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Pediatric Anesthesia for Orthopedic Surgery

  • Kathryn R. DelPizzoEmail author
  • Naomi Dong
  • Carrie Rowe Guheen
Chapter
  • 33 Downloads

Abstract

Pediatric patients undergoing orthopedic procedures warrant unique considerations compared to adults. Providers should understand these differences before caring for children in the operating room. The use of regional anesthesia in children, particularly ultrasound-guided, has proven beneficial and is therefore increasingly recommended. Evidence-based data regarding the use of regional anesthesia and its safety is being compiled on a more routine basis due to the creation of the Pediatric Regional Anesthesia Network (PRAN.) As congenital syndromes are common in pediatric orthopedic patients, providers should be familiar with their anesthetic implications. This chapter provides an overview of anesthetic practice and common challenges encountered by anesthesiologists as well as perioperative physicians when caring for children undergoing orthopedic procedures.

Keywords

Pediatric regional anesthesia Pediatric Regional Anesthesia Network (PRAN) Transient neurological deficit Enhanced recovery after surgery (ERAS) IPACK block Local anesthetic systemic toxicity (LAST) 

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© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Kathryn R. DelPizzo
    • 1
    Email author
  • Naomi Dong
    • 2
  • Carrie Rowe Guheen
    • 3
    • 4
  1. 1.Department of Anesthesiology, Critical Care, and Pain ManagementHospital for Special Surgery, Weill Cornell MedicineNew YorkUSA
  2. 2.Hospital for Special Surgery, Weill Cornell MedicineNew YorkUSA
  3. 3.Hospital for Special Surgery, Department of Anesthesiology, Critical Care, and Pain ManagementNew YorkUSA
  4. 4.Weill Cornell Medicine, Department of AnesthesiologyNew YorkUSA

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