PPT-Anesthesia for Ophthalmologic Procedures in Pediatric Patients

Amanda J Darling MD Marissa G Vadi MD MPH UC Davis Department of Anesthesiology amp Pain Medicine Updated 112019 Disclosures No relevant financial relationships Learning Objectives Review ophthalmologic physiology relevant to anesthetic management. What is sedation The anesthesia you are given is based on your health history the procedure and your choices Local produces a loss of feeling to a small specific area of the body A shot is given to numb the area Regional produces a loss of feeling t (BEYOND NEWBORN). DANIEL E. LEE, MD PhD. Associate Clinical Professor of Anesthesiology and Pediatrics. University of California, San Diego. PEDIATRIC PERIOPERATIVE RISK. Pediatric . Perioperative. Cardiac Arrest registry (POCA). Basics. 2013. Laura Downey, MD. Yun-Sheen Liu, . MD. Julie Williamson, DO. LPCH Pediatric Anesthesia Rotation . Updated August 2013. NPO guidelines. Solids/formula = 6h. Breast milk = 4h. Clears = 2h. for Radiology. Clinical Scenarios. Neuro- Interventional radiology. Body Interventional radiology. Diagnostic imaging (MRI, CT) in patients unable to remain still. Pediatrics. REMOTE Anesthesia. 2. . Alyssa Brzenski. Pediatric Liver Disease. Keely DA, Hartley. End Stage Liver Disease.. Chronic Liver Disease. Acute Liver Disease. Biliary Atresia. Biliary Atresia. The Lancet. . Most common in southeast Asia. Drs. Matt Lyman, Corey . Tingey. , and Ken Howard. With help from Drs. . Gravlee. and Marshall. The Problem.  Anticoagulation recommendations prior to surgical procedures are not consistent with anticoagulation  guidelines for neuraxial anesthesia. . Department of Health Human Services DHHSPub 100-07State OperationsProvider CertificationCenters for Medicare Medicaid Services CMSTransmittal74DateDecember 22011SUBJECT Revised Appendix A Interpret Developing Countries Regional Anesthesia Lecture Series. Daniel D. Moos CRNA, . Ed.D. . USA . moosd@charter.net. . Lecture 3. Soli . Deo. Gloria . Disclaimer. Every effort was made to ensure that material and information contained in this presentation are correct and up-to-date. The author can not accept liability/responsibility from errors that may occur from the use of this information. It is up to each clinician to ensure that they provide safe anesthetic care to their patients.. Jonathon Everett Lee, DDS, FAPD, FACD. President. Natalie Mansour DMD. Interim Public Policy Advocate , Chair of Patient Services Committee and Board Director. California Society of Pediatric Dentistry. Fiona Patrao, MBBS, MD. Corrie Anderson, MD, FAAP. Seattle Children’s Hospital Seattle, Washington, USA. Updated 8/2019. Disclosures. No relevant financial relationships. Learning Objectives. Goals of Care for Out-of-OR Anesthesia. Joseph P. Cravero MD FAAP. 34th SSAI . Congress. No disclosures. Large Data Impact. Large data analysis is used in all areas of commerce and science to aid in predicting outcomes. . Advent of the EMR allows Large Data collection for Anesthesiology. . Thomas Corey Davis, PhD, CRNA. VCU College of Health Professions. Department of Nurse Anesthesia. DISCLAIMER . Thomas Corey Davis, PhD, CRNA. I have no current or past relationships w/ commercial entities. Minimal sedation . . ‘Drug-induced state during which patients respond normally to drug verbal commands’.. Moderate sedation/analgesia/conscious sedation . Zhe. Chen, MD . Assistant Clinical Professor . Andrew . Infosino. , MD. Clinical Professor. UCSF Benioff Children’s Hospital. UCSF Department of Anesthesiology & Perioperative Care. Disclosures.