Preoperative Evaluation of the Pediatric Patient

Allison Basel; Dusica Bajic

doi:10.1016/j.anclin.2018.07.016

Preoperative Evaluation of the Pediatric Patient

Anesthesiol Clin. 2018 Dec;36(4):689-700. doi: 10.1016/j.anclin.2018.07.016.

Authors

Allison Basel¹, Dusica Bajic²

Affiliations

¹ Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215, USA; Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA.
² Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA; Department of Anaesthesia, Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA. Electronic address: dusica.bajic@childrens.harvard.edu.

PMID: 30390788
DOI: 10.1016/j.anclin.2018.07.016

Abstract

The article reviews frequently encountered preoperative concerns with a goal of minimizing complications during administration of pediatric anesthesia. It is written with general anesthesiologists in mind and provides a helpful overview of concerns for pediatric patient preparation for routine and nonemergent procedures or interventions. It covers unique topics for the pediatric population, including gestational age, respiratory and cardiovascular concerns, fasting guidelines, and management of preoperative anxiety, as well as the current hot topic of the potential neurotoxic effects of anesthetics on the developing brain.

Keywords: Congenital heart disease; Pediatric; Premature; Preoperative anxiety; Preoperative evaluation; Respiratory infection.

Publication types

Review

MeSH terms

Anesthesia / methods
Anxiety / diagnosis
Anxiety / prevention & control
Anxiety / psychology
Child
Child, Preschool
Health Status*
Humans
Infant
Infant, Newborn
Pediatrics / methods*
Preoperative Care / methods*
Preoperative Care / psychology