Abstract
Abdominal and pelvic procedures are characterized by a wide range of pathological processes which have their unique preoperative considerations, intraoperative management issues, postoperative pain control techniques, as well as special monitoring requirements (intraoperative or postoperative). Also typical of these procedures is the wide age and weight variation which ranges from extreme prematurity with very low birth weight in neonates to the near adult population who may be morbidly obese. Adding to this, changing physiology, disease-specific considerations, possible associated syndromes, and the challenging clinical practice of pediatric anesthesiologists involved in such procedures becomes evident. In this context, keeping a flexible and varied approach, adapted to the clinical settings of abdominal and pelvic procedures, is more important than a rigid specific recipe. This chapter will explore some of the common preoperative, intraoperative and postoperative considerations for the pediatric population in need of an abdominal or pelvic procedure.
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