Paediatric Anaesthesia

We devote special attention to children and, of course, their parents, which is why children are also the first to undergo surgery in the morning.

Our main concern in paediatric anaesthesia is to make the procedure as stress-free as possible for both children and parents. About 15 to 20 minutes before the induction of anaesthesia, younger children are usually given a suppository containing an anxiolytic. For older children, we also use mild sedative tablets.

The children soon become sleepy and stop being afraid. The parents remain with their children during this time. The children then have no recollection of anything that occurred between being given the suppository or tablet and waking up from the anaesthetic.

There are two methods for the induction of anaesthesia for children. The most popular and frequent procedure involves mask induction, in which the s child is asked to ‘blow up a balloon’ using a face mask. A pleasant-smelling anaesthetic drug is mixed in through the mask when the child inhales, putting them to sleep in only a few breaths.

In the second method, a drug is injected into a vein, for which a tube (cannula) has to be inserted beforehand. This procedure is predominately used for older children. To ensure that this does not become a painful experience for young patients, a plaster containing local anaesthetic is applied to a child’s hand and forearm about 1 hour before the operation, which enables the cannula to be inserted painlessly. Once the child is asleep, we continue anaesthesia by using either anaesthetic gas or a drug administered through the vein. The child is administered analgesics during surgery, which also remain effective after the operation in order to ensure that the child wakes up without pain.

Once children come round after this procedure, they are returned to their parents and then taken to the ward by nursing staff.

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Academic teaching hospital of the RWTH technical university, Aachen

Clinic for Anaesthesia and Surgical Intensive Care

Dechant-Deckers-Str. 8
52249 Eschweiler

+49 2403 - 76-1891

St.-Antonius-Hospital gGmbH
Dechant-Deckers-Str. 8
52249 Eschweiler
tel.: 02403 76 - 0
fax: 02403 76 -1119

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