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