Gagandeep S Panesar, Naveen C Murali, Nicholas Tabiner
{"title":"General principles of paediatric anaesthesia","authors":"Gagandeep S Panesar, Naveen C Murali, Nicholas Tabiner","doi":"10.1016/j.mpaic.2025.01.001","DOIUrl":null,"url":null,"abstract":"<div><div>Annually in the UK, around half a million children and infants undergo general anaesthesia. The provision of anaesthesia for this patient group can be a daunting task; the size of the patient is very variable, disease states and pathology are present that are not seen in other areas of practice, and there are substantial challenges of communicating and allaying anxiety. Additionally, unique medicolegal concepts exist. As those charged with the patients care during unique situations, it is important for anaesthetists to have a holistic understanding of the treatment they will be providing.</div><div>We have sought to consolidate the key areas of practice into core principles that can be applied to neonates, infants and children, to allow the reader insight into the foundations of safe paediatric anaesthetic conduct. Key important differences in these patient groups are outlined, including anatomy, drug handling and fluid requirements. Essential concepts of preoperative assessment and management of the anxious child are included, to provide colleagues with the tools for identification and management of challenging scenarios.</div></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"26 3","pages":"Pages 129-138"},"PeriodicalIF":0.2000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Anaesthesia and Intensive Care Medicine","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1472029925000013","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Annually in the UK, around half a million children and infants undergo general anaesthesia. The provision of anaesthesia for this patient group can be a daunting task; the size of the patient is very variable, disease states and pathology are present that are not seen in other areas of practice, and there are substantial challenges of communicating and allaying anxiety. Additionally, unique medicolegal concepts exist. As those charged with the patients care during unique situations, it is important for anaesthetists to have a holistic understanding of the treatment they will be providing.
We have sought to consolidate the key areas of practice into core principles that can be applied to neonates, infants and children, to allow the reader insight into the foundations of safe paediatric anaesthetic conduct. Key important differences in these patient groups are outlined, including anatomy, drug handling and fluid requirements. Essential concepts of preoperative assessment and management of the anxious child are included, to provide colleagues with the tools for identification and management of challenging scenarios.
期刊介绍:
Anaesthesia and Intensive Care Medicine, an invaluable source of up-to-date information, with the curriculum of both the Primary and Final FRCA examinations covered over a three-year cycle. Published monthly this ever-updating text book will be an invaluable source for both trainee and experienced anaesthetists. The enthusiastic editorial board, under the guidance of two eminent and experienced series editors, ensures Anaesthesia and Intensive Care Medicine covers all the key topics in a comprehensive and authoritative manner. Articles now include learning objectives and eash issue features MCQs, facilitating self-directed learning and enabling readers at all levels to test their knowledge. Each issue is divided between basic scientific and clinical sections. The basic science articles include anatomy, physiology, pharmacology, physics and clinical measurement, while the clinical sections cover anaesthetic agents and techniques, assessment and perioperative management. Further sections cover audit, trials, statistics, ethical and legal medicine, and the management of acute and chronic pain.