Cover -- Contents -- Contributors -- Introduction -- Acknowledgements -- Abbreviations -- 1 The history of children's perioperative care -- Why history is important -- What is perioperative nursing? -- A brief history of perioperative nursing -- An overview of the history of surgery -- The development of perioperative nursing -- Key discoveries in perioperative care -- Early beginnings of surgery for children -- The growth of paediatric surgery -- Conclusion: perioperative nursing of children -- References -- 2 The psychosocial care of children in the perioperative area -- Children's perceptions of the operating theatre -- The effect of hospitalisation on children -- Models of care -- The presence of parents -- Play in the operating theatre suite -- Emotional, social and spiritual needs of the patient -- Conclusion -- References -- 3 Care of the child in the operating room -- Preparation of children for theatre -- Admission prior to surgery -- Observation -- Weight -- Surgical history -- Medical history -- Medications -- Body/site preparation -- Pre-admission clinic -- Emergency admission -- Day of surgery admission -- Reception in the operating suite -- Registration on entrance to the OR -- Fasting -- Other things to check on admission to the OR -- Safety of children in the operating theatre -- Specific safety issues for children during induction -- Post anaesthetic/post operative -- Standing orders -- Conclusion -- References -- 4 Nursing care and management of children's perioperative pain -- Introduction -- Preparing and teaching children and parents about pain -- Agency, education and training of health care professionals -- Assessing children's pain -- Core approaches to pain assessment -- What tools to consider using with particular groups of children -- Non-pharmacological interventions -- Overview of pharmacological intervention.

Routes of administration -- Other local anaesthetic infusions -- Discharge home -- Conclusion -- References -- 5 Surgical procedures on children -- Introduction -- Common surgical procedures performed on children -- Acknowledgement -- References -- 6 Day surgery for children -- Day procedure centres -- Pre-admission preparation -- Admission to the day procedure centre: preparations for surgery -- Compartment syndrome -- Admission to theatre -- Ward stage recovery: post-operative care -- Conclusion: support at home -- References -- 7 Anaesthesia in children -- Introduction: What is anaesthesia? -- The anaesthetic nurse -- Children undergoing anaesthesia -- Anaesthetic equipment -- Airways -- Anaesthesia -- Analgesia -- Patient preparation -- Fasting -- Premedication -- Loose teeth and nail polish -- Hearing aids and glasses -- Jewellery -- Preparation prior to patient arrival -- Patient arrival in theatre -- Induction -- Rapid sequence induction -- Fluids -- Monitoring -- Documentation -- Anaesthetic emergencies -- Anaphylaxis -- Suxamethonium apnoea -- Malignant hyperthermia -- Emergence -- Regional anaesthesia -- References -- 8 The paediatric post-anaesthetic care unit -- Introduction -- In the PPACU -- The post-operative environment -- Oxygen delivery -- Suction -- Physiological assessment and management of the paediatric post-anaesthesia patient -- A - Airway management and B - Breathing -- Respiratory complications and nursing interventions -- C - Circulation -- Thermoregulation and temperature abnormalities -- Post-operative nausea and vomiting -- Pain management in the PPACU -- Infection control -- Fluid and electrolyte balance -- Wounds and dressings -- Patient positioning -- Latex allergy -- Children with epilepsy -- Delayed emergence -- Emergence delirium -- Discharge of the patient from the PPACU -- Psychological assessment -- References.

9 Fetal surgery -- Introduction -- History -- The risks of fetal surgery -- Fetal conditions amenable to fetal surgery -- Ex utero intrapartum treatment (EXIT) -- The future -- References -- 10 Perioperative care of children with burns -- Introduction -- History -- Epidemiology of burns in children -- A multidisciplinary service approach -- Clinical assessment of burn severity -- A - Airway -- B - Breathing -- C - Circulation -- D - Neurological disability -- E - Exposure with environment control -- Classification of burn depth -- Determination of burn depth -- Laser Doppler scanning -- Electrical burns -- Chemical burns -- Calculation of burn surface area -- Management -- Burn wound care -- Preparation for theatre -- Pain management via acute pain service -- Post-operative care -- Physiotherapy -- Infection control -- Toxic shock syndrome -- Tetanus -- Human immunodeficiency virus (HIV)-positive children -- Scar management -- Discharge planning -- References -- 11 Paediatric transplantation -- Introduction -- Becoming an organ donor -- Types of donation -- Role of the transplant co-ordinator -- Donor care and management -- Making the donation request -- Preoperative care of a potential paediatric donor -- Perioperative care -- Recipient management and care -- Cardiothoracic organs -- Immediate post-operative care -- Liver -- Kidneys -- Small bowel, liver and multivisceral -- Reducing the risk of rejection of the new organ -- Longer-term post-operative care -- The future -- References -- Further reading -- 12 The care of children having endoscopic procedures -- Introduction -- The perioperative nurse's role -- Preparing children for endoscopic procedures -- Perioperative care -- Service perspectives -- Equipment for MIS and endoscopy -- Conclusion -- References -- 13 Ethical and legal issues in paediatric perioperative care -- Patients' rights.

Self-determination -- Privacy -- Confidentiality -- Consent -- Legal perspectives -- Medical futility -- Conclusion -- References -- Index -- A -- B -- C -- D -- E -- F -- G -- H -- I -- L -- M -- N -- O -- P -- R -- S -- T -- U -- V -- W.