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Chapter 11 - Equipment and Monitoring in Paediatric Anaesthesia

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

Paediatric anaesthesia employs a range of equipment to ensure safe and effective achievement of anaesthetic goals. Variation in size and physiology in this age group has implications for clinicians using these technologies. Applied aspects and practical tips of this phenomenon are discussed in this chapter. Areas covered include equipment used to manage airway, vascular access, drug and fluid delivery, monitoring of various physiologic parameters, etc. While it is imperative to stay abreast with increasingly sophisticated drug delivery and monitoring systems, no monitor is a substitute for the presence and vigilance of the well-trained anaesthetist.

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Chapter
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Publisher: Cambridge University Press
Print publication year: 2025

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References

Further Reading

Association of Anaesthetists. Recommendations for standards of monitoring during anaesthesia and recovery 2021. 2021. Available at: https://anaesthetists.org/Portals/0/PDFs/Guidelines%20PDFs/Recommendations%20for%20standards%20of%20monitoring%20during%20anaesthesia%20and%20recovery%202021.pdf?ver=2021-05-26-141701-007. Accessed 14 March 2024.Google Scholar
Grasso, C, Marchesini, V, Disma, N. Applications and limitations of neuro-monitoring in paediatric anaesthesia and intravenous anaesthesia: a narrative review. Journal of Clinical Medicine 2021; 10:2639.CrossRefGoogle ScholarPubMed
Humphreys, S, Schibler, A, von Ungern-Sternberg, BS. Carbon dioxide monitoring in children: a narrative review of physiology, value, and pitfalls in clinical practice. Paediatric Anaesthesia 2021; 31:839–45.CrossRefGoogle ScholarPubMed
Mittnacht, AC. Near infrared spectroscopy in children at high risk of low perfusion. Current Opinion in Anaesthesiology 2010; 23:342–7.CrossRefGoogle ScholarPubMed
Nishimura, M. High-flow nasal cannula oxygen therapy devices. Respiratory Care 2019; 64:735–42.CrossRefGoogle ScholarPubMed
Skowno, JJ. Hemodynamic monitoring in children with heart disease: overview of newer technologies. Paediatric Anaesthesia 2019; 29:467–74.CrossRefGoogle ScholarPubMed
Tobias, JD. Pediatric airway anatomy may not be what we thought: implications for clinical practice and the use of cuffed endotracheal tubes. Paediatric Anaesthesia 2015; 25:919.CrossRefGoogle Scholar

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