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  • 3 weeks ago

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00:00Namaste to all of you. Thank you Dr. Ganesh.
00:03As you all know, Pediatric Anesthesia is a big deal.
00:08You have a very good procedure.
00:11And you require very highly skilled anesthesiologist
00:15with a lot of expertise and somebody who has done a lot of Pediatric Anesthesia.
00:20Knowing that the child was just seven weeks, one and a half months
00:25is a very, very high risk procedure for anesthesiologist.
00:29We can divide it into three parts.
00:32There is a pre-anesthetic period, anesthesia period, and a post-anesthesia period.
00:38Pre-anesthesia period, what are the challenges?
00:41It is congenital cataract.
00:43It is put together.
00:45So it can be part of various congenital syndromes.
00:49So it can be part of various young people.
00:54There are two people who have Down syndrome.
00:57And they have Marfan syndrome.
00:59Dr. Heller has galactisemia.
01:02So there are many 15 to 25 syndromes.
01:05So in pre-operative period,
01:07we as anesthesiologist,
01:09we have done pre-anesthetic evaluation.
01:12Pre-anesthetic evaluation,
01:14we have detailed history of parents and family history.
01:18During the pregnancy,
01:20What is the problem?
01:21What is the problem?
01:22What is the problem?
01:23What is the problem?
01:24What is the problem?
01:25What is the child thriving?
01:26What is the heart?
01:28Usually congenital cataract is associated with cardiac disease.
01:33Some cardiac anomalies.
01:35So what is the problem?
01:36So we have to start a cardiac evaluation.
01:39That's a rule out.
01:42At that time,
01:43there are other airway problems.
01:44And associated airway problems
01:46are located in the congenital cataract.
01:48So when we are going to ask the detail examination,
01:51investigation, and evaluation
01:53parents explain them.
01:56This is the benefit.
01:58This is the risk.
02:00And these are the alternatives.
02:02I am concerned about this anesthesia and I will explain all the details about this anesthesia.
02:07If you have a patient, you will have fasting.
02:11Usually, if you have a patient, you will have fasting.
02:15Because if you have a patient, you will have to deoxygenate.
02:23So these two things are very critical for the anesthesiologist.
02:26So during anesthesia, the most important thing is airway management.
02:31It is very important to know that they have unique anatomy, unique physiology,
02:45which is very sensitive and the organs are immature.
02:49This is the maturity of the brain.
02:51Luckily, he was a full-term caesarean section baby.
02:55So we were lucky.
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