Reference Work Entry

Encyclopedia of Otolaryngology, Head and Neck Surgery

pp 2077-2089

Pediatric Anesthesiology

  • Jeffrey SteinerAffiliated withDepartment of Anesthesiology and Pain Management, UT Southwestern Medical Center Dallas, Children’s Medical Center Dallas Email author 
  • , Stephen Q. HoangAffiliated withDepartment of Anesthesiology and Pain Management, UT Southwestern Medical Center Dallas, Children’s Medical Center Dallas
  • , Peter SzmukAffiliated withDepartment of Anesthesiology and Pain Management, UT Southwestern Medical Center Dallas, Children’s Medical Center Dallas

Definition

Pediatric anesthesiology is the study of the subspecialty of anesthesiology that relates to the anesthetic care provided to neonates, infants, and children.

Introduction

Administration of anesthesia for pediatric otorhinolaryngology procedures combines the use of pharmacology, physiology, and good communication skills between the anesthesiologist, surgeon, patient, and the patient’s caretakers. The practice of anesthesiology includes preoperative evaluation, intraoperative anesthetic management, and postoperative care while using different medication classes to produce anxiolysis, amnesia, hypnosis, analgesia, and muscle relaxation (when indicated) – all while maintaining hemodynamic stability.

General Anesthetic Themes

Preoperative Evaluation

Preoperatively, a history and physical is performed, including a detailed airway exam. The anesthetic plan is discussed with the patient and their family, and laboratory or specialty tests are c ...

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