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.....

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An introduction to paediatric anaesthesia for undergraduates

  1. 1. For developing ambitions, we need exposure to the worldThen only we can check, who resides in us!
  2. 2. What medication will savethe life? .
  3. 3. Pain is a really strongopponent; tackling him isvery difficult and needsextraordinary planning Nerve blocks Epidural analgesia Iv opioids Multimodal analgesia
  4. 4. Who is willing and prepared for a try….. Tobell the cat?
  5. 5. 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
  6. 6. Understanding a kid is very very difficult.
  7. 7. They come with a very Softheart!.
  8. 8. Tender kidneys.
  9. 9. A thief should always ensure the exit beforeintruding into a house
  10. 10. Immature liver If removal is difficult, install carefully!
  11. 11. Damage prone respiratorymechanics Weak members make the whole system weak!
  12. 12. Oh..! I hate cold O.T.s.
  13. 13. My body is full of water!
  14. 14. Inhaled anaestheticsNot so sweet; be carefulHalothaneIsofluraneSevofluraneDesflurane
  15. 15. We tell the mother not togive milk before anaesthesia,but what we are going togive…? Milk again! .
  16. 16. Intravenous anaestheticagents Thiopentone Propofol Ketamine Etomidate
  17. 17. OthersDiazepamMidazolamDexmedetomidine
  18. 18. OpioidsmorphineMeperidine or pethidineFentanylAlfentanilSufentanilRemifentanil
  19. 19. Dont relax after givingrelaxants! Succinyl choline Pancuronium Vecuronium Atracurium Rocuronium
  20. 20. Reversal agents Neostigmine Edrophonium
  21. 21. Are we comfortable about needles? Then what about the child? Fasting Premedication Child with URI Child with full stomach Difficult airway
  22. 22. Taking off….
  23. 23. Airway access and maintenance.
  24. 24. Airway access and maintenancey
  25. 25. 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
  26. 26. Fluid maintenance Holliday and Segar formula
  27. 27. 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.
  28. 28. Blood replacement .
  29. 29. 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.
  30. 30. REVERSAL AND EXTUBATION• .
  31. 31. REVERSAL AND EXTUBATION• Lorem
  32. 32. .• Visit me @ www.thelaymedicalman.blogspot.com• www.facebook.com/groups/anaesthesiaindia/
  33. 33. THANK YOU!

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