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ISBNSpecification
  SPECIFICATION
ATLAS OF PRACTICAL NEONATAL & PEDIATRIC PROCEDURES INCLUDES
Author: ROMA JAIN
ISBN: 9789350257722
Year: 2013
Publisher: JAYPEE BROTHERS MEDICAL PUBLISHERS PVT LTD.
Category: PAEDIATRICS
Edition: 1
Format: Hard Cover
Language: English
Pages: 128
 ABOUT THE TITLE
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 TABLE OF CONTENTS
1. Airway Management....... 1
Normal Pediatric Airway 1
Pediatric Airway Devices and Associated Equipment 2
Face Masks 3
Airways 6
Airway Devices 11
Supraglottic Devices 11
Infraglottic Devices 25
Special Types of ETT 27
Tracheostomy Tubes (TT) 35
Alternatives to Conventional Rigid Laryngoscopy in Children 35
Special Airway Techniques 46
Flexible Fiberoptic Intubation (FFI) 46
Retrograde Intubation 48
Cricothyrotomy 49
Tracheostomy 51
Difficult Airway 51
Common Causes of Difficult Airway 52
Management Strategies 52
Difficult Airway Cart for Pediatrics 54
2. Vascular Access ........ 57
Venous Access 57
Peripheral Venous Access 57
Central Venous Access 60
Choice of Veins 60
Internal Jugular Vein Cannulation 61
Subclavian Vein Cannulation 65
External Jugular Vein Cannulation 67
Femoral Vein Cannulation 68
Peripherally Inserted Central Catheter (PICC) Placement 71
Umbilical Venous Catheterization (UVC) 74
Peripheral Venous Cutdown 77
Arterial Cannulation 78
Indications 78
Sites 78
Equipment 78
Technique 78
Setting Up Transducer for Continuous Pressure Monitoring 83
Care of the Arterial Line 84
Removing the Arterial Line 84
Intraosseous Vascular Access 84
Indication 84
Access Sites 84
Procedure 84
Potential Complications 86
Effectiveness of IO Versus IV Access 86
3. Pain Management ......... 89
Assessment of Pain 89
Physiological Parameters 89
Behavioral Measures 91
Composite Measures 91
Self Report 91
Management of Postoperative Pain 91
Topical Analgesia 93
Eutectic Mixture of Local Anesthetics (EMLA) 93
Wound Irrigation 94
Wound Infiltration 94
Regional Analgesia Techniques 94
Common Principles for a Safe and Effective Block 95
Neuraxial Block 95
Physiology and Drug Pharmacokinetics in the Pediatric Age Group 96
Epidural Analgesia 96
Current Trend of Adjuvants Used in Epidural Space 96
Single–shot Caudal Epidural 97
Threading a Caudal Epidural Catheter to Lumbar/Thoracic Space 98
Lumbar Epidural Block 98
Thoracic Epidural Analgesia 101
Subarachnoid Block 102
Indications 102
Technique 102
Dosage 102
Clinical Pearls for Safety and Effectiveness of Subarachnoid Block 103
Adverse Effects 104
Combined Spinal Epidural Analgesia 104
Contraindications for Neuraxial Block 104
Infraorbital Nerve Block 104
Anatomy 104
Indications 104
Techniques 104
Complications 104
Brachial Plexus Block 106
Axillary Approach 106
Indications 106
Technique 106
Dosage 106
Intercostal Block 106
Indications 106
Key Anatomy 106
Technique 108
Dosage 108
Paravertebral Block 108
Indications 108
Technique 108
Formula 108
Dosage 108
Complications 109
Ilioinguinal and Iliohypogastric Nerve Block (ILIH) 110
Indications 110
Anatomy 110
Technique 110
Advantage 110
Disadvantages 110
Transversus Abdominis Plane Block (TAP Block) 110
Indications 110
Anatomy 111
Technique 111
Dose 111
Complications 112
Contents xv
Penile Block 112
Indications 112
Anatomy 112
Technique 112
Dosage 112
Key Points for a Safe and Effective Block 114
Other Methods 114
Femoral Nerve Block 114
Indications 114
Anatomy 114
Technique 114
Dosage 114
Psoas Compartment Block (PCB) 115
Indications 115
Anatomy 115
Technique 116
Advantages 116
Complications 116
Fascia Iliaca Compartment Block 116
Technique 116
Dose 117
Complication 117
Sciatic Nerve Block 118
Indications 118
Drug 118
Technique 118
Posterior Approach 118
Popliteal Fossa Block 118
Dose 118
4. Procedural Sedation and Analgesia ........ 121
Objective 121
Levels of Sedation 121
Minimal Sedation (Anxiolysis) 121
Moderate Sedation/Analgesia (Conscious Sedation) 122
Deep Sedation/Analgesia 122
General Anesthesia 122
Preparation for Sedation 122
Pre-sedation Assessment 122
Documentation 122
Choice of Drugs 122
Clinical Pearls for Procedural Sedation 123
Recommended Guidelines for Safe Sedation 124
Recommended Discharge Criteria 124
5. Pediatric Cardiopulmonary Resuscitation ..... 125
Prevention of Cardiopulmonary Arrest 126
BLS Sequence 126
Rationale for this Change 126
Maneuvers Related to CPR 127
High-quality Chest Compressions 127
Open Airway and Give Ventilation 129
Breathing Adjuncts 130
Defibrillation 131
Integration of Defibrillation Sequence with Resuscitation Sequence 132
BLS Sequence for Lay Rescuer 133
BLS Sequence for Health Care Provider (HCP) 133
Chest Compression 135
Ventilation 135
Pediatric Advanced Life Support (PALS) 135
Emergency Fluids and Medications 137
Vascular Access 137
Endotracheal Route 137
Fluids 137
Medications 137
Post-resuscitation Stabilization 139
Objectives 139
Approach 140
Major Changes Introduced in 2010 CPR Guidelines 141
Foreign Body Airway Obstruction (FBAO) 142
Diagnosis 142
Management 142
6. Neonatal Resuscitation ..... 145
Steps of Resuscitation 145
Initial Steps in Stabilization 147
Positive Pressure Ventilation 149
Chest Compressions 151
Volume Expansion 152
Post-resuscitation Care 152
Guidelines for Withholding or Discontinuing Resuscitation 153
Neonatal Resuscitation Equipment and Medications 154
Index 157
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