1 Pre-operative preparation for anaesthesia and surgery

Charles J. Coté
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Abstract

When anaesthetizing a child one is anaesthetizing the entire family! It is important to provide detailed information regarding how you as the anaesthesiologist will provide the safest possible care for their child. Alleviating parental anxiety will alleviate patient anxiety.

During the pre-operative visit, the anaesthesiologist performs the physical examination while assessing abnormalities of the airway and the patient's level of anxiety and response to strangers. The anaesthesiologist determines the need for a pre-anaesthetic medication and whether the child might benefit from parents accompanying them to the operating room. Further preparation includes haematological evaluation for children less than 6 months of age; anaemic former preterms are particularly susceptible to apnoea. Underlying medical problems require appropriate evaluation. Review of past anaesthetic records helps determine difficulties with previous laryngoscopies as well as adequacy or inadequacy of previous pre-medication.

It is important to describe to the child that the sleep caused by anaesthesia is different than sleep at home. The sleep induced by anaesthesia is such that the child will not feel anything, will not remember anything, will not awaken during the operation but, when the anaesthetic gases are removed, they will awaken and return to their parents. Discussion regarding post-operative pain relief will comfort the child and family.

1术前麻醉和手术准备
麻醉一个孩子就是麻醉整个家庭!重要的是要提供详细的信息,关于你作为麻醉师将如何为他们的孩子提供最安全的护理。减轻父母的焦虑会减轻患者的焦虑。在术前访问期间,麻醉师进行身体检查,同时评估气道异常和患者的焦虑水平以及对陌生人的反应。麻醉师决定是否需要麻醉前药物,以及父母陪同孩子进入手术室是否对孩子有益。进一步的准备工作包括对6个月以下儿童进行血液学评估;贫血的早产儿特别容易出现呼吸暂停。潜在的医疗问题需要适当的评估。回顾过去的麻醉记录有助于确定以前喉镜检查的困难以及以前用药前的充分或不充分。向孩子说明麻醉引起的睡眠与在家睡眠是不同的,这一点很重要。麻醉引起的睡眠是这样的,孩子不会感觉到任何东西,不会记住任何事情,在手术过程中不会醒来,但是,当麻醉气体被移除时,他们会醒来并回到他们的父母身边。关于术后疼痛缓解的讨论将安慰孩子和家人。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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