Show | Hide all

INSTRUCTIONS

ANESTHESIOLOGY

BEFORE GENERAL ANAESTHESIA

Dear parents, please read the following instructions carefully. Any questions you have will be answered during the personal interview.
All paediatric operations are carried out with anaesthesia, which serves to remove the sense of pain while closely monitoring the body’s vital functions – in particular the circulation of blood and respiration.
It is carried out by a doctor – an anaesthesiologist with a specialization in anaesthesiology and resuscitation with a great deal of experience in paediatric anaesthesiology, in cooperation with a nurse specialized in paediatric anaesthesia. This team ensures the safety of your child throughout the entire operation.

General Anaesthesia

It is a state of controlled unconsciousness induced by medication and lasting from the beginning to the end of operation.
Anaesthesia is preceded by the administration of medication in the form of a pill about 30 minutes prior to the operation. This pre-operative medication serves to mitigate pre-operation stress and allow for easier introduction of the anaesthesia. The anaesthesia itself is started by administering the medication, an anaesthetic drug, into a vein, or by inhalation of a gaseous anaesthetic drug. The second option is
convenient for children because it is painless; the cannula is introduced into the child’s vein only after the introduction of the anaesthesia to the child.

Local Anaesthesia

It prevents the perception of pain only in a certain part of the body,the place of the operation. The drug – a local anaesthetic – is administered directly to the surgical site or to the neighbouring nerves, transferring pain from operation site. In children, local anaesthesia is always combined with general anaesthesia, so the child is already asleep when the medication is injected. The advantages of this combination include, in particular, a lower consumption of anaesthetic drugs, quicker awakening and principally the removal of feelings of pain for several hours after operation.

Intake of Food and Liquids

The child must have an empty stomach before the operation in order to prevent the inhalation of vomit during and after the operation. The child can eat last 6 hours before the operation (ideally the evening
before the operation) and drink clear liquids (water, tea) two hours before the operation. After the operation, the child will start drinking upon awakening from the anaesthesia. Clear, non-fizzy liquids in
small amounts are suitable. The child can eat a light, meat-free meal several hours after the operation.

Post-Operative Pain

Immediately after the operation, the child should not feel much pain, since the effect of the analgesic administered during the operation or of the local anaesthesia will last for several hours. You, too,
can contribute to better post-operative pain control by catching your child’s attention by reading its favourite book, playing together with a favourite toy and through your presence at the bed immediately
after the operation. Upon release, we will provide you with instructions on the use of common analgesic agents which you surely have at home (Panadol, Nurofen, Ibalgin, etc.).

What to Bring with you to the Operation:

  • Pyjamas and slippers
  • Fluids to drink, clear and non-fizzy (water, tea, apple juice…)
  • A favourite toy or book
  • A confirmation from your paediatrician that there is no contraindication to treatment with general anaesthesia

Inform us:

  • About food and drug allergyy
  • About chronic heart, lung, kidney, blood diseases, etc.
  • About any tendency for increased bleeding from common injuries or previous operations
  • About any regular medications; in order to take them before the operation it is necessary to consult with the anaesthetist
  • About complications in connection with previous operations and anaesthesia
  • About removable dental braces, rocking teeth, piercings

The child must not undergo planned surgery with general anaesthesia if:

  • It has or had in the last 2-3 weeks inflammation of the respiratory system
  • It was vaccinated in the previous 4-6 weeks
  • The exclusion of food intake before the operation was not observed

No anaesthesia is without risk

However, serious, life-threatening complications are extremely rare. The rate of risk is reduced through the suitable selection of the type of anaesthesia and anaesthetic drugs, monitoring of vital functions
during and after the operation and by our experience in paediatric anaesthesiology. You will contribute to the reduction of risk connected with surgery and anaesthesia by following our instructions and by filling
in our questionnaire honestly and completely, to be confirmed by your signature after the interview with the anaesthetist.


 

ISTRUCTONS

SURGICAL

How can you get to us?

You can come for examination in our outpatient department:

  • at the recommendation of your paediatrician
  • directly in case of your suspicion of any of the listed diagnoses

How many times the surgical outpatient department has to be visited?

  • Two times (once prior to the operation and once after the operation.)

From the first visit to the time of operation we communicate via e-mail and by phone. In the week before the operation, it is necessary to see your paediatrician so that he/she can exclude any acute disease of airways. We do not request blood tests!

How long does the operation and stay in the facility last?

Parents with the child will come on the date and at the time exactly agreed. The child will receive a pill (premedication). After half an hour we will take the child to the operation. The operation usually lasts 20-45 min. After the child wakes up and is examined, after about 1-2 hours, it will go home accompanied by its parents.

What should I do at home if my child seems to have a problem after the operation?

Every parent will receive a phone contact to the doctor, who performed the operation, for a possible consultation.