Upload
unnikrishnan-p
View
1.101
Download
1
Tags:
Embed Size (px)
DESCRIPTION
Simplicity is essential to convey the exciting ideas of this specialty to newcomers... Don't confuse them, don't make it boring.....
Citation preview
For developing ambitions, we need exposure to the world
Then only we can check, who resides in us!
What medication will save the life?
.
Pain is a really strong opponent; tackling him is very difficult and needs extraordinary planning
Nerve blocksEpidural analgesiaIv opioidsMultimodal analgesia
Who is willing and prepared for a try….. To bell the cat?
Introduction to Paediatric Introduction to Paediatric ANAESTHESIAANAESTHESIA
Dr Unnikrishnan P M.D.,D.A.,P.D.C.C.[Neuroanaesthesia]
Asst. ProfessorDept of Anaesthesiology
Travancore Medical College,,Kerala, India
Understanding a kid is very very difficult
.
They come with a very Soft heart!.
Tender kidneys
.
A thief should always ensure the exit before intruding into a house
Immature liver
If removal is difficult, install carefully!
Damage prone respiratory mechanics
Weak members make the whole system weak!
Oh..! I hate cold O.T.s
.
My body is full of water!
Inhaled anaesthetics
Not so sweet; be carefulHalothaneIsofluraneSevofluraneDesflurane
We tell the mother not to give milk before anaesthesia, but what we are going to give…? Milk again!
.
Intravenous anaesthetic agents
ThiopentonePropofolKetamineEtomidate
Others
DiazepamMidazolamDexmedetomidine
Opioids
morphineMeperidine or pethidineFentanylAlfentanilSufentanilRemifentanil
Dont relax after giving relaxants!
Succinyl cholinePancuroniumVecuroniumAtracuriumRocuronium
Reversal agents
NeostigmineEdrophonium
Are we comfortable about needles?Then what about the child?
FastingPremedicationChild with URIChild with full stomachDifficult airway
Taking off….
Airway access and maintenance
.
Airway access and maintenance
y
LARYNGEAL MASK AIRWAY [L.M.A.]
.
Size of LMA WEIGHT OF CHILD
11.522.53456
≤5 kg5-10 kg10-20 kg20-30 kg30-50 kg50-70 kg70-100 kg>100 kg
Fluid maintenance
Holliday and Segar formula
Fluid maintenance
lactated Ringer's solution should be used for all deficits and third-space losses. If a child is thought to be at risk for hypoglycemia, 5% dextrose in 0.45% normal saline should be administered by “piggyback” infusion at maintenance rates. For most children, lactated Ringer's solution is the only fluid required.
Blood replacement
.
Blood replacement
blood volume is approximately 100 to 120 mL/kg for a preterm infant, 90 mL/kg for a full-term infant,80 mL/kg for a child 3 to 12 months old, and 70 mL/kg for a child older than 1 year.
REVERSAL AND EXTUBATION
• .
REVERSAL AND EXTUBATION
• Lorem
.
• Visit me @ www.thelaymedicalman.blogspot.com
• www.facebook.com/groups/anaesthesiaindia/
THANK YOU!