2004 v2 premeds handout

2004 v2 premeds handout - Preoperative Issues in Children:...

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Preoperative Issues in Children: Premedications Amr E. Abouleish, MD, MBA Pediatric Anesthesia The University of Texas Medical Branch Galveston, Texas
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Clarification Premedications Different than sedation in children
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Premedications - Indications Vagolytic Agents Separation Anxiety - The Child Separation Anxiety - The Parent General Fear/Anxiety Ease Induction Improve Postoperative Pain
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Vagolytic Agents Purpose Drying agent Reduce chance of bradycardia Indications Routine -- Depends on the anesthesiologist and institution Before succinylcholine Before awake intubation Oral vs. IM atropine Glycopyrollate
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Separation Anxiety in the Child Begins at 6 - 9 months One may be able to distract 6-12 months of age After 12 months of age, premedication needed Sedation dose needed - child cannot handle anxiety Ends (?) at school age Recommend routine premedication Evaluate 6-12 months of age and order prn begin at 12 months end at school age
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Postoperative Behavior Changes Types of Changes Separation Anxiety
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2004 v2 premeds handout - Preoperative Issues in Children:...

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