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Anesthesia and the Pediatric Oculoplastic Patient

Chapter

Abstract

Advances in the understanding of topical, local, and regional anesthetics have allowed ophthalmologists to transition rapidly from hospital-based surgery to ambulatory and office-based procedures. These advances, although often applicable in the pediatric population, are not easily generalized because “Children are not small adults.” When deciding whether to perform an office procedure, one needs to remember that efficacy and side-effect profile of anesthetics and analgesics drastically change in the pediatric versus the adult population. Furthermore, the ability to perform procedures on a child will be limited by their mental capacity and acceptance of their caretakers or parents.

Keywords

Motion Sickness Juvenile Rheumatoid Arthritis Malignant Hyperthermia Malignant Hyperthermia Strabismus Surgery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Shrestha JB. Outcome of probing under topical anesthesia in children below 18 months of age with congenital nasolacrimal duct obstruction. Nepal Med Coll J. 2009;11(1):46–9.PubMedGoogle Scholar
  2. 2.
    Frankel RI. The Papoose Board and mothers’ attitudes following its use. Pediatr Dent. 1991;13(5):284–8.PubMedGoogle Scholar
  3. 3.
    Litman R, Rosenberg H. Malignant hyperthermia: update on susceptibility testing. JAMA. 2005;293(23):2918–24.PubMedCrossRefGoogle Scholar
  4. 4.
    Larach MG, Localio AR, Allen GC, et al. A clinical grading scale to predict malignant hyperthermia susceptibility. Anesthesiology. 1994;8(4):771–9.CrossRefGoogle Scholar
  5. 5.
    Baker S, Parico L. Pathologic paediatric conditions associated with a compromised airway. Int J Paediatr Dent. 2010;20(2):102–11.PubMedCrossRefGoogle Scholar
  6. 6.
    Gobeaux D. Intranasal midazolam in pediatric ophthalmology. Cah Anesthesiol. 1991;39(1):34–6.PubMedGoogle Scholar
  7. 7.
    Bergman SA. Ketamine: review of its pharmacology and its use in pediatric anesthesia. Anesth Prog. 1999;46:10–20.PubMedCentralPubMedGoogle Scholar
  8. 8.
    Mahfouz AK. Comparative study of 2 anesthesia techniques for pediatric refractive surgery. J Cataract Refract Surg. 2005;31:2345–9.PubMedCrossRefGoogle Scholar
  9. 9.
    Mizrak A et al. Ketamine versus propofol for strabismus surgery in children. Clin Ophthalmol. 2010;4:673–9.PubMedCentralPubMedGoogle Scholar
  10. 10.
    Choi SR. Effect of different anesthetic agents on oculocardiac reflex in pediatric strabismus surgery. J Anesth. 2009;23:489–93.PubMedCrossRefGoogle Scholar
  11. 11.
    Murhammer J, Ross M, Bebout K. Lidocaine - maximum dosing recommendations. Rx Update. 2004;12. http://www.healthcare.uiowa.edu/pharmacy/RxUpdate/2004/12rxu.html
  12. 12.
    Rodgers A. Anesthetic management for pediatric strabismus surgery: continuing professional development. Can J Anaesth. 2010;57:602–17.PubMedCrossRefGoogle Scholar
  13. 13.
    Schug SA et al. Pain management after ambulatory surgery. Curr Opin Anaesthesiol. 2009;22:738–43.PubMedCrossRefGoogle Scholar
  14. 14.
    Verghese ST. Acute pain management in children. J Pain Res. 2010;3:105–23.PubMedCentralPubMedCrossRefGoogle Scholar
  15. 15.
    Elvir-Lazo OL. Postoperative pain management after ambulatory surgery: role of multimodal analgesia. Anesthesiol Clin. 2010;28:217–24.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Department of Ophthalmology, Yale School of MedicineYale UniversityNew HavenUSA
  2. 2.Oculoplastics and Aesthetic SurgeryVantage Eye CenterMontereyUSA

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