Preparation
of the Child For Anesthesia and Surgery
You will meet your child's anesthesiologist prior to his or her
surgery. If your child is an in-patient you may be seen by an anesthesiologist
the night before the scheduled surgery. The anesthesiologist will
discuss your child's health and any medical problems he or she may
have. The anesthesiologist will inquire about any previous anesthetic
your child may have had and whether any family members have had
difficulty with anesthesia. S/He will discuss the anesthetic plan
with you and your child and answer any questions you have. We encourage
both parents and children to ask questions and express any concerns
they may have.
We
want your child to be in the best possible health prior to surgery.
It is not uncommon for children to develop a cold or other illness
just prior to surgery. Depending on the nature of the illness
and the type of surgery planned, it may be necessary to postpone
the surgery. Your anesthesiologist will decide based on what
s/he considers to be the safest course for your child.
It
is very important to follow the instructions your surgeon gives
you concerning food and liquid intake for your child before surgery.
Anesthesia is safest when given to someone who has an empty stomach.
If the stomach has food, liquid or a high acid content, it is possible
to have a serious complication during anesthesia. We realize how
difficult it is to deal with a hungry and thirsty infant or small
child, but we would never want to put your child at any unnecessary
risk. Children over the age of 1 year may ingest solid foods (which
includes milk or formula) up until 6 hours prior to the scheduled
procedure. Clear liquids (i.e., able juice, water, etc.) may be
ingested up until 2 hours prior to the procedure. For children less
than 1 year of age solid food is permitted up until 4 hours prior
to the procedure, and clear liquids up until 2 hours prior to the
procedure.
One
of a parent's biggest concerns is how to prepare the child for an
operation and the often frightening and confusing events which surround
surgery. Children will be less fearful and will tolerate the experience
much better when they are well prepared. The amount and kind of
information you give your child will obviously depend on the age
and development of the child; however, it is very important to be
honest with your child no matter what the age. There are several
ways to help inform yourself and your child about anesthesia and
the hospital experience.
Please
see other topics on Tours, Video, and Pre Operative Questionnaire
in this section.