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Chapter 20 - Anaesthesia for General Surgery in Children

Published online by Cambridge University Press:  06 February 2025

James Ip
Affiliation:
Great Ormond Street Hospital for Children, London
Grant Stuart
Affiliation:
Great Ormond Street Hospital for Children, London
Isabeau Walker
Affiliation:
Great Ormond Street Hospital for Children, London
Ian James
Affiliation:
Great Ormond Street Hospital for Children, London
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Summary

Children presenting for general paediatric surgery range in both age and complexity from neonates undergoing hernia repair to older children undergoing appendicectomy or excision of extensive neuroblastoma. In this chapter, we provide an overview of general surgery for infants and children beyond the neonatal period. We discuss the anaesthetic management of major and minor cases highlighting the variety of general and regional anaesthetic techniques available to anaesthetists. Children presenting for major surgery or multiple procedures or those with significant additional comorbidities warrant additional attention. Here, close communication with the surgeon and wider multidisciplinary team is necessary to establish risks, develop plans to mitigate risk and communicate risk to children and parents effectively.

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Chapter
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Publisher: Cambridge University Press
Print publication year: 2025

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References

Additional Reading

Greaney, D, Everett, T. Paediatric regional anaesthesia: updates in central neuraxial techniques and thoracic and abdominal blocks. BJA Education 2019; 19(4):126–34.CrossRefGoogle ScholarPubMed
McCann, ME, De Graff, JC, Dorris, L. Neurodevelopmental outcome at 5 years of age after general anaesthesia or awake-regional anaesthesia in infancy (GAS): an international, multicentre, randomised, controlled equivalence trial. Lancet 2019; 393(10172):664–77.CrossRefGoogle ScholarPubMed
Whyte, SD, Ansermino, JM. Anesthetic considerations in the management of Wilms tumor. Pediatric Anaesthesia 2006; 16:504–13.CrossRefGoogle ScholarPubMed

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