Paediatric Anaesthesia (1 edn)
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Range of patients
Many features of paediatric anaesthesia differ somewhat from adult practice.
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Preoperative assessment
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History
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Examination
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Investigations
Most children do not require preoperative testing.
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Consent
A formal written consent procedure for anaesthesia and related procedures is not routine in the U.K., although this may change in the future. It is important to gain parental (and if appropriate the child's) agreement to the proposed measures.
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Preoperative fasting
As in adults, the aim of preoperative fasting is to reduce the volume of gastric contents and minimize the risk of passive regurgitation and pulmonary aspiration during anaesthesia.
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Parental presence at induction
See also Chapter 1.
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Play specialists and distraction
The use of play therapists is now widespread in paediatric practice. This can be extended into the perioperative period and in many UK hospitals play therapists make an important contribution to the perioperative care of a child and in providing information and support for parents.
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