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Nursing Care of the Pediatric Neurosurgery Patient pp 529–554Cite as

Perioperative Care

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Abstract

Nurses play an important role in mitigating the stress of surgery for the child and family as well as in ensuring the safety of the patient throughout the perioperative process. This chapter discusses care of the child and family throughout the perioperative process and uses pictures for illustration. Patient/family education, psychological preparation of the child to reduce anxiety and fear, preoperative assessment, radiographs and laboratory tests required, dietary restrictions, and separation from the parents are addressed preoperatively. Intraoperative nursing care followed by postoperative management in the postanesthesia care unit (PACU) is also included. Pain management, postoperative assessment, discharge criteria from the PACU, and parental presence in the PACU are presented using a case study as an example of the perioperative process.

Whether a child is having a minor outpatient surgery, scheduled inpatient surgery, or an emergent lifesaving procedure, it is an extraordinary stressor for the child and family (Wollin et al. J Pediatr Nurs 19:128–132, 2004). Nurses play an important role in mitigating this stress for the child and family as well as in ensuring the safety of the patient throughout the perioperative process. Perioperative care of the pediatric patient includes providing preoperative information and guidance to the family, the physical assessment and preparation of the patient prior to surgery, the care of the patient in the operating room (OR), and the care of the patient after surgery in the postanesthesia care unit (PACU).

Keywords

  • Pediatric Intensive Care Unit
  • Malignant Hyperthermia
  • Malignant Hyperthermia
  • Neurosurgical Procedure
  • Anesthesia Provider

These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Authors and Affiliations

  1. Children’s Mercy Hospital, 2401 Gillham Road, Kansas City, MO, 64108, USA

    Sarah M. Lagergren MSN, APRN, ACCNS-P, CPN & Gail C. Dustman BSN, RN, CNOR, RNFA

Authors
  1. Sarah M. Lagergren MSN, APRN, ACCNS-P, CPN
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  2. Gail C. Dustman BSN, RN, CNOR, RNFA
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Correspondence to Sarah M. Lagergren MSN, APRN, ACCNS-P, CPN .

Editor information

Editors and Affiliations

  1. Childrens Mercy Hospital, Kansas City, Missouri, USA

    Cathy C. Cartwright

  2. Division of Pediatric Neurosurgery, Banner Children Specialists at Cardon, Children’s Medical Center, Mesa, Arizona, USA

    Donna C. Wallace

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Lagergren, S.M., Dustman, G.C. (2017). Perioperative Care. In: Cartwright, C., Wallace, D. (eds) Nursing Care of the Pediatric Neurosurgery Patient. Springer, Cham. https://doi.org/10.1007/978-3-319-49319-0_16

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  • DOI: https://doi.org/10.1007/978-3-319-49319-0_16

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