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Anesthesia and Perioperative Care

140.10: PEDIATRIC ANESTHESIA - Gail S. Shibata, M.D.

Tier 1B. This course is designed for students interested in Pediatrics or Pediatric Anesthesia. The clerkship incorporates issues of importance to the pediatrician and pediatric anesthesiologist, including preoperative evaluation and preparation, sedation management and monitoring, airway management, implications of common and rare pediatric disorders, management for painful procedures and options for remote locations and effective postoperative pain management.
Course Objectives: Educational Objectives 1. Pertinent differences between infants, children and adults a) Physiological b) Pharmacological c) Psychological 2. Physiology of the transition from fetus to neonate and how this is affected by anesthesia 3. Components of the preoperative evaluation a) Physical b) Emotional c) Role of parents/guardian d) Implications of common and rare pediatric disorders e) Conditions that should delay or cancel elective surgery, e.g., URI f) NPO guidelines 4. Rational & developmentally appropriate plan for premedication & anesthetic induction 5. Monitoring needs of infants and children during diagnostic and therapeutic procedures a) In the operating room b) Satellite locations, e.g., oncology unit, scanners, GI, radiation oncology 6. Anesthetic management of neonatal emergencies a) diaphragmatic hernia b) tracheal-esophageal fistula c) gastroschisis d) omphalocele 7. Management of the child with cyanotic heart disease for non-cardiac surgery 8. Fluid/electrolyte and blood component requirements of infants and children vis a vis anesthesia, surgery and the child's disease 9. Assessment of and appropriate options for postoperative pain management a) regional analgesia (epidural, nerve block) b) parenteral Skills Objectives 10. Perform the preoperative evaluation of both healthy and sick infants and children 11. Prepare children psychologically for anesthesia/surgery according to developmental age 12. Interact constructively with parents/guardians 13. Assist in preparing the equipment and drugs necessary to anesthetize the pediatric patient 14. Assist in the safe transport of children to and from the operating room 15. Assist in administering premedication 16. Participate in the psychological management of the child during anesthetic induction 17. Intravenous catheter insertion 18. Participate & manage the airway in a sedated/unconscious child a) Facemask b) Laryngeal mask airway c) Endotracheal intubation 19. Participate in managing the anesthetic for both operative & diagnostic procedures 20. Safely recover the pediatric patient from anesthesia.
Common Problems/Diseases: This elective encompasses wide range of pediatric surgical cases from common pediatric cases to neonatal surgical emergencies.
Recommended Text or Reading: Pediatric Anesthesia, George Gregory & Dean B. Andropoulos. This book can be checked out from Marie Lim, S455.
Team Composition: Pediatric anesthesia attendings, pediatric anesthesia fellow, anesthesia residents on their pediatric anesthesia rotation, pediatric surgical nurses and pediatric surgeons.
Patient Contact Hour Number (hours): 36
Classroom Time (hours): 6
Outside Study (hours): 4
Call Schedule/Weekends: None.
Grading: Pass/Fail
Prerequisites: Anesthesia 110 and Pediatrics 110.
Quarters Taught: Su 1 & & 3, Fa, Wi, Sp
Location: UCSF Medical Center at Mission Bay
Minimum Weeks Offered: 2
Maximum Students per Block: 1
Contact Name: Marie Lim
Contact Phone: (415) 476-2851
Location to report to: UCSF Benioff Children's Hospital, 1975 Fourth Street, 2nd floor OR, #14-22.
Comments: Restricted to UCSF students. Winter and spring offering is based on availability.

How to Add & Drop a course:
To add or drop this course, please submit a request through the online elective request system.