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Introduction to Pediatric Crises 

Introduction to Pediatric Crises
Chapter:
Introduction to Pediatric Crises
Author(s):

Scott C. Watkins

DOI:
10.1093/med/9780190226459.003.0076
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date: 23 September 2020

Clinicians caring for pediatric patients must be prepared to manage the wide range of physiological norms and diverse pathological states that children may pose when presenting for anesthesia and surgery. Anesthesiologists caring for children should be familiar with syndromes and diseases that pose increased risk for difficult airway (e.g., Treacher-Collins, Pierre-Robin), malignant hyperthermia (e.g., King Denborough, central core disease), hyperkalemia (e.g., muscular dystrophies, periodic hyperkalemic paralysis), and sudden cardiac arrest (e.g., William’s, Pompe, myocarditis/cardiomyopathy). However, these diseases and syndromes are relatively rare, and the majority of challenging pediatric patients will not carry a named syndrome. Some of the more challenging cases an anesthesiologist may face include the child presenting emergently for surgery, neonates needing surgical intervention, and children with severe comorbidities including cardiac and pulmonary diseases. This section is dedicated to the pediatric patient and the unique challenges these patients pose to those tasked with caring for them.

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