Flashcards
Paediatric Periooperative
Flashcards do conjunto (10)
- 1Definitions of paediatric patientsPremature - born before 37 weeks
Newborn - just born
Neonate - less than 4 weeks old
Infant - less than 1 years old
Child - 1 - 8 years
Adolescent - 10 - 17 years - 2Differences cardiac systemremoval of placenta from circulation
increasing systemic vascular resistance
decreasing pulmonary vascular resistance
true closure of PDA 2-3 weeks - critical transitional circulation
Myocardial cell mass less developed - prone to biventricular failure, volume loading, poor tolerance to afterload, heart rate dependent CO - true for young infants - 3Differences Respiratory systemSmall airway diameter - increased resistance
little support from ribs and cartilage more pliable
chest wall collaspe increased with negative intra thoracic pressure
diaphragm and intercostals dont achieve adult muscle fibres until 2 yrs
Obligate nasal breathers
Atelectasis more common - decrease residual capacity, number of alveoli
alveolar ventilation/FRC - infants 5:1 increase RR - 4Differences - airwayslarge tongue
higher located larynx
epiglottis short and stubby, angled over inlet
angled vocal cords, - 5Body surface areanot proportioned same as adults - heat loss massive via head
- 6Types of surgical procesureselective - ENT, general, plastics, ortho
Emergency - immediately after birth, result of trauma - 7Anaesthetic implicationsenvironment - aesthetics and parent involvement
Equipment - smaller
agents - dose changes
approaches - GA, regional or both - 8Theatre implicationswarm ++++, difficulty with maintaining temp, smaller instruments, smaller dressings
- 9Postanaesthetic recovery considerationspurpose of PARU - monitoring, detection, prevention of complications, parent involvement, discharge criteria
- 10Psychological considerationsfrightening and isolating, child-friendly, child's previous experience, anxious, fear of handing over child
Informações
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- O usuário eliminou as informações de disciplina FlashCards sobre Paediatric Periooperative, criado por Usuário eliminado em 12-06-2018.
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- Usuário eliminado · jun 2018
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- 12 jun 2018
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- Criado por Elizabeth Then · 12 jun 2018
- Copiado por Elizabeth Then · 12 jun 2018
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