Neonatal and Childhood Perioperative Considerations

Document Type

Journal Article

Publication Date

4-1-2006

Journal

Surgical Clinics of North America

Volume

86

Issue

2

DOI

10.1016/j.suc.2005.12.010

Abstract

The safety of surgery and anesthesia for infants and children has improved over the past several decades. Same-day surgery is now feasible for most pediatric surgical procedures and has been widely adopted. The focus of preoperative management should be to identify children at high-risk for complications that are common and complications that are less common but potentially life-threatening. Psychologic preparation of children and their families is essential to reduce preoperative anxiety and the likelihood of short- and long-term adverse psychologic responses to surgery. Although additional work is needed, we have a better understanding of factors associated with major and minor adverse events that occur intraoperatively and postoperatively. © 2006 Elsevier Inc. All rights reserved.

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