How do you explain anesthesia to a child?
TIP: Be careful about words with double meanings. For example, if your child might be reminded of a family pet that was “put to sleep,” avoid those words. Instead, say something like “The medicine will help you take a nap until the surgery is done.”
Does autism affect anesthesia?
Children with autism spectrum disorder (ASD) have an increased rate of hospital contact and are likely to require sedation and anesthesia for surgeries, procedures, and imaging tests. Lee et al. has demonstrated that children with autism were about two to three times more likely to experience an injury that needs …
How do you sedate a child with autism?
An effective premedication is the key starting point of a smooth induction and uneventful anesthesia. Midazolam is an excellent drug in this regard for children with milder forms of autism while ketamine is often the choice for children with moderate to severe forms.
How do I talk to my child about anesthesia?
To support and help your child:
- Talk to the surgery team about what will happen before, during, and after the surgery.
- Answer your child’s questions honestly, using language that’s right for their age.
- If the hospital has a child life specialist, ask your child if they would like to meet with them.
Which anesthetic problem is most likely in pediatric patients?
PONV is the most common problem associated with general anesthesia. An estimated 40% to 50% of children experience PONV after receiving general anesthesia.
Can anesthesia during pregnancy cause autism?
Exposure to general anesthesia may contribute to the association between cesarean delivery and autism Spectrum disorder.
What do they give kids before anesthesia?
Children of all ages may have: Solid food until 8 hours before anesthesia. Keep in mind that baby food and cereal are solid foods. In general, no solid foods are allowed after a certain time on the evening before anesthesia. Clear liquids until 2 hours before anesthesia.
What are the instruments used in during Anaesthesia?
Instrument list
| Instrument | Uses |
|---|---|
| Anesthetic vaporizers | vaporizes the anesthetic |
| Oxygen mask | to deliver oxygen and/or to administer aerosolized medications |
| Nasal oxygen set | to deliver oxygen |
| Guedel airways | hard part of the airway maintenance that connects the mouth part to the pharyngeal part |
Is propofol contraindicated in children?
The 2002 Compendium of Pharmaceuticals and Specialties states that propofol is indicated for anesthesia in children 3 years of age and older but that it is not recommended for sedation in children under the age of 18 years, either during surgical or diagnostic procedures or in the ICU.
Why do most anesthesia providers sedate autistic children?
Because most anesthesia providers are very much part of the mainstream, they see only “autistic” behaviors, and they try to compensate for those behaviors by sedating the child. Such a provider does not understand the metabolic problems underlying those behaviors.
Does your child need anesthesia?
A disproportionate number of those children have diagnosed developmental delays and behavioral problems in addition to their medical problems. There are no available statistics to quantify the numbers, but my anecdotal observations tell me that children need anesthesia in numbers that would have shocked us a decade or more ago.
What do anesthetic providers need to know about ADHD?
Anesthesia providers generally are aware of the prevalence of diagnosed ADHD and the various drugs these children might be on. They understand that autistic children might also be on stimulant or antipsychotic drugs; therefore, they must consider specific, necessary anesthetic considerations.
What is the typical anesthesia provider’s approach?
The typical anesthesia provider is aware of the behavioral problems in our children and will do anything to make the anesthetic experience as smooth as possible. Most anesthesia providers will have a preoperative telephone interview to discuss our children’s needs.