Pediatric Anesthesia Digital Handbook
Department of Anesthesiology
Division of Pediatric Anesthesia
Tufts Medical Center
Boston, Massachusetts
United States of America

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    • What makes Pediatric Anesthesia Different?
    • Pediatric OR Setup HOME >
      • STEP-2 PEDI OR SETUP - BREATHING CIRCUIT
      • STEP-3 PEDI OR SETUP - SUCTION
      • STEP-4- PEDI OR SETUP - OR TABLE AND PROPS
      • STEP-5- PEDI OR SETUP - MONITORS
      • STEP-6 PEDI OR SETUP - AIRWAY SETUP
      • STEP-7 PEDI OR SETUP - MEDICATION DESKTOP
      • STEP-8 PEDI OR SETUP - IV TRAY AND LINE
      • STEP-9 PEDI OR SETUP - ACCESSORIES
      • STEP-10 PEDI OR SETUP - SUMMARY
    • The Pediatric Anesthesia Cart
    • Pediatric Normal Parameters and Equipment
    • Premedication
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    • Standard Drug Dilutions in the Pediatric OR
    • Pediatric Airway Management >
      • Positioning Infants and Children for Airway Management
      • Masking Technique
      • Upper Airway Obstruction During Anesthesia
      • LMA Techniques in Pediatrics
      • Atlas of Pediatric Intubation Technique
      • Pediatric Difficult Airway Algorithm
    • Pediatric IV Insertion Technique
    • Perioperative Fluid Therapy >
      • Fundamentals of Perioperative Fluid Therapy
      • The "4-2-1" Rule for Maintenance Fluid Therapy in Infants and Children
      • Glucose and Fluid Requirements for Neonates
      • Composition of Commonly Used IV Fluids
      • Estimating Circulating Blood Volume
      • Flow Rates Through Catheters
    • Blood Transfusion Therapy >
      • Normal Hemoglobin Values in Infants
      • Different Kinds of Blood Transfusion Filters
      • Transfusion Guidelines
    • Clinical Practice Guidelines
    • Single Lung Ventilation (SLV) Techniques
    • Regional Anesthesia >
      • Neuraxial Anesthesia >
        • Neuraxial Clinical Anatomy
        • Caudal Anesthesia
        • Epidural Anesthesia
        • Spinal Anesthesia
      • Peripheral Regional Anesthesia
  • PEDI STAT
    • PALS ALGORITHMS
    • Newborn Resuscitation Algorithm
    • PALS Cardiac Arrest
    • PALS Tachycardia with a pulse and poor perfusion
    • PALS Bradycardia with a pulse and poor perfusion
    • Cardioversion / Defibrillation
    • Laryngospasm
    • EZ-IO Intraosseous Infusion System
    • Hyperkalemia
    • Anaphylaxis
    • Malignant Hyperthermia
    • Society for Pediatric Anesthesia - Pedi Crisis® Critical Events Checklist
  • Case Primers
  • Multimedia Library
  • Pediatric Anesthesia Handicraft
  • Robert N Reynolds, MD Award
  • Disclosure Notice
  • COVID-19 RESOURCES
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Preface

Pediatric anesthesia is as much an art as it is a science. No doubt, technology plays an immensely important role in our daily practice, overall finesse and excellence requires acquisition of fine manual skills, and mastery over good technique. The word "handicraft" has been inspired by a very old medical text "Pye's Surgical Handicraft" first published in 1893. I have endeavored here to present a collection of practical pediatric anesthesia skills and techniques which I have learnt and developed over the years. This manual is our dedication to generations of inspiring mentors past and present who have passed on this handicraft to us. I would encourage you to send me feedback and more tips if you would want them published on this site. Suggestions and any critique is very welcome. Please use the contact form at the bottom of the page, or you may directly email me at [email protected]

Table of Contents

A better way to hold the laryngoscope in infants

Shaping the ETT (endotracheal tube) correctly when using a straight blade in infants and toddlers

Ways to secure an IV

Positioning an infant for airway management

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USEFUL LINKS

Tufts Medicine - Tufts Medical Center
Tufts Medicine - Pediatrics
American Board of Anesthesiology (ABA)
American Society of Anesthesiologists (ASA)
Society for Pediatric Anesthesia (SPA)
Accreditation Council for Graduate Medical Education
ASA Guidelines, Statements and Practice Advisories
Malignant Hyperthermia Association of the United States
ERAS PDWS
AnesthesiaHub - The Central Resource of Anesthesiology

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Copyright © 2014. Aman Kalra, MD Clinical Professor of Anesthesiology, Department of Anesthesiology and Perioperative Medicine (Author, Illustrator and Web Designer)
800 Washington Street, Box 298, Tufts Medical Center, Boston, MA 02111. USA
LAST UPDATED October 24th, 2024