BEFORE SURGERY
Children and anaesthesia
Having an operation can be unfamiliar for both children and parents. The information below explains how you can help prepare your child for their anaesthetic and what to expect on the day.
Further information
For more detailed information about anaesthesia for children, you can read the ANZCA patient information guide.
Preparing your child
Preparing your child in an age-appropriate way can make the experience less stressful. The information below provides general guidance about preparing for hospital, fasting and what happens around the time of the anaesthetic.
Children generally cope better when they know what to expect. Talk to your child about coming to hospital in a way that is appropriate for their age and level of understanding.
Try to be simple and reassuring without making promises about exactly what will happen. It can help to explain that they will meet the doctors and nurses looking after them and that you will be with them for as much of the process as possible.
Younger children may find it helpful to bring a favourite toy, comforter or other familiar item with them to hospital.
Your child must follow the fasting instructions provided by the hospital or surgeon. Fasting reduces the risk of stomach contents entering the lungs during an anaesthetic.
The exact time your child needs to stop eating and drinking depends on their age, the type of food or drink and the planned procedure.
Please follow the instructions given to you by the hospital. If you are unsure when your child should stop eating or drinking, contact the hospital before the procedure.
Do not fast your child for longer than instructed.
When you arrive at hospital, your child will be admitted and prepared for their procedure. I will meet you and your child before the anaesthetic.
This is an opportunity to discuss your child's health, previous anaesthetics, medications, allergies and any concerns you may have. I will also explain the anaesthetic plan and answer your questions.
Please let us know if your child has been unwell recently, particularly if they have developed a cough, cold, fever or other illness.
Most children will go to sleep by breathing anaesthetic gas through a mask placed gently over their nose and mouth. They will usually become sleepy and fall asleep quite quickly.
Some children may become anxious or resist the mask as they are going to sleep. If this happens, you may be asked to help by gently holding your child close, giving them a hug or holding their hand while I continue the anaesthetic. Your presence and reassurance can help make this brief period easier for your child.
Once your child is asleep, I will usually place a small plastic tube (cannula) into a vein so that medicines and fluids can be given during the procedure.
A parent or carer can usually stay with their child while the anaesthetic is started, depending on the circumstances and hospital policy.
After the procedure, your child will be taken to the recovery area where they will be cared for by recovery nurses while they wake from the anaesthetic.
Children can react differently as they wake. Some wake quietly, while others may initially be sleepy, confused or upset. The recovery team will monitor your child and treat pain, nausea or other symptoms if required.
You will usually be reunited with your child as soon as it is appropriate to do so.
Children often take their cues from the adults around them. Remaining calm and reassuring can help your child feel more secure.
You can help by explaining what is happening in simple language, answering questions honestly and bringing familiar items that may provide comfort.
Please tell us about anything that may help your child cope with the hospital environment. This is particularly important if your child has additional needs, significant anxiety, sensory sensitivities or has previously found medical procedures difficult.
If there is anything you are worried about, please discuss it with me before the anaesthetic.