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Ebook Coté and Lerman''s a practice of anesthesia for infants and children (6/E): Part 2

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Nội dung chi tiết: Ebook Coté and Lerman''s a practice of anesthesia for infants and children (6/E): Part 2

Ebook Coté and Lerman''s a practice of anesthesia for infants and children (6/E): Part 2

SECTION VIThe AbdomenOUTLINE28Essentials of Nephrology29General Abdominal and Urologic Surgery30Essentials of Hepatology31Organ Transplantation290328E

Ebook Coté and Lerman''s a practice of anesthesia for infants and children (6/E): Part 2Essentials of NephrologyDelbert R. Wigfill l, Ịỡhn w. Foreman, Warwick A. AmesRenal PhysiologyFluids and ElectrolytesAcid-Base BalanceDisease StatesAc

ute Renal Failure and Acute Kidney InjuryChronic Renal FailurePreoperative Preparation of the Child With Renal DysfunctionPreoperative Laboratory Eval Ebook Coté and Lerman''s a practice of anesthesia for infants and children (6/E): Part 2

uationPerioperative DialysisMedicationsIntraoperative ManagementStrategies for Renal ProtectionVascular AccessEnvironmentFluids and Blood ProductsAnes

Ebook Coté and Lerman''s a practice of anesthesia for infants and children (6/E): Part 2

thetic Agents2904Postoperative ConcernsTHE ANESTHESIA PRACTITIONER IS OFTEN FACED with a child who has acute kidney injury (AKI) or renal failure. Ren

SECTION VIThe AbdomenOUTLINE28Essentials of Nephrology29General Abdominal and Urologic Surgery30Essentials of Hepatology31Organ Transplantation290328E

Ebook Coté and Lerman''s a practice of anesthesia for infants and children (6/E): Part 2ential complications. Tills requires a thorough understanding of the excretory and fluid homeostatic functions of the kidney, particularly in the neon

ate and younger child. If not managed assiduously, perioperative renal dysfunction can deteriorate into renal failure or multiorgan system failure res Ebook Coté and Lerman''s a practice of anesthesia for infants and children (6/E): Part 2

ulting in significant morbidity or mortality. The anesthesia provider must understand renal physiology, appropriate preoperative preparation, intraope

Ebook Coté and Lerman''s a practice of anesthesia for infants and children (6/E): Part 2

rative management, and postoperative care of the child with renal disease.Renal PhysiologyThe basic functions of the kidney are to maintain fluid and

SECTION VIThe AbdomenOUTLINE28Essentials of Nephrology29General Abdominal and Urologic Surgery30Essentials of Hepatology31Organ Transplantation290328E

Ebook Coté and Lerman''s a practice of anesthesia for infants and children (6/E): Part 2plasma. The glomerular filtration rate (GFR) depends on renal blood flow (RBF), which depends on the systolic blood pressure and circulating blood vol

ume. The kidneys are the best perfused organs per gram of weight in the body. They receive 20% to 30% of the cardiac output maintained over a wide ran Ebook Coté and Lerman''s a practice of anesthesia for infants and children (6/E): Part 2

ge of blood pressures through changes in renal vascular resistance. Numerous hormones play a role in this autoregulation, including vasodilators (i.e.

Ebook Coté and Lerman''s a practice of anesthesia for infants and children (6/E): Part 2

, prostaglandins E and 12, dopamine, and nitric oxide) and vasoconstrictors (i.e., angiotensin II, thromboxane, adrenergic stimulation, and endothelin

SECTION VIThe AbdomenOUTLINE28Essentials of Nephrology29General Abdominal and Urologic Surgery30Essentials of Hepatology31Organ Transplantation290328E

Ebook Coté and Lerman''s a practice of anesthesia for infants and children (6/E): Part 2area (BSA) or scaled using allometric theory (see Chapter 7), both RBF and GFR double in the first 2 weeks of postnatal life and both continue to incr

ease steadily, reaching adult values by 2 years of age (see Figs. 7.11 and 7.12).L2 The increases in RBE over time parallel similar increases in cardi Ebook Coté and Lerman''s a practice of anesthesia for infants and children (6/E): Part 2

ac output and decreases in renal vascular resistance. The initial GER and the rate of increase during the first few years correlate with the neonate’s

Ebook Coté and Lerman''s a practice of anesthesia for infants and children (6/E): Part 2

postmenstrual age at birth.2905For example, the GFR (corrected using BSA or allometry) of a neonate born at 28 weeks gestation is one-half of that of

SECTION VIThe AbdomenOUTLINE28Essentials of Nephrology29General Abdominal and Urologic Surgery30Essentials of Hepatology31Organ Transplantation290328E

Ebook Coté and Lerman''s a practice of anesthesia for infants and children (6/E): Part 2the following formula4'5:

SECTION VIThe AbdomenOUTLINE28Essentials of Nephrology29General Abdominal and Urologic Surgery30Essentials of Hepatology31Organ Transplantation290328E

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