborn (167) – January 25, 2010

This tutorial discusses the definition of sleep disordered breathing (SDB) in children, the aetiology, diagnosis, pathophysiology and clinical features, and the anaesthetic management of a child with OSA.Anaesthesia for children with obstructive sleep apnoea (159) – November 9, 2009

This tutorial deals with the pathophysiology, diagnosis, clinical manifestations and anaesthetic management of sickle cell disease in children.Sickle cell disease in children (153) – September 28, 2009

Obstructive sleep apnoea (OSA) is increasing in prevalence and poses a significant anaesthetic risk. This tutorial describes assessment and peri-operative management of patients with this condition.Obstructive sleep apnoea and anaesthesia (152) – September 21, 2009

This tutorial discusses the general principles of anaesthesia for eye surgery in children as well as considerations for specific ophthalmic procedures.Anaesthesia for paediatric eye surgery (144) – July 27, 2009

Down’s syndrome is the commonest chromosomal abnormality and affects many organ systems. This tutorial outlines the abnormalities and their significance for the anaesthetist.Anaesthesia for children with Down’s Syndrome (139) – June 22, 2009

 4TH MAY 2009 Roger Langford Birmingham Children’s Hospital Contact: [email protected]       QUESTIONS Before continuing, try to answer the following questions.  The answers can be found at the end of the article, together with an explanation.   1: Regarding the pre-operative psychological preparation of a five year old, the following statements are true: a: […]Preparation of children for surgery (132) – May 4, 2009

 6th April 2009   William English, North Bristol NHS Trust, Bristol, UK Peter Ford, Royal Devon and Exeter Hospital, Exeter, UK. Correspondence to [email protected]      SELF-ASSESSMENT QUESTIONS Please read the following questions. The answers will be found in the article. 1. What are the characteristic metabolic derangements in diabetic ketoacidosis (DKA)? 2. What are […]Diabetic ketoacidosis (128) – April 6, 2009

  Kavitha Raghavan, King’s College Hospital, London Richard Waddington, Kingston Hospital, Surrey Correspondence to [email protected] Key Learning Points: · Severe traumatic brain injury in children is associated with a high incidence of morbidity and mortality. · The clinician can reduce the impact of secondary brain injury, especially by avoiding hypoxia and hypotension. · The most important […]Management of paediatric traumatic brain injury (127) – March 29, 2009

ANAESTHESIA TUTORIAL OF THE WEEK 121 8TH DECEMBER 2008 Dr R Sunderland Specialist Registrar Dr S Mallory Consultant Anaesthetic Department, Great Ormond Street Hospital for Children, London, UK Correspondence to [email protected] SELF-ASSESSMENT QUESTIONS Before reading the tutorial consider the following questions and discuss them with your colleagues What are the symptoms and signs of raised […]Anaesthesia for ventriculo-peritoneal shunt insertion (121) – December 8, 2008

ANAESTHESIA FOR HYPOSPADIAS REPAIR Tutorial of the week 119 17TH NOVEMBER 2008   Dr George Thomas-Kattappurathu.  Sheffield Teaching Hospitals. Dr Catherine Wilson. Sheffield Children’s Hospital. Email: [email protected]   Please answer the following true or false questions to see how much you already know of the topic. Answers are given at the end.   1)       The […]Anaesthesia for hypospadias repair (119) – November 17, 2008

Sedation is the use of drugs for reduction of fear and anxiety, induction of drowsiness or sleep and comfort.
All sedation techniques carry risk and many procedures done under sedation are performed outside operating theatres. Sedation in children needs special considerations and some drugs used for sedation are not as reliable as those for anaesthesia. Its safety and success depends upon skill and judgement.Paediatric sedation (105) – July 21, 2008