Type your tag names separated by a space and hit enter

Anesthesia for Pediatric Surgery - Periprocedural considerations and Fasting Guidelines

Anesthesia for Pediatric Surgery - Periprocedural considerations and Fasting Guidelines is a topic covered in the Clinical Anesthesia Procedures.

To view the entire topic, please or purchase a subscription.

Anesthesia Central is an all-in-one web and mobile solution for treating patients before, during, and after surgery. This collection of drug, procedures and test information is derived from Davis’s Drug, MGH Clinical Anesthesia Procedures, Pocket Guide to Diagnostic Tests, and MEDLINE Journals. Explore these free sample topics:

Anesthesia Central

-- The first section of this topic is shown below --

Periprocedural Considerations

Periprocedural Considerations

  1. Children face a multiple stressors in the perioperative period. They may not understand the specific disease; the concept of anesthesia, or the procedure itself. Honesty about the procedure(s), associated pain, and the sequence of events is essential in maintaining the trust of children regardless of their level of development.
    1. Approaches to optimize the periprocedural experience include the use of nonpharmacologic techniques. Examples of these strategies include distraction, humor, sharing control (e.g., would you like to sit up or lie down for induction?), and medical reinterpretation of equipment. The use of a child life specialist, tablet, and/or a teaching module may decrease the need for preprocedure pharmacologic therapy and improve a child's experience.
  2. Infants less than 8 months old generally tolerate short periods of separation from parents and usually do not require premedication.
  3. Children 8 months to 5 years of age likely have developed separation anxiety and may require sedation before the induction of anesthesia.
  4. Older children generally respond well to information and reassurance. Parental and patient anxiety may be reduced by having parents accompany their children to the operating room. An especially anxious child may benefit from premedication.
  5. Premedication with intramuscular (IM) anticholinergics generally is not recommended. If vagolytic drugs are indicated, they are usually administered intravenously (IV) at the time of induction of anesthesia.
  6. In the presence of gastroesophageal reflux, ranitidine (2 to 4 mg/kg PO, 2 mg/kg IV) along with metoclopramide (0.1 mg/kg) can be administered 2 hours before surgery to increase gastric pH and reduce gastric volume.
  7. Children receiving medications for medical problems such as reactive airways disease, seizures, or hypertension should continue to take these medications preoperatively.

-- To view the remaining sections of this topic, please or purchase a subscription --


Pino, Richard M., editor. "Anesthesia for Pediatric Surgery - Periprocedural Considerations and Fasting Guidelines." Clinical Anesthesia Procedures, 9th ed., Wolters Kluwer, 2019. Anesthesia Central, anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728329/all/Anesthesia_for_Pediatric_Surgery___Periprocedural_considerations_and_Fasting_Guidelines.
Anesthesia for Pediatric Surgery - Periprocedural considerations and Fasting Guidelines. In: Pino RM, ed. Clinical Anesthesia Procedures. 9th ed. Wolters Kluwer; 2019. https://anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728329/all/Anesthesia_for_Pediatric_Surgery___Periprocedural_considerations_and_Fasting_Guidelines. Accessed April 22, 2019.
Anesthesia for Pediatric Surgery - Periprocedural considerations and Fasting Guidelines. (2019). In Pino, R. M. (Ed.), Clinical Anesthesia Procedures. Available from https://anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728329/all/Anesthesia_for_Pediatric_Surgery___Periprocedural_considerations_and_Fasting_Guidelines
Anesthesia for Pediatric Surgery - Periprocedural Considerations and Fasting Guidelines [Internet]. In: Pino RM, editors. Clinical Anesthesia Procedures. Wolters Kluwer; 2019. [cited 2019 April 22]. Available from: https://anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728329/all/Anesthesia_for_Pediatric_Surgery___Periprocedural_considerations_and_Fasting_Guidelines.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Anesthesia for Pediatric Surgery - Periprocedural considerations and Fasting Guidelines ID - 728329 ED - Pino,Richard M, BT - Clinical Anesthesia Procedures UR - https://anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728329/all/Anesthesia_for_Pediatric_Surgery___Periprocedural_considerations_and_Fasting_Guidelines PB - Wolters Kluwer ET - 9 DB - Anesthesia Central DP - Unbound Medicine ER -