Anestesia neonatal

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  • The cricoid cartilage lies at the level of the 3rd cervical vertebra in the infant and descends to the 6th cervical vertebra at puberty
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  • Anestesia neonatal

    1. 1. Dr. Freddy Virrueta MedinaAnestesia en Neonatos
    2. 2. Continuing medical education in pediatricanesthesia: a theoretical overviewNIGEL MCBETH TURNER, Pediatric Anesthesia 2008 18: 697–701
    3. 3.   Neonatology: A Focus onSafety and Quality of CareAshwin Ramachandrappa Clin Perinatol 35 (2008) 1–34
    4. 4. Anatomía
    5. 5. Confusion due to endotrachealtube MarkingsRenu Sinha, Pediatric Anesthesia, 18, 1211–1281, 2008
    6. 6. Risk factors for airway complications duringgeneral anaesthesia in paediatric patientsFABIENNE BORDET Paediatric Anaesthesia 2002 12: 762–769
    7. 7. Pulmones: Volúmenes de cierre más altos. Mayor trabajo respiratorio:- Mayor distensibilidad pared torácica.- Menor distensibilidad pulmón.- Menor % fibras tipo I en músculos respiratorios(diafragma/abd). Tendencia a la hipoxia:- Vc 7-10 ml/kg (=adulto)Consumo O2 2-3x- Mayor FR- Rápida desaturación en apnea- Inducción inhalatoria más rápidaAporte O2: Vc x FR
    8. 8. Mecanica Respitaroria
    9. 9. Anatomical dimensions of trachea, mainbronchi, subcarinal and bronchial angles infetusesmeasured ex vivoHARJEET PhD MAMS Pediatric Anesthesia 2008 18: 1029–1034
    10. 10. HeartrateBloodpressureFrecuencia cardíacaFrecuencia cardíacaRespiración rápidaRespiración rápidaPresiónPresiónsanguíneasanguíneaApneaApneaPrimariPrimariaaApneaApneaSecundariaSecundariaTiempTiempooTiempoTiempoRespiración irregularRespiración irregularCambios en la frecuencia cardíaca y la presión sanguínea duranteCambios en la frecuencia cardíaca y la presión sanguínea durantela apneala apneaRespirationsApneaApneaPrimariaPrimariaApneaApneaPrimariaPrimariaApneaApneaSecundariaSecundariaApneaApneaSecundariaSecundariaApnea
    11. 11. Postoperative Apnea in Former Preterm Infantsafter Inguinal Herniorrhaphy: A CombinedCote, Charles J. MD; Anesthesiology Volume 82(4), April 1995, pp 809-822  Apnea Frequently Persists Beyond TermGestation in Infants Delivered at 24 to 28 WeeksEric C. Eichenwald, Abimbola Aina and Ann R. Stark Pediatrics1997;100;354-359
    12. 12. Postoperative Apnea, Bradycardia, and OxygenDesaturation in Formerly Premature Infants:Prospective Comparison of Spinal and GeneralAnesthesiaElliot J. Krane, MD, Charles M. Haberkern, MD Anesth Analg1995;80:7-13
    13. 13. Estudio comparativo de ventilación controlada porpresión y ventilación con mapleson D en neonatosFreddy Virrueta , Enero-Diciembre 2005, Volumen 1, Número 2 Rev HospCentral 2005 1(2)
    14. 14. Enfermedades Pulmonares Displasia Broncopulmonar Atresia de coanas, estenosis de coanas Obstrucción Laringea – Traqueal Webs Traqueal – Laringea Estenosis Congenita Subglotica Fistula Traqueoesofagica Quiste Pulmonar – broncogenico Enfisema Lobar Congenito
    15. 15. Long-term pulmonary function studies inchildren with bronchopulmonary dysplasiaVictor Chernick, MD J Pediatr 1998;133:171-2Absence of ventilatory responses to alternatingbreaths of mild hypoxia and air in infants Who havehad bronchopulmonary Dysplasia: Implications forthe risk of sudden infant deathNicole A. Calder, Pediatric Reaearch 1994; Vol 35: 6 171-2
    16. 16. Atresia de coanasNormal Atresia
    17. 17. Fistula Traqueoesofagica 5 Tipos (Gross and Vogt)Gregory GA, ed, Pediatric Anesthesia, 3Gregory GA, ed, Pediatric Anesthesia, 3rdrdedition, 1996edition, 19967.7% 0.8% 86% 0.7% 4.2%
    18. 18. Control of life-threatening air leak after gastrostomy inan infant with respiratory distress syndrome andtracheoesophageal fistulaHELLEN W KARL, Anesthesiology, 62:670-72, 1985
    19. 19.  Tracheoesophageal fistula and associated congenitalheart disease: implications for anestheticmanagement and survival neonatesLAURA K. DIAZ Pediatric Anesthesia 2005 15: 862–869
    20. 20. Fisiología Cardiovascular
    21. 21. Hemoglobina Fetal
    22. 22. Effects of blood sample volume on hematocritin critically ill children and neonatesPAULA LISTER Pediatric Anesthesia 2008 18: 420–425
    23. 23. Renal - Metabolica
    24. 24. Gastrointestinal - Hepatico Fisiologia Enfermedades: Hernia Diafragmatica Estenosis Hipertrofica de Piloro Obstruccion Duodenal – Ileal Hernia Infantil Ano Imperforado Enterocolitis Necrotizante Onfalocele – Gastrosquisis Malrotación Intestinal – Volvulo Intestinal Enfermedad de Hirsprung
    25. 25. Hernia Diafragmatica
    26. 26.  Hernia Diafragmatica
    27. 27. Experience of bedside preformed silo stagedreduction and closure for gastroschisisAnthony Owen Journal of Pediatric Surgery (2006) 41, 1830– 1835
    28. 28. Anesthetic management of gastrochisis areviewof our practice over the past 5 yearsMURALI RAGHAVAN Pediatric Anesthesia 2008 18: 1055–1059
    29. 29. Anestesico
    30. 30. Perioperative anaesthetic morbidity inchildren: a database of 24 165 anaestheticsover a 30-month periodISABELLE MURAT Pediatric Anesthesia 2004 14: 158–166
    31. 31. Anaesthetic management and highfrequency oscillatory ventilationJOSEPH D. TOBIAS Paediatric Anaesthesia 2001 11: 483±487Guidelines for the PediatricPerioperative AnesthesiaEnvironmentASA Alvin Hackel Pediatrics 1999;103;512-515
    32. 32. Temperatura
    33. 33. Influence of control variables on mannequintemperature in a paediatric operating theatreJOHN CASSEY Pediatric Anesthesia 2004 14: 130–134
    34. 34. Monitoring ETCO2 for Main-streamCapnographs in emergenciesneonatalFreddy Virrueta, PostGraduate Assembly December, 8, 2006
    35. 35.  Wet forced-air warming blankets areineffective at maintaining normothermiaERICA P. LIN Pediatric Anesthesia 2008 18: 642–644Noninvasive intraoperative monitoring of carbondioxide in children: endtidal versus transcutaneousTechniquesMACE A. NOSOVITCH Paediatric Anaesthesia 2002 12: 48±52
    36. 36. Tolerance of Laparoscopy andThoracoscopy in NeonatesNicolas Kalfa Pediatrics 2005;116;e785-e791
    37. 37. frevirrueta@hotmail.com

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