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Dr. Freddy Virrueta Medina
Anestesia en Neonatos
Continuing medical education in pediatric
anesthesia: a theoretical overview
NIGEL MCBETH TURNER, Pediatric Anesthesia 2008 18: 697–701
  Neonatology: A Focus on
Safety and Quality of Care
Ashwin Ramachandrappa Clin Perinatol 35 (2008) 1–34
Anatomía
Confusion due to endotracheal
tube Markings
Renu Sinha, Pediatric Anesthesia, 18, 1211–1281, 2008
Risk factors for airway complications during
general anaesthesia in paediatric patients
FABIENNE BORDET Paediatric Anaesthesia 2002 12: 762–769
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 rápida
Aporte O2: Vc x FR
Mecanica Respitaroria
Anatomical dimensions of trachea, main
bronchi, subcarinal and bronchial angles in
fetusesmeasured ex vivo
HARJEET PhD MAMS Pediatric Anesthesia 2008 18: 1029–1034
HeartrateBlood
pressure
Frecuencia cardíacaFrecuencia cardíaca
Respiración rápidaRespiración rápida
PresiónPresión
sanguíneasanguínea
ApneaApnea
PrimariPrimari
aa
ApneaApnea
SecundariaSecundaria
TiempTiemp
oo
TiempoTiempo
Respiración irregularRespiración irregular
Cambios en la frecuencia cardíaca y la presión sanguínea duranteCambios en la frecuencia cardíaca y la presión sanguínea durante
la apneala apnea
Respirations
ApneaApnea
PrimariaPrimaria
ApneaApnea
PrimariaPrimaria
ApneaApnea
SecundariaSecundaria
ApneaApnea
SecundariaSecundaria
Apnea
Postoperative Apnea in Former Preterm Infants
after Inguinal Herniorrhaphy: A Combined
Cote, Charles J. MD; Anesthesiology Volume 82(4), April 1995, pp 809-822  
Apnea Frequently Persists Beyond Term
Gestation in Infants Delivered at 24 to 28 Weeks
Eric C. Eichenwald, Abimbola Aina and Ann R. Stark Pediatrics
1997;100;354-359
Postoperative Apnea, Bradycardia, and Oxygen
Desaturation in Formerly Premature Infants:
Prospective Comparison of Spinal and General
Anesthesia
Elliot J. Krane, MD, Charles M. Haberkern, MD Anesth Analg
1995;80:7-13
Estudio comparativo de ventilación controlada por
presión y ventilación con mapleson D en neonatos
Freddy Virrueta , Enero-Diciembre 2005, Volumen 1, Número 2 Rev Hosp
Central 2005 1(2)
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
Long-term pulmonary function studies in
children with bronchopulmonary dysplasia
Victor Chernick, MD J Pediatr 1998;133:171-2
Absence of ventilatory responses to alternating
breaths of mild hypoxia and air in infants Who have
had bronchopulmonary Dysplasia: Implications for
the risk of sudden infant death
Nicole A. Calder, Pediatric Reaearch 1994; Vol 35: 6 171-2
Atresia de coanas
Normal Atresia
Fistula Traqueoesofagica 5 Tipos (Gross and Vogt)
Gregory GA, ed, Pediatric Anesthesia, 3Gregory GA, ed, Pediatric Anesthesia, 3rdrd
edition, 1996edition, 1996
7.7% 0.8% 86% 0.7% 4.2%
Control of life-threatening air leak after gastrostomy in
an infant with respiratory distress syndrome and
tracheoesophageal fistula
HELLEN W KARL, Anesthesiology, 62:670-72, 1985
 Tracheoesophageal fistula and associated congenital
heart disease: implications for anesthetic
management and survival neonates
LAURA K. DIAZ Pediatric Anesthesia 2005 15: 862–869
Fisiología Cardiovascular
Hemoglobina Fetal
Effects of blood sample volume on hematocrit
in critically ill children and neonates
PAULA LISTER Pediatric Anesthesia 2008 18: 420–425
Renal - Metabolica
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
Hernia Diafragmatica
 Hernia Diafragmatica
Experience of bedside preformed silo staged
reduction and closure for gastroschisis
Anthony Owen Journal of Pediatric Surgery (2006) 41, 1830– 1835
Anesthetic management of gastrochisis a
reviewof our practice over the past 5 years
MURALI RAGHAVAN Pediatric Anesthesia 2008 18: 1055–1059
Anestesico
Perioperative anaesthetic morbidity in
children: a database of 24 165 anaesthetics
over a 30-month period
ISABELLE MURAT Pediatric Anesthesia 2004 14: 158–166
Anaesthetic management and high
frequency oscillatory ventilation
JOSEPH D. TOBIAS Paediatric Anaesthesia 2001 11: 483±487
Guidelines for the Pediatric
Perioperative Anesthesia
Environment
ASA Alvin Hackel Pediatrics 1999;103;512-515
Temperatura
Influence of control variables on mannequin
temperature in a paediatric operating theatre
JOHN CASSEY Pediatric Anesthesia 2004 14: 130–134
Monitoring ETCO2 for Main-stream
Capnographs in emergencies
neonatal
Freddy Virrueta, PostGraduate Assembly December, 8, 2006
 Wet forced-air warming blankets are
ineffective at maintaining normothermia
ERICA P. LIN Pediatric Anesthesia 2008 18: 642–644
Noninvasive intraoperative monitoring of carbon
dioxide in children: endtidal versus transcutaneous
Techniques
MACE A. NOSOVITCH Paediatric Anaesthesia 2002 12: 48±52
Tolerance of Laparoscopy and
Thoracoscopy in Neonates
Nicolas Kalfa Pediatrics 2005;116;e785-e791
frevirrueta@hotmail.com

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Anestesia neonatal

  • 1. Dr. Freddy Virrueta Medina Anestesia en Neonatos
  • 2.
  • 3. Continuing medical education in pediatric anesthesia: a theoretical overview NIGEL MCBETH TURNER, Pediatric Anesthesia 2008 18: 697–701
  • 4.   Neonatology: A Focus on Safety and Quality of Care Ashwin Ramachandrappa Clin Perinatol 35 (2008) 1–34
  • 6. Confusion due to endotracheal tube Markings Renu Sinha, Pediatric Anesthesia, 18, 1211–1281, 2008
  • 7. Risk factors for airway complications during general anaesthesia in paediatric patients FABIENNE BORDET Paediatric Anaesthesia 2002 12: 762–769
  • 8. 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 rápida Aporte O2: Vc x FR
  • 10. Anatomical dimensions of trachea, main bronchi, subcarinal and bronchial angles in fetusesmeasured ex vivo HARJEET PhD MAMS Pediatric Anesthesia 2008 18: 1029–1034
  • 11. HeartrateBlood pressure Frecuencia cardíacaFrecuencia cardíaca Respiración rápidaRespiración rápida PresiónPresión sanguíneasanguínea ApneaApnea PrimariPrimari aa ApneaApnea SecundariaSecundaria TiempTiemp oo TiempoTiempo Respiración irregularRespiración irregular Cambios en la frecuencia cardíaca y la presión sanguínea duranteCambios en la frecuencia cardíaca y la presión sanguínea durante la apneala apnea Respirations ApneaApnea PrimariaPrimaria ApneaApnea PrimariaPrimaria ApneaApnea SecundariaSecundaria ApneaApnea SecundariaSecundaria Apnea
  • 12. Postoperative Apnea in Former Preterm Infants after Inguinal Herniorrhaphy: A Combined Cote, Charles J. MD; Anesthesiology Volume 82(4), April 1995, pp 809-822   Apnea Frequently Persists Beyond Term Gestation in Infants Delivered at 24 to 28 Weeks Eric C. Eichenwald, Abimbola Aina and Ann R. Stark Pediatrics 1997;100;354-359
  • 13. Postoperative Apnea, Bradycardia, and Oxygen Desaturation in Formerly Premature Infants: Prospective Comparison of Spinal and General Anesthesia Elliot J. Krane, MD, Charles M. Haberkern, MD Anesth Analg 1995;80:7-13
  • 14. Estudio comparativo de ventilación controlada por presión y ventilación con mapleson D en neonatos Freddy Virrueta , Enero-Diciembre 2005, Volumen 1, Número 2 Rev Hosp Central 2005 1(2)
  • 15. 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
  • 16. Long-term pulmonary function studies in children with bronchopulmonary dysplasia Victor Chernick, MD J Pediatr 1998;133:171-2 Absence of ventilatory responses to alternating breaths of mild hypoxia and air in infants Who have had bronchopulmonary Dysplasia: Implications for the risk of sudden infant death Nicole A. Calder, Pediatric Reaearch 1994; Vol 35: 6 171-2
  • 18. Fistula Traqueoesofagica 5 Tipos (Gross and Vogt) Gregory GA, ed, Pediatric Anesthesia, 3Gregory GA, ed, Pediatric Anesthesia, 3rdrd edition, 1996edition, 1996 7.7% 0.8% 86% 0.7% 4.2%
  • 19. Control of life-threatening air leak after gastrostomy in an infant with respiratory distress syndrome and tracheoesophageal fistula HELLEN W KARL, Anesthesiology, 62:670-72, 1985
  • 20.  Tracheoesophageal fistula and associated congenital heart disease: implications for anesthetic management and survival neonates LAURA K. DIAZ Pediatric Anesthesia 2005 15: 862–869
  • 23. Effects of blood sample volume on hematocrit in critically ill children and neonates PAULA LISTER Pediatric Anesthesia 2008 18: 420–425
  • 25. 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
  • 28.
  • 29.
  • 30. Experience of bedside preformed silo staged reduction and closure for gastroschisis Anthony Owen Journal of Pediatric Surgery (2006) 41, 1830– 1835
  • 31. Anesthetic management of gastrochisis a reviewof our practice over the past 5 years MURALI RAGHAVAN Pediatric Anesthesia 2008 18: 1055–1059
  • 33.
  • 34.
  • 35. Perioperative anaesthetic morbidity in children: a database of 24 165 anaesthetics over a 30-month period ISABELLE MURAT Pediatric Anesthesia 2004 14: 158–166
  • 36. Anaesthetic management and high frequency oscillatory ventilation JOSEPH D. TOBIAS Paediatric Anaesthesia 2001 11: 483±487 Guidelines for the Pediatric Perioperative Anesthesia Environment ASA Alvin Hackel Pediatrics 1999;103;512-515
  • 38. Influence of control variables on mannequin temperature in a paediatric operating theatre JOHN CASSEY Pediatric Anesthesia 2004 14: 130–134
  • 39. Monitoring ETCO2 for Main-stream Capnographs in emergencies neonatal Freddy Virrueta, PostGraduate Assembly December, 8, 2006
  • 40.  Wet forced-air warming blankets are ineffective at maintaining normothermia ERICA P. LIN Pediatric Anesthesia 2008 18: 642–644 Noninvasive intraoperative monitoring of carbon dioxide in children: endtidal versus transcutaneous Techniques MACE A. NOSOVITCH Paediatric Anaesthesia 2002 12: 48±52
  • 41. Tolerance of Laparoscopy and Thoracoscopy in Neonates Nicolas Kalfa Pediatrics 2005;116;e785-e791
  • 42.

Editor's Notes

  1. The cricoid cartilage lies at the level of the 3rd cervical vertebra in the infant and descends to the 6th cervical vertebra at puberty
  2. 5