Pediatric Anesthesia: A Guide for the Non-Pediatric Anesthesia Provider Part II

Author(s): Ian Brotman* and David Youssef

DOI: 10.2174/9789815036213122010008

Anesthesia-Related Genetic Disorders

Pp: 140-152 (13)

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* (Excluding Mailing and Handling)

  • * (Excluding Mailing and Handling)

Abstract

SHS investigation development is considered from the geographical and historical viewpoint. 3 stages are described. Within Stage 1 the work was carried out in the Department of the Institute of Chemical Physics in Chernogolovka where the scientific discovery had been made. At Stage 2 the interest to SHS arose in different cities and towns of the former USSR. Within Stage 3 SHS entered the international scene. Now SHS processes and products are being studied in more than 50 countries.

Abstract

Numerous pediatric genetic disorders have anesthetic implications; however, the ones that should be familiar to all anesthesiologists are those associated with malignant hyperthermia, pseudocholinesterase deficiency, and opioid prescribing. Genetic defects leading to ryanodine receptor mutations in malignant hyperthermia require attention in both anesthetic technique and pre-induction preparation. Pseudocholinesterase deficiency associated with rare mutations of pseudocholinesterase may be encountered by all anesthesiologists and has specific operative and postoperative considerations. Finally, opioids are a common modality for pain control throughout surgical care. Awareness of genetic differences in activation and metabolism for different opioids, as illustrated with codeine usage in pediatrics, is necessary for safe pain management prescribing. 

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