FRAILTY IN CHILDREN. FROM THE PERIOPERATIVE MANAGEMENT TO THE MULTIDISCIPLINARY APPROACH

Section 1 Introductory aspects
1. Frailty in pediatrics: definition and care needs
• Section 2 Frail newborn infants
2. Premature Infants
3. Newborns with congenital malformations
• Section 3 Frail children
4. Frail Children with chronic lung disease
5. Frailty in patients with chronic kidney disease
6. The frail child with chronic liver disease
7. The Surgical Management of Children with Intestinal Failure
8. Children with obesity
9. Frailty in children with oncological disease
• Section 4 Operational improvement strategies
10. Operational Improvements in Neonatal Surgery
11. Operational improvement in pediatric surgery
12. Operational improvement in pediatric neurosurgery
13. Fragility of children with severe early onset scoliosis: Description and analysis of innovative techniques with “growing systems”
14. Medical and rehabilitation interventions in children with frailty
15. Operational improvement in Psycology
• Section 5 Conclusions
16. Follow-up to ensure continuity of care and support preventive care
17. Social aspects: Sutainability for the patient, the family
18. Transitional medicine, from childhood to adulthood.

This book focuses on the management strategies of complex conditions of frail pediatric patients. The clinical condition of frailty is usually seen as the physiological and multidimensional decline of organ systems related to age: paradoxically, a frailty condition can also occur in children as a disability resulting from various congenital or acquired diseases. The fragile patients are more vulnerable to developing severe clinical events and often need surgical interventions. Moreover, those patients have significant morbidity and lower quality of life. The improvement in managing fragile patients has improved their life expectancy, but in most health care systems, the passage from childhood to adulthood is a critical point for the lack of medical figures able to provide the continuity of care. The book aims to provide guidance for dealing with medical and surgical emergencies and to develop short and long-term treatment strategies, and will provide an analysis of the different and the most innovative techniques. This book will be an unvaluable tool for Pediatric surgeons, Anesthesiologists, Critical Care Physicians, Hospital and family Pediatricians, nurses, Physiotherapists and Psychologists.