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Introductory Topics

Preface
Disclaimer
The Editing Team
History of Pediatric Anesthesia
Pediatric Anesthesia Worldwide
Measuring Outcome in Pediatric Anesthesia
Basic Pediatric Concepts
Psychological Preparation of the Pediatric Patient & Family

Training/Education/Certification

The Making of a Pediatric Anesthesiologist
Educational Principles
Certification Processes
Test Your Knowledge

Basic Clinical Information [WFSA Update]

WFSA PaedsUpdateContents (Table of contents)
Basic Science Relevant to Practical Pediatric Anesthesia
Equipment in Paediatric Anaesthesia
Paediatric drawover anaesthesia
Anaesthesia and congenital abnormalities
The anaesthetic management of children with sickle cell disease
HIV in children and anaesthesia
Anaesthesia for non-cardiac surgery in children with congenital heart disease
Anaesthesia in patients with asthma, bronchiolitis and other respiratory diseases

The Growing Child

Embryology
Development
Growth
Developmental Psychology

Anatomy & Physiology

Respiratory System
Cardiovascular System
Renal System
Endocrine System
Nervous System
Temperature Regulation
Fluid & Electrolytes
Coagulation & Bleeding
Pharmacology
Clinical Pharmacokinetics & Pharmacodynamics in children
Anesthetic Agents
Opiates & Sedatives
Muscle Relaxants

Ethical Issues in Pediatric Anesthesia

Ethical Constructs relevant to Pediatric Anesthesia
The Emancipated Minor
Assent/Consent
The child of a Jehovah's Witness

The Law and Pediatric Anesthesia

The Making of Medical Malpractice Suit

Clinical Techniques

Preoperative Assessment

General Preoperative Assessment
The Fetus
The Infant
The Child
The Adolescent
The Adult-aged Pediatric Patient
The Former Premature Patient
Upper Respiratory Infection
Obstructive Sleep Apnea
Preoperative Fasting

Pre-anesthetic Medication

Pre-induction/Pre-medication

Anesthetic Induction

Parental Presence During Induction
Magic as a Distration Technique
Distracting Devices

Maintenance of Anesthesia

Fluid Management
Neuromuscular Blockade
Blood Products
Volatile Anesthetics
Temperature Management
Positioning
Ventilation

Emergence/Recovery from Anesthesia

Emergence Agitation/Delirium
Post Operative Nausea & Vomiting
Pain Management in the Recovery Room

Airway Management

Basic Airway Anatomy of the Pediatric Patient
Basic Airway Management of the Pediatric Patient
Recognizing and Managing the Difficult Pediatric Airway
Difficult Airway Response Teams
Advanced Airway Techniques

Vascular Access

Intravenous catheter placement & Care
Central Venous Catheter placement & Care
Intraosseous Access & Care
Arterial catheter placement & Care

Regional Blockade

Principles of Regional Anesthesia in Children
The use of Ultrasound for Regional Anesthesia
Local Anesthetics in Children
Axial Blockade
Caudal
Lumbar Epidural
Thoracic Epidural
Spinal
Head & Neck
Upper Extremity
Interscalene
Supraclavicular
Infraclavicular
Axillary
Peripheral Arm
Intravenous Regional (Bier)
Thorax
Intercostal
Paravertebral
Erector Spinae Plane
Abdomen
Rectus Sheath
Transversus Abdominus Plane
Quadratus Lumborum
Ileoinguinal/Ileohypogastric
Penile
Lower Extremity
Femoral
Adductor Canal
Sciatic
Popliteal
Ankle
Continuous Catheter Infusion (Outside of Hospital)

Blood Conservation Techniques

Cardiopulmonary Resuscitation

PALS Protocols
Special Situations in the OR
Prone CPR
ECMO
CPR Coach

Syndromes/Disorders

Genetic and Rare Diseases Information Center

Autism Spectrum
Beckwith-Wiedemann syndrome
CHARGE association
Cleft lip and/or palate
Craniosynostosis
Di George syndrome (22q11.2 deletion syndrome)
Diabetes
Down Syndrome
Duchenne muscular dystrophy
Genetic Disease
Goldenhar syndrome
Guillain–Barré syndrome
Inherited metabolic disorders
Klippel-Feil syndrome
Malignant Hyperthermia
Mitochondrial Disease
Mucopolysaccharidoses
Myotonic dystrophies
Noonan syndrome
Obstructive Sleep Apnea
Osteogenesis imperfecta
Pierre Robin sequence
Porphyria
Sickle Cell Disease
Treacher Collins syndrome
Turner syndrome
VACTERR (or VACTERL ) association

Procedure Based Discussions

Generalized Suggested Outline

General Surgery

Gastrochisis
Omphalocoele
Pyloric Stenosis
Umbilical Hernia
Inguinal Hernia
Diaphragmatic Hernia
Cystic Adenomatous Malformation (CAM)
Tracheo-Esophageal Fistula
Umbilical Herniorrphy
Central Line Placement (Hickman/Broviac/Infusaport)
Trauma
Burns
Pectus Excavatum/Carinatum
Button Battery Ingestion

Transplant

Liver Transplant
Renal Transplant

ENT

Myringotomy Tubes
Tonsillectomy/Adenoidectomy
Mastoidectomy
Tracheostomy
Cricoid Split Procedure
Suspension Micro Laryngoscopy
Bone Anchored Hearing Aid (BAHA)

Oral Surgery

Dental Restoration
Dental Extraction

Orthopedics

Idiopathic Scoliosis
Neuromuscular Scoliosis
Slipped Capital Femoral Epiphysis
Upper Extremity Fracture
Lower Extremity Fracture

Neurosurgery

Brain Tumor Craniotomy
Arnold Chiari Malformation
Ventriculo-Peritoneal Shunt
Spinal Cord Untethering

Plastics

Craniosynostosis
Craniofacial Reconstruction
Cleft Palate
LeFort Advancement
Pierre Robin Mandibular Distraction

Urology

Circumcision
Inguinal Hernia
Cystoscopy
Hypospadias
Ureteral Re-Implantation
Bladder Augmentation
Neonatal Exstrophy

Transgender Topics

Transgender Terminology
Assessment of the Transgender Patient
Gender Confirming Therapies
Hormone Therapy
Feminizing Procedures
Masculinizing procedures
Perioperative Care

Ophthalmology

Strabismus
Glacoma
Retina
Retinoblastoma
Nasolacrimal Duct
Ptosis
Open Globe
Orbital Trauma/Fracture

Cardiac/Congenital Heart Disease

Basic Cardiac Principles
Transitional Circulation
Cyanotic Lesions
Non-cyanotic Lesions
Cardiopulmonary Bypass

Gastroenterology

Upper Endoscopy
Lower Endoscopy/Colonoscopy
Endoscopic Retrograde Cholangio-Pancreaticogram
Liver Biopsy

Oncology

Lumbar Puncture
Bone Marrow Aspirate/Biopsy
Bone Marrow Harvest
Anterior Mediastinal Mass

Robotic Surgery

Principles/Physiology
Urology
Orthopedics
General Surgery

Maternal-Fetal

Introduction to Fetal Anesthesia
Pre-Partum Procedures
EXIT Procedure

Radiology

Interventional Radiology
Gastic-Jejunal Feeding Tube Insertion
Vascular/Lymphatic Malformation
Whittaker Procedure
Endovascular Liver Biopsy
Cyst Drainage
Magnetic Resonance Imaging
Head/Body
Cardiac MRI

Pain Management

Perioperative Analgesic Pharmacology in Children (WFSA)
Overview of Pain in Children
Factors that Modulate Pediatric Pain
Assessment of Pain in Children
Multimodal Pain Management in Children
Pain Treatment in Children
Acute Pain
Surgical
Medical
Chronic Pain
Acute Pain that Becomes Chronic
Surgical
Medical
Patient/Nurse/Parent Controlled Analgesia
Patient Controlled Epidural Anesthesia

Palliative Care

Principles of Pediatric Palliative Care
Transitioning to Palliative Care
Setting Goals
Techniques in the Palliative Setting

Operational/Procedural Topics

Operating Suite Design and Implementation

Pre-operative Evaluation Center
Pre-operative In-Take
Operating Room Design
Post-anesthesia Care Unit
Remote Anesthesia Locations
Radiology
Magnetic Resonance Suite
Cardiac Catheterization
Pet Scanner
CT Scanner
Emergency Department

Sedation of the Pediatric Patient

Transporting the anesthetized Pediatric Patient
Dental Sedation

Recovery of the Pediatric Patient

Post Operative Nausea & Vomiting
Pain Management in the Recovery Room
Post-Operative Nursing Care
Emergence Delirium

Personnel Safety in the Pediatric Environment

Operating Room Fires

Special Topics in Mass Casualty Incidents

Principles of MCI and Pediatrics

The Pediatric Perioperative Surgical Home


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