Contents |    Peds. Intro. |    Goals & Objectives |    MH Treatement |    Preop |    Physiology |    Fluid Therapy |    Monitoring |    Intubation |    Mechanical Ventilation |    Regional |    SBE Prophylaxis |    Epiglottitis |    Pharmacology |

Preface

This handbook is the third edition of the departmental handbook. The purpose still remains to provide the resident with a quick reference to aid in preparation for caring for children and to smooth the transition from adult to pediatric anesthesia. Therefore, on purpose, we have made this handbook not as extensive as published handbooks or textbooks.

Introduction

As a resident at UTMB, you will care for children at all levels of your training. Your first encounter may be on call during your PGY-1 year or during your ENT or SBI months during your PGY-2 year. During the next year, your CA-2 year, you will care for children during your months on Driscoll Children's, Neuroanesthesia, and Cardiac anesthesia rotation. In addition, during this year, you will spend at least one month on the Pediatric Anesthesia month. Because of these multiple opportunities, you may find it helpful to consult this handbook throughout your training.

The handbook can be separated in three main sections:

Basic information and specific topics: you will find basic information on equipment, physiology, and procedures in this section.

Syndromes and anesthetic consequences: This section provides you with a quick listing of different syndromes and their anesthetic problems. This section is photocopied out of Manual of Pediatric Anesthesia (4th edition) by David Steward, MD. We refer you to this handbook for the list of references.

Pharmacology: This section provides a listing of common drugs (some uncommon ones) and their doses. There is also an alphabetized index by generic names at the end of the section and handbook to assist you in finding the drug of interest.

CA-2 Month -- Pediatric Anesthesia

During this month, you will be assigned the pediatric surgery room on Monday, Tuesday, and Friday. On other days, you will be assigned pediatric cases if they are scheduled. The goals and objectives of this month are the following two pages.

Pediatric Anesthesia Faculty

Amr Abouleish, MD 643-2471,
Jeff Berman, MD 643-2472
Elise Morvant, MD 643-1114
James Mayhew, MD 643-9947
Chai Ngyuen, MD 643-1113 Fellow, 1998-99
Samson Otuwa, MD 643-1797
Lee Woodson, MD 643-2582

Handbooks and Textbooks

Handbooks

UTMB Resident Handbook: Facts and notes, easy to carry, not comprehensive

Bell C et al. The Pediatric Anesthesia Handbook (1997) : More complete handbook, well indexed, good introduction to basics chapters.

Steward D. Manual of Pediatric Anesthesia (1996) : The syndrome section from this manual. More cookbook in writing, but covers many of the surgeries that you will encounter.

Textbooks

Cote C et al. A Practice of Anesthesia for Infants and Children (2nd ed.) : Principle based textbook. Not as comprehensive as the two listed below, but easier to read. Excellent at resident level. (new edition in 1998)

Stehling L. Common Problems in Pediatric Anesthesia - Concise discussion of management of cases a resident might encounter

Comprehensive texts

Gregory G. Pediatric Anesthesia (3rd ed.)

Motoyoma. Smith's Anesthesia for Infants and Children (6th edition)

Acute Epiglottitis

Acute MH Treatment Regimen

Educational Objectives

Fluid Therapy

Intubation

Learning Objectives

Mechanical Ventilation

Pedi. Monitoring

Pharmacology

Physiology

Pre-op Preparation

Regional Anesthesia

SBE