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Anesthetic considerations for the pediatric oncology patient – Part 3: pain, cognitive dysfunction, and preoperative evaluation
Author(s) -
LATHAM GREGORY J.,
GREENBERG ROBERT S.
Publication year - 2010
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/j.1460-9592.2010.03261.x
Subject(s) - medicine , neurocognitive , psychosocial , pediatric oncology , cognition , anesthetic , pediatric cancer , intensive care medicine , population , childhood cancer , cancer , psychiatry , environmental health
Summary In part three of this three‐part review, we continue with discussion of the effects of tumor and its therapy as they impact neurocognitive functioning, psychosocial issues of the patient and family, and the mechanisms and experience of pain in the child with cancer. A discussion of preanesthetic testing and evaluation in this patient population is next presented for the reader, focusing on the factors which pose the commonest and greatest risks to the child undergoing surgery. Lastly, an algorithmic approach to evaluating and managing key components of the medical history of pediatric patients is presented.