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Perioperative care of children with a metabolic disease

Veyckemans, Francis;Scholtes, Jean-Louis
(2015) Perioperative Medicine in Pediatric Anesthesia — ISBN: [978-3-319-21959-2], p. 175-186, published

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Authors
  • Veyckemans, FrancisUCLouvain
    Author
  • Scholtes, Jean-Louisorcid-logoUCLouvain
    Author
Abstract
The perianesthetic care of the child with a metabolic disorder is a stressful experience for the child’s family and at least a pharmacologic challenge for the anesthesiologist. A careful team approach is necessary to plan each aspect of anesthetic care. Moreover, mild forms of metabolic disorders can present as unexplained perioperative events: the anesthesiologist should keep the diagnosis of previous undiagnosed metabolic disorder in its diagnostic approach to these problems. This chapter proposes a frame to help the anesthesiologist establishing an anesthetic plan adapted to the child’s known or suspected pathology and its current preoperative status and highlights the importance of developing a “metabolic reflex” when a child presents with an unusual clinical picture in the perioperative period
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Citations

Veyckemans, F., & Scholtes, J.-L. (2015). Perioperative care of children with a metabolic disease. In Ingelmo P. & Astuto (ed.), Perioperative Medicine in Pediatric Anesthesia (p. p. 175-186). Springer. https://doi.org/10.1007/978-3-319-21960-8_13