Download - Anestesia pediatrica
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Dra. Amparo de los Ángeles Flores de PortilloMedico Anestesiólogo
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Tomar en cuenta a padres
Permitir participación
Exámenes de laboratorio
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2 horas líquidos claros
4 horas para leche materna
6 horas leche entera
8 horas sólidos
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Por diferentes vías
Benzodiacepinas
Opioides
Ketalar
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Occipucio Prominente, cabeza desproporcionadamente grande.
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Narina y conductos nasales estrechos
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Lengua grande respecto proporción orofaringe
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Epiglotis grande, rígida , ángulo 90 grados
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Laringe extiende rostral, cricoides porción mas estrecha
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Cuerdas vocales con inserción anterior caudal.
Forma de epiglotis omega.
Vía aérea en forma de embudo
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Regla 4-2-1
Reponer ayuno
Casos cortos 20 ml/kg
Perdidas de 3er espacioAbdomen 6-15 ml/kg/h
Tórax 4-7 ml/kg/h
Evaluar diuresis
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Perdida Sanguínea Máxima Tolerable
VSE 80 -90ml/k lactante
70 ml/kg > 1ª
VSE x (Ht inic – Ht Deseado)
Ht Inic
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Hipotermia
Consumo de O2 Aumentado
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Opiodes
Aines
Acetaminofen
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