An introduction to paediatric anaesthesia for undergraduates
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An introduction to paediatric anaesthesia for undergraduates

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Simplicity is essential to convey the exciting ideas of this specialty to newcomers... Don't confuse them, don't make it boring.....

Simplicity is essential to convey the exciting ideas of this specialty to newcomers... Don't confuse them, don't make it boring.....

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An introduction to paediatric anaesthesia for undergraduates An introduction to paediatric anaesthesia for undergraduates Presentation Transcript

  • For developing ambitions, we need exposure to the worldThen only we can check, who resides in us!
  • What medication will savethe life? .
  • Pain is a really strongopponent; tackling him isvery difficult and needsextraordinary planning Nerve blocks Epidural analgesia Iv opioids Multimodal analgesia View slide
  • Who is willing and prepared for a try….. Tobell the cat? View slide
  • Introduction to Paediatric ANAESTHESIA Dr Unnikrishnan P M.D.,D.A.,P.D.C.C.[Neuroanaesthesia] Asst. Professor Dept of Anaesthesiology Travancore Medical College,, Kerala, India
  • Understanding a kid is very very difficult.
  • They come with a very Softheart!.
  • Tender kidneys.
  • A thief should always ensure the exit beforeintruding into a house
  • Immature liver If removal is difficult, install carefully!
  • Damage prone respiratorymechanics Weak members make the whole system weak!
  • Oh..! I hate cold O.T.s.
  • My body is full of water!
  • Inhaled anaestheticsNot so sweet; be carefulHalothaneIsofluraneSevofluraneDesflurane
  • We tell the mother not togive milk before anaesthesia,but what we are going togive…? Milk again! .
  • Intravenous anaestheticagents Thiopentone Propofol Ketamine Etomidate
  • OthersDiazepamMidazolamDexmedetomidine
  • OpioidsmorphineMeperidine or pethidineFentanylAlfentanilSufentanilRemifentanil
  • Dont relax after givingrelaxants! Succinyl choline Pancuronium Vecuronium Atracurium Rocuronium
  • Reversal agents Neostigmine Edrophonium
  • Are we comfortable about needles? Then what about the child? Fasting Premedication Child with URI Child with full stomach Difficult airway
  • Taking off….
  • Airway access and maintenance.
  • Airway access and maintenancey
  • LARYNGEAL MASK AIRWAY[L.M.A.] . Size of LMA WEIGHT OF CHILD 1 ≤5 kg 1.5 5-10 kg 2 10-20 kg 2.5 20-30 kg 3 30-50 kg 4 50-70 kg 5 70-100 kg 6 >100 kg
  • Fluid maintenance Holliday and Segar formula
  • Fluid maintenance lactated Ringers solution should be used for all deficits and third-space losses. If a child is thought to be at risk for hypoglycemia, 5% dextrose in 0.45% normal saline should be administered by “piggyback” infusion at maintenance rates. For most children, lactated Ringers solution is the only fluid required.
  • Blood replacement .
  • Blood replacement blood volume is approximately 100 to 120 mL/kg for a preterm infant, 90 mL/kg for a full-term infant, 80 mL/kg for a child 3 to 12 months old, and 70 mL/kg for a child older than 1 year.
  • REVERSAL AND EXTUBATION• .
  • REVERSAL AND EXTUBATION• Lorem
  • .• Visit me @ www.thelaymedicalman.blogspot.com• www.facebook.com/groups/anaesthesiaindia/
  • THANK YOU!