Ashcraft's Pediatric Surgery by George Whitfield Holcomb III, MD, MBA, J. Patrick Murphy,

By George Whitfield Holcomb III, MD, MBA, J. Patrick Murphy, MD, Associate Editor and Daniel J. Ostlie, MD (Eds.)

Show description

Read Online or Download Ashcraft's Pediatric Surgery PDF

Best surgery books

Pancreas and Islet Transplantation

Pancreas transplantation has swiftly moved from an experimental process linked to excessive premiums of morbidity and mortality to a mainstream approach with very good sufferer and graft survival. Over 30,000 pancreas transplants have already been played. the worth of pancreas transplantation in spite of the fact that needs to be balanced opposed to the danger of the operative approach and the cutting edge long term immunosuppressive remedy.

Small Animal Surgery Secrets, Second Edition

Concentrated and concise, but entire in scope, this article presents crucial, functional details for fixing surgical difficulties in general encountered on rounds, in scientific events, and in surgical procedure. in additional than a hundred chapters, the specialist participants suggest key questions and supply solutions to unravel those events that confront working towards small animal veterinarians on a daily basis.

Contouring, Edition: 1st

This detailed booklet is the major to computing device contouring, exploring intimately the perform and rules utilizing a private machine. Contouring permits a 3 dimensional view in dimensions and is a primary strategy to signify spatial info. All facets of this sort of illustration are coated together with facts practise, identifying contour periods, interpolation and griding, computing volumes and output and show.

A Practical Guide to the Eustachian Tube

This e-book, written by way of foreign specialists, is an in depth consultant to the Eustachian tube, with emphasis on these features of such a lot relevance to the practitioner. the outlet chapters rfile the medical anatomy and supply crucial info on body structure, with clarification of the hot version of tubal mechanics.

Additional info for Ashcraft's Pediatric Surgery

Example text

Other side effects that vary from drug to drug and patient to patient are somnolence, nausea and vomiting, pruritus, constipation, and urinary retention. Given time, patients develop tolerance to most, if not all, of these side effects while they continue to experience their analgesic properties. The side effects may be treated symptomatically while tolerance is developing, thereby making the patient much more comfortable and manageable. Changing the narcotics will often reduce or eliminate the side effects.

Performing a median sternotomy and placing the child on cardiopulmonary bypass has been reported as an emergency measure but does not seem to be a practical alternative considering the time constraints of performing this procedure in the face of extreme hypoxia and hypotension. It is extremely important that the anesthesia, surgery, and the nursing teams be prepared with contingency plans to intervene emergently with alternative positioning and airway interventions. chapter 3 n ANESTHETIC CONSIDERATIONS 37 Table 3-2 Physiologic Effects of Creation of a Pneumoperitoneum ↑ Systemic vascular resistance ↑ Pulmonary vascular resistance ↓ Stroke volume ↓ Cardiac index ↑ Pco2 ↓ Functional residual capacity ↓ pH ↓ Po2 ↓ Venous return (head up) Figure 3-2.

An optimal anesthetic plan m considers respiratory derangements due to positioning, lung exclusion, CO2 insufflation into the pleural cavity, and methods of airway management for each age group in the pediatric population. Anesthesiologists must take into consideration the ventilation-perfusion mismatch that is induced by the lateral decubitus position in the anesthetized patient, single-lung ventilation, and CO2 insufflation. 46 In a recently published study of 50 pediatric patients undergoing thoracoscopy for a variety of surgical procedures, systolic and diastolic blood pressure was significantly lower and ETco2 was significantly higher during thoracoscopy.

Download PDF sample

Rated 4.67 of 5 – based on 38 votes