Hatch & Sumner's Textbook of Paediatric Anaesthesia by Robert Bingham, Adrian Lloyd Thomas, M Sury

By Robert Bingham, Adrian Lloyd Thomas, M Sury

Hatch and Sumner's Paediatric Anaesthesia is an intensive revision and replace of the very hot 'Paediatric Anaesthesia' via Edward Sumner and David Hatch. a brand new editorial crew has rigorously revised the textual content and constructed it right into a concise textbook that gives all of the details trainee or training paediatric anaesthetist may still understand. completely accomplished, but concise and potential in measurement, this publication is solely sensible and suitable, offering all of the latest details at the stipulations and power difficulties obvious in each day perform. each one bankruptcy has been thoroughly revisited by means of current and new individuals from an international neighborhood of specialists and the result's a useful reference paintings that would be a continuing resource of data for any paediatric anaesthetist.

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In adolescents 75 per cent of deaths were due to accidents, homicide and suicide, but the single leading cause of death was motor vehicle accidents (40 per cent) [59]. These mortality patterns are also beginning to become apparent in developing nations, for example now in Vietnam the commonest cause of death in post-neonatal children is motorcycle trauma. Limitation of activity is another useful measure of childhood illness. In the USA between 1997 and 2002, 6–7 per cent of children had limitation of activity because of chronic ill health [63].

From 26 weeks onwards there is a gradual increase of continuous EEG activity. Active sleep develops during this period and is characterised by continuous mixed frequency EEG. Over the same period ‘tracé discontinue’ is gradually replaced during quiet sleep by ‘tracé alternant’. ‘Tracé alternant’ consists of 3- to 8-second bursts of high-voltage low-amplitude activity interspersed with low-voltage mixed frequency EEG. During Quiet sleep ‘tracé alternant’ normally completely replaces ‘tracé discontinue’ by 36 weeks and itself disappears by 2 months of age [28].

Deaths in infants were most commonly birth related or caused by genetic or congenital conditions, SIDS and infection. The number of children dying from SIDS decreased from 67 in 1991 to 18 in 2004 [57]. 16 Scientific basis of paediatric anaesthesia In the USA statistics are similar. Infant mortality was roughly 7 per 1000 live births in 2002. In the neonatal period the leading causes of death were prematurity, low birth weight, congenital malformations, chromosomal abnormalities, maternal complications of pregnancy, respiratory causes and sepsis [59].

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