AI Article Synopsis

  • Ambulatory surgery can reduce long-term psychological stress in children, but careful patient selection is necessary.
  • It is important for children and their parents to meet with an anaesthetist before the surgery, where relevant lab tests should be conducted.
  • Caudal anaesthesia, performed after general anaesthesia induction with a specific local anesthetic mixture, can effectively manage postoperative pain, allowing for quicker recovery and comfort.

Article Abstract

Ambulatory surgery appears to minimize lasting psychological upset in children. Patients must be properly selected. It is essential that the children and their parents should have a visit with an anaesthetist prior to the patient's admission. Laboratory investigations should be prescribed at that time after questioning and examining the patient. Caudal anaesthesia is a useful regional technique for postoperative pain relief in children. Sacral canal puncture is carried out after the induction of general anaesthesia. Only a light state of general anaesthesia is required. The local anaesthetic mixture is made of equal volumes of 1% lidocaine and 0.5% bupivacaine without adrenaline. Rapid awakening, early feeding and pain relief increase reliability and comfort.

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Source
http://dx.doi.org/10.1016/s0750-7658(87)80061-8DOI Listing

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