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Anesthetic management of children undergoing specialized orthopedic surgeries

Dinesh K Choudhry1, Abraham Oommen2,3, Manish Purohit2

  • 1Department of Anesthesiology, Shriners Children's Philadelphia, Pennsylvania, USA.

Journal of Clinical Orthopaedics and Trauma
|October 31, 2025
PubMed

Insights

Anesthesiologists require specialized knowledge for pediatric orthopedic surgeries. This review covers anesthetic considerations for common childhood musculoskeletal disorders like cerebral palsy and osteogenesis imperfecta to ensure safe care.

Area of Science:

  • Pediatric Anesthesiology
  • Pediatric Orthopedics
  • Musculoskeletal Disorders

Background:

  • Children with musculoskeletal disorders often require complex surgical interventions.
  • Anesthetic management for these pediatric patients presents unique challenges.
  • Specialized knowledge is crucial for safe and optimal surgical outcomes.

Purpose of the Study:

  • To review anesthetic considerations for common pediatric orthopedic conditions.
  • To highlight the importance of specialized anesthetic knowledge and skills.
  • To provide an overview of perioperative management strategies.

Main Methods:

  • Review of existing medical literature.
  • Inclusion of institutional experience with pediatric orthopedic anesthesia.
  • Focus on common conditions: cerebral palsy, osteogenesis imperfecta, arthrogryposis multiplex congenita, and achondroplasia.

Main Results:

  • Specific anesthetic challenges associated with each condition were identified.
  • Perioperative considerations for safe anesthetic management were outlined.
  • The review synthesizes current knowledge and practical experience.

Conclusions:

  • Safe anesthetic management in pediatric orthopedic surgery requires specialized expertise.
  • Understanding the nuances of conditions like cerebral palsy and osteogenesis imperfecta is vital.
  • This review serves as a guide for optimizing anesthetic care in this patient population.

Keywords:
AchondroplasiaAnesthesiaArthrogryposis multiplex congenitaCerebral palsyMusculoskeletal disordersOsteogenesis imperfectaSkeletal dysplasia

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