Operative Pediatric Surgery
Richard G. Azizkhan
Format: PDF / Kindle (mobi) / ePub
The definitive illustrated resource on the surgical management of infants and children -- with an emphasis on operative technique
A Doody's Core Title for 2015!
Operative Pediatric Surgery, Second Edition is a comprehensive, well-illustrated text that delivers expert coverage of the pathophysiology, diagnosis, and treatment of pediatric surgical disease. This detailed single-volume resource is enhanced by numerous drawings, radiographs, and photographs that illustrate the authors’ preferred operative techniques. Wherever appropriate, diagnostic and care guidelines are also included.
Operative Pediatric Surgery, Second Edition is divided into 11 sections that include a total of 100 chapters. The book opens with an informative General Principles section that provides important background information on topics such as the history of pediatric surgery, ethical considerations, pediatric surgical critical care, and office-based ambulatory surgery. The rest of the text is organized primarily by organ, enhanced by a timely section on solid organ transplantation.
In this Second Edition, each chapter author has thoroughly updated and refreshed their topic, and in many instances, minimally invasive operative techniques are included with open approaches. There are also exciting new chapters on:
- Vesicoureteral reflux
- Non-rhabdomyosarcoma soft tissue sarcomas
- Gastrointestinal polyps and cancer
- Adolescent bariatric surgery
Operative Pediatric Surgery will prove to be an essential reference for pediatric surgeons seeking optimal diagnosis and treatment approaches for their patients.
space for prolonged periods of time after administration. Those who support the use of colloids argue that colloids improve microcirculation better t han crystal loids. With the exception of 25% albumin, the provision of colloid results in equal volumes of intravascular volume expansion. Twenty-five percent (25%) albumin maintains an oncotic pressure approximately 5 times greater than normal TABLE 7-5 94 plasma, and can expand much greater volumes (Table 7-5) . Crystalloids (0.9% saline,
recommended. Ketamine is a phencyclidine derivative that causes cen tral dissociation while providing analgesia and amnesia. It can provide analgesia for insertion of invasive monitoring devices before induction of anesthesia (ie, cardiac surgery) or in patients having limited intravenous access. It is often the drug of choice in children who are hypovolemic or hemody namically unstable. Adrenergic stimulation produced by ket amine can raise the blood pressure and heart rate by releasing
as it forms within the psoas muscle, thereby blocking the femoral, obturator, and lateral femoral cutaneous nerves. It is utilized in operations of the hip and upper leg. As this is a deep, noncompressible area, caution is warranted as the poten tial for retroperitoneal bleeding and injury to the kidney exists. The fascia iliaca block aims to anesthetize both the femoral and lateral femoral cutaneous, and often obdurator, nerves in the suprainguinal region as they pass through the fascia ili
having pediatric surgeon had given t he parents a better prognosis caused harm, and be clear that all resources of the hospital for survival with operation and blood product administra will be available for future treatment related to the error. tion, the ethics committee members may have recommended Following a surgical error, the pediatric surgeon should seeking a court order to proceed with aggressive treatment endeavor to preserve the patient and parents' trust, the measures,
as well as a decreased area for gas exchange. Increased vasoreactivity represents a reversible defect resulting from increased muscularization of arteri oles and extension of the muscle into the distal acinar unit. Pulmonary hypertension leads to persistence of the fetal circulation with shunting through the ductus arteriosus or foramen ovale, causing hypoxemia and acidosis. The pulmo nary vasculature becomes extremely s ensitive to hypoxemia, acidosis, and other stimuli, and the consequent