Pediatric Anesthesiology Review: Clinical Cases for by Robert S. Holzman, Thomas J. Mancuso, Joseph P. Cravero,

By Robert S. Holzman, Thomas J. Mancuso, Joseph P. Cravero, James A. DiNardo

Based on a software of analysis constructed on the kid's clinic Boston, division of Anesthesiology, Perioperative and soreness medication, Pediatric Anesthesiology assessment: medical situations for Self-Assessment provides crucial scientific details for the subspecialty of pediatric anesthesiology. Illustrating the vast spectrum of the pediatric anesthesiologist’s perform, this ebook makes use of an interactive query and solution discussion which imitates the simplicity of dialog and gives the reader high-yield advantages. The case-based method encourages readers to collaborate with colleagues, enhance their oral presentation talents, and get ready for demanding events via explaining a variety of anesthesia care plans and why particular facts are required prior to and through the care of the pediatric sufferer.

Written by way of a panel of experts famous the world over for his or her efforts of their respective parts inside of pediatric anesthesia and examiners for varied clinical forte forums together with the yankee Board of Anesthesiology, this self-assessment programmed textual content for citizens, fellows, and clinicians within the box of pediatric anesthesiology bargains tremendous necessary suggestion. the power to give an explanation for why, as well as how, is critical to the Children’s clinic Boston program’s philosophy, and Pediatric Anesthesiology evaluation: scientific instances for Self-Assessment keeps this excellent within the crafting of this book.

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Sample text

Emotional factors may trigger wheezing and children with this chronic disease may suffer emotional consequences from the illness. 44 2 Respiratory System 13. The changes in the small and large airways that occur in asthma lead to: 1. Increased airways resistance, especially noticeable during exhalation 2. Hypercarbia resulting from decreased respiratory drive 3. Ventilation-perfusion (V/Q) mismatch due to nonuniform airway involvement 4. Increased specific compliance due to much lower resting lung volumes A.

3. 4. Can cause primary pneumonia Cause epidemic respiratory infections Are spread from person to person via the respiratory route Confer lifelong immunity to all strains after one symptomatic infection A. 1, 2, 3 B. 1, 3 C. 2, 4 D. 4 only E.

All of the above CXR abnormalities often seen in children during acute exacerbations of asthma include hyperinflation, atelectasis, infiltrates, and pneumomediastinum. PEFR and FEV1 are decreased, often by more than 15%. ABG abnormalities are described above. 15. C. 2, 4 Therapy of acute asthma is aimed at lessening bronchoconstriction and reducing inflammation. Oxygen is administered by mask or nasal prongs. Bronchodilation is achieved with various inhaled medications such as beta-2 agonists (albuterol) and/ or cholinergic antagonists (ipratropium bromide).

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