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- W3022152011 abstract "This chapter presents an overview of pediatric neuroanesthesia. The care of children presenting with neurosurgical problems requires not only a thorough knowledge of general neuroanesthetic principles but also familiarity with all aspects of pediatric anesthesia and an understanding of the neurologic abnormality. Preoperative evaluation should include not only the usual anesthetic assessment for pediatric patients but also a neurologic history. Developmental delays, seizures, change in behavior, vomiting, and headaches may indicate increased intracerebral pressure despite absence. Because of the unpredictability of the effects of sedatives and narcotics on ventilation and the deleterious effects of hypoventilation on cerebral blood volume and intra cranial pressure (ICP), preoperative sedation should be used with extreme caution. Infants, who are particularly prone to develop respiratory depression, should not be medicated. In older children, barbiturates, which in themselves reduce ICP, may be utilized judiciously. Patients with arteriovenous malformations or cerebral aneurysms should be heavily premedicated to avoid hypertension caused by sympathetic stimulation from anxiety." @default.
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- W3022152011 date "1991-01-01" @default.
- W3022152011 modified "2023-09-25" @default.
- W3022152011 title "Pediatric Neuroanesthesia" @default.
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- W3022152011 doi "https://doi.org/10.1016/b978-0-409-90171-9.50019-2" @default.
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