Abstract
It is a truism that children are not just little adults. When a child comes for a surgical procedure, there are often additional pressures compared to an adult. For the neuromonitoring team involved in the care of a child, there are concerns and challenges related to the case that are pediatric-specific. In this chapter, the unique features of the pediatric patient and some surgical procedures that are pediatric-specific (or more common in the pediatric population) are considered. Although pediatrics is an important part of medicine and surgery, there are few textbooks on the neurophysiology of this population and even fewer on surgical neurophysiology.
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Review Questions
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1.
What are two anesthetic considerations when monitoring the pediatric patient?
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2.
If the monitorist is having difficulty obtaining MEP recordings in the pediatric patient, what might they try?
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Why are MEPs harder to obtain in young children?
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What precautions should be taken when placing scalp electrodes in the pediatric patient?
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Norton, J.A. (2020). Neuromonitoring in the Pediatric Patient. In: Davis, S., Kaye, A. (eds) Principles of Neurophysiological Assessment, Mapping, and Monitoring. Springer, Cham. https://doi.org/10.1007/978-3-030-22400-4_19
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DOI: https://doi.org/10.1007/978-3-030-22400-4_19
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