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The High-Risk Pediatric Surgical Patient

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The High-risk Surgical Patient

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Abstract

With the advancements in medical therapies, pediatric patients with highly complex medical conditions are increasingly presenting for surgery and other procedures such as medical imaging that require general anesthesia. The interplay of this vulnerable patient population’s comorbidities and the intrinsic surgical risk puts them at a higher risk for perioperative morbidity and mortality. Multiple risk scores have been developed to identify patients at risk of mortality and morbidity. Identifying these patients allows for adequate case planning, expert staffing, and appropriate resource allocation with the objective of decreasing perioperative morbidity and improving post-operative outcomes.

This chapter will review the risk factors and summarize perioperative risk scores. It will also describe in detail subsets of high-risk patients with emphasis on preoperative multidisciplinary care and perioperative optimization.

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Authors and Affiliations

  1. Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children’s Hospital, Harvard Medical School, Boston, MA, USA

    Carine Foz, James A. DiNardo & Viviane G. Nasr

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  1. Carine Foz
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  2. James A. DiNardo
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  3. Viviane G. Nasr
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Correspondence to Viviane G. Nasr .

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Editors and Affiliations

  1. Dipartimento di Emergenza Urgenza, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy

    Paolo Aseni

  2. Divisione di Cardiochirurgia, IRCCS Fondazione Policlinico San Matteo, Pavia, Pavia, Italy

    Antonino Massimiliano Grande

  3. Div. of Emerg. Surg., Abdominal Center, Helsinki University Hospital Meilahti, Helsinki, Finland

    Ari Leppäniemi

  4. Department of Pathophysiology and Transplantation, General Surgery and Trauma Team, University of Milano, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy

    Osvaldo Chiara

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Foz, C., DiNardo, J.A., Nasr, V.G. (2023). The High-Risk Pediatric Surgical Patient. In: Aseni, P., Grande, A.M., Leppäniemi, A., Chiara, O. (eds) The High-risk Surgical Patient. Springer, Cham. https://doi.org/10.1007/978-3-031-17273-1_11

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