Search

Perioperative analgesia in children; Postoperative pain management is a crucial task for all doctors treating children in a postoperative setting; Aims:
- to eliminate postoperative pain
- to minimize perioperative stress
- to prevent forming of negative memory imprints
Patophysiology of paediatric perioperative pain;
Drug absorption is decreased in neonates because of
Drug distribution in influenced by
Drug elimination is influenced by
Analgetics overview; Opioids I.; Opioids II.; Non-opioids I.

Podklady pro výukový seminář "Neonatal perioperative care".

PREOPERATIVE AND POSTOPERATIVE CARE OF THE PEDIATRIC SURGICAL PATIENT AT NICU DEPARTMENT 7C

CARE OF SURGERY PATIENT
- PREOPERATIVE EVALUATION AND PREPARATION
- OPERATION
- POSTOPERATIVE CARE

GOALS OF PREOPERATIVE CARE
-minimalize stress factors
-optimalize operation
-avoid complications
-improve postoperative adaptation

NICU clinical cases
Case no. 1: Patient after omphalocele repair - contrast study for CVC placement
Case no. 2: Patient after AOE repair – primary anastomosis – X-ray control on 2nd postoperative day for ventilatory deterioration following extubation
Case no. 3: Boy 2-mo. old, meconium plug syndrome with spontaneous resolution, discharged home, healthy until…
Case no. 4: Dyspnea after delivery. Transferred to NICU, where X-rayed.
Case no. 5: 3-d. old infant, treated for suspected infection from day 2, bloody stools, spinal tap performed, on day 3 for abdominal distention X-ray study