Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Principles 4 > Peds PPt-Josh > Flashcards

Peds PPt-Josh Flashcards

1
Q

What is normal ICP oin small children

A

2-4 mmHg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

why is a childs ICP less

A
  • Skull of a newborn doesn’t fuse until about the end of 1st year of life
  • Inracranial space more compliant
  • Dura can expand in response to edematous brain tissue fro trauma or mass lesion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

b/c the Skull of a newborn doesn’t fuse until about the end of 1st year of life and Inracranial space more compliant
Dura can expand in response to edematous brain tissue fro trauma or mass lesion, what does this mean????

A

May no exhibit s/s of increased ICP until disease is advanced

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is the goal of ICP at ANY age?

A

<20

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is the recommended CPP for children younger than 8 (remember adults is about 70)

A

>40

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the recommended CPP for children older than 8? (remember adult is 70)

A

> 60

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

A CPP less than __ is correlated w/ worse outcomes w/ any ICP in children

A

<40

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

CBF is tightly coupled to ____ _____

A

metabolic demand

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

There is a larger proportion of ___ to the brain of an infant

A

CO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Autoregulation of CBF is what in newborns?

A

20-60

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

the neonate is at risk of cerebral _____ and ____ w/sudden hypotension and HTN

A

Ischemia

IVH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are methods to lower ICP?

A
  • Same as in adult
  • Elevate head
  • Keep head neutral (prevent kinking of Jugular (JUGGLAR)
  • Hyperventilation
  • Steroids
  • Diuretics
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Preoperative Eval and Prep:

what should all children get preop? and why? (hint.. a test not labs or drugs)

A
  • Echo and CV consult
  • B/c CHD may not be appearent immediatel after birth
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Preoperative Eval and Prep:

shoudl kids get anxioloysis meds?

A

Fuck yeah!!!!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How can Midaz be given

A

oral

Nasal

IV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Intraoperative and Induction:

what is a good induction tech for these munchkins?

A

Inhalation induction w/ sevo and N2O/O2 and a NDMR

or Propofol

RSI for ones w/ risk of aspiration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

the larynx is funnel shaped and the narrowest point is a the level of the ____

A

Cricoid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

the larynx is funnel shaped and the narrowest point is a the level of the cricoid, this puts the pt at risk for what?

A
  • Subglottic obstruction from mucosal swelling postop
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what can happen the the ETT during the surgery if the surgeon places flexion on the neck

A

Migrate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Since the ETT can migrate what type of intubation is prefered by some providers

A

nasal intubation

(this just doesn’t make any fucking sense, first you want a fast and non-stimulating intubation, well forget that wth this. and 2 the tube seems like it would still migrate considering the nasal passage is located just cephalad the oral cavity…. but thats just me not the test)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what happens to the need for NMB in pts on chronic anticonvusants

A

they may require larger doses, b/c of induced enzymatic metabolism

22
Q

anesthestic preferences are the same as the adult

A

VAA 1/2 MAC, opioid, etc

23
Q

what fluid to you want to administer NS or LR

24
Q

Do you want to keep pt warm or noral temp or cold

A

warm (large surface area

25
same as adult
* A-line * Precordial * EEG, SSEP. MEP * Mannitol * etc * No differences here not redoing the shit
26
Physiologic Effects of Patient Positioning: Head elevated (4)
* Enhanced cerebral venous drainage * Decreased Cerebral Blood flow * Increased Venous pooling in lower extremities * Postural hypotension
27
Physiologic Effects of Patient Positioning Head down (3)
* Increased Cerebral venous and intracranial pressure * Decreased Functional residual Capacity (lung fxn) * Decreased Lung compliance
28
Physiologic Effects of Patient Positioning Prone ( 3)
* Venous Congestion of face /tongue/ and neck * Decreased Lung compliance * Increased abdominal pressure can lead to venocaval compression
29
Physiologic Effects of Patient Positioning Lateral Decubitus (1)
* Decreased Compliance of down side lung
30
whare does teh Kid go post extubation
* ICU w/ serial neurological examination
31
what are 3 common pediactric Neuro procededures
1. Hydrocephalus 2. Myelomeningocele 3. Craniosynostosis
32
what is the most common procedure in ped neuro sx
VP Shunt:
33
VP Shunt: is the overproduction of CSF or outfloe obstruction d/t a ____ or ____ \_\_\_\_\_
* Tumor * Chiari Malformation
34
VP Shunt: what determines the anesthestic management?
Mental status
35
VP Shunt: what is teh main purpose of the shunt
COntrol intacranial HTN
36
VP Shunt: is often done in neonates at the same time as a _______ repair
Myelomeningocele
37
What is the most common congenital defect of the CNS
Myelomeningocele
38
Myelomeningocele: is teh posterior protrusion of the spinal cord and meninges through a defect in the spinal column usually in what region of the back?
Lumbar
39
Myelomeningocele: these kids may also have what d/o
Chiari Malformation
40
Myelomeningocele: they must have urgent sx w/in ____ hours of birth
24 hrs
41
Myelomeningocele: positioning is a challenge how would you position for intubation
* Donut under back * laterally
42
Myelomeningocele: case is done in what position?
Prone
43
Myelomeningocele: what do you want to avoid and why?
* Latex * 70% of children w/ Myelomeningocele report latex allergy later in life
44
Myelomeningocele: what temo to you wnat to keep these kids
warm
45
Myelomeningocele: what is the fluid amounts for these kids
LR or NS 25 mL/kg 1st hr 6-8mL/kg/hr thereafter
46
Myelomeningocele: they have a significant risk for what?
Hypothermia
47
Craniosynostosis: what is it
whan 1 or more of the bones in the skull fuse together arlier than normal
48
Craniosynostosis: what should always be available for these sx's? and why?
* PRBCs * significant blood loss * More blood loss w/ increased # of sutures
49
Craniosynostosis: there is a risk of VAE, this can minimized how?
* Early detection * Euvolemia
50
thats it for baby shit!!! flip for reward

Principles 4 (20 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions