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The scope of practice for a pediatrician is broad, and continues to expand. The clinician must understand physiology, disease processes, and interventions in patients ranging in age from neonates to young adults. Moreover, as a result of medical progress, children with chronic and complicated illnesses are seen in general pediatrics settings for their regular childhood care. The evolving knowledge base is matched by a growing repertoire of technical procedures for delivering healthcare. General pediatricians must be proficient in many of these and conversant in many others to properly counsel the families for whom they provide care.

The intent of Current Procedures: Pediatrics is to provide a comprehensive review of technical medical procedures applicable to pediatric patients. The content of the book particularly targets the general pediatrician but is also appropriate for other practitioners taking care of children, as well as medical students and residents. The material focuses exclusively on procedures and is not meant to be a comprehensive textbook of pediatric medicine. Rather, the aim is to provide a clinically useful, accessible guide with step-by-step instructions in an easy-to-use format.

The text is divided into three parts; the first covers the ABCs: airway stabilization, assisted breathing, and circulatory support and vascular access. The second part contains the rest of the alphabet—procedures organized by organ system. It encompasses those most likely to be used by general pediatricians. Each chapter focuses on a specific procedure, accompanied by instructive illustrations and presented in a standard format featuring:

• Indications
• Contraindications
• Equipment needed
• Risks
• Pearls and tips
• Patient preparation and positioning
• Review of anatomy
• Step-by-step procedure instructions
• Monitoring
• Complications
• Caveats
• Follow-up

The innovative third part addresses a need unmet in other similar texts. In recognition of the fact that generalists will often be the clinicians suggesting subspecialty evaluation and providing initial counseling to families, this text offers an overview of a number of subspecialty procedures. The generalist, while not actually performing the procedure, may need information (a general overview, reasons for referral, indications, risks, and benefits) to demystify the patient's and family's encounter with the subspecialist. This part is organized by organ system and comprises a wide range of procedures, such as echocardiography, endoscopy, and electroencephalography. Finally, the appendix lists recommended equipment for a general pediatrics office.

The chapter authors are recognized authorities in their field and have drawn on their experience, as well as the published literature, to offer complete, lucid discussions of each procedure. We hope this text will become a well-thumbed reference kept in the most easily reached section of the bookshelf. We welcome the comments of our readers in improving and revising future editions.

Denise M. Goodman, MD, MSc
Thomas P. Green, MD
Sharon M. Unti, MD
Elizabeth C. Powell, MD, MPH

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