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When Your Child Needs Anesthesia

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American Society of Anesthesiologists Public Education Series

Preparing Your Child for Surgery

  • Tell your child as much as possible about what to expect
  • Hospital programs/Child Life Specialists
  • Discussion with surgeon
  • Discussion with anesthesiologist

The Anesthesiologist: Physician / Medical Specialist

  • 4 years of college
  • 4 years of medical school
  • 1 year internship
  • 3 years of residency training in anesthesiology
  • Subspecialty fellowship training

American Board of Anesthesiology Requirements

  • Written examination
  • Oral examination
  • Recertification examination
  • Subspecialty certification

Role of Anesthesiologist Before Your Child's Operation

  • Obtain general medical history
    • Medical conditions and diseases
    • Medications / allergies
  • Discuss your child's prior anesthetic experience
  • Discuss relevant family anesthetic history
  • Perform a focused physical examination

Order, Review and Interpret Lab Tests and Diagnostic Studies

  • Order preoperative medications
  • Determine optimal anesthetic technique
  • Explain the anesthetic plan to you and your child and
  • Answer any questions that you may have
  • Obtain informed consent for anesthesia from parent or guardian

Types of Anesthesia: What Is Best For My Child?

  • General Anesthesia
    • induction
      • intravenous
      • mask
  • Regional Anesthesia
  • Local anesthesia with intravenous sedation
  • Local anesthesia

Role of Anesthesiologist During Your Child's Operation

  • Maintaining appropriate depth of anesthesia
  • Monitoring and supporting vital functions
    • heart
    • lungs
    • kidneys
    • temperature
  • Diagnosis and treatment of medical conditions
  • Managing fluid therapy & blood transfusions

Role of Anesthesiologist After Your Child's Operation

  • Safe transfer to Post Anesthesia Care Unit (PACU)
  • Management of pain
  • Management of respiratory care
  • Immediate postoperative care
  • Evaluation for discharge to home or patient room

Procedures Outside of the Hospital: Questions Parents Should Ask

  • How long will the procedure last?
  • How many have been performed in the office?
  • What type of anesthesia is necessary?
  • Who will administer the anesthetic?
  • Are they experienced in anesthetizing children?
  • Will the person providing my child's anesthesia be present throughout the procedure and during the recovery period?
  • Are monitors and resuscitation supplies in the office?
  • What is the plan if my child requires admission to a hospital?

Disclaimer: The information provided is not intended to replace the advice of a medical professional. If you have medical concerns, seek the guidance of a medical professional. Consult your physician about any medications, supplements or treatments you are considering, and when seeking treatment, disclose all medications you are taking or treatments you are receiving. Riley Hospital for Children, University Pediatric Associates and IU School of Medicine disclaim any liability for the decisions you make based on this information.

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