Childhood Diseases

Question
Posted by: Dani | 2010-03-03

Q.

Tonsillectomy &  Adenoidectomy

Good day Doctor

My son has been scheduled for surgery, on 24 March, to remove his adenoids (obstructive) and enlarged tonsillls, as well as a nasal wash. He is 31 months old.
We have been given the pre op requirements (solids until 22h00 and liquids until 02h00) by the ENT surgeon.
My concern is that he is still breastfeeding (on demand) and is a very demanding child.
I am very aware of the risks involved if we do not stick to the pre op fasting. He is a picky eater and I''m not sure that he will have a full meal the evening of the 23rd, that will help to keep him sustained.
I was just wondering if there isnt a formula/supplement available, that we can give him at about 13h00, the morning of the surgery, that will keep him satisfied and feeling ''full'', from then until his surgery, that wont interfere/cause any major life-threatening issues later in the morning, when he does eventually go in (we have to book in by 06h30 that morning)?

Thank you so much!
Dani

Expert's Reply

A.

Paediatrician

It is very important that your son does not have any food in his stomach when he goes in for the op. This is becuase he may vomit and breathe in some of the food in his stomach which is dangerous.I am not quite sure of the time lines in your question. Do you mean that you want to give him a liquid food supplement at 1am on the morning of his operation? This is not advisable as it will take several hours to be digested.

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2
user comments

C.

Posted by: heidi | 2010-03-03

we did the same, gave her some milk at twelve, op was at 10, and she was actually fine when she got up, we just did everything super fast, and hopped into the car. once the get to hospital, they are kind of distracted. buy some nik naks for him to eat, yip, the hospital actually recommends it and they''ll give him some coke as well (which my daughter wouldn''t drink because she''s not used to it). when they come out of the theatre, they are very " deurmekaar"  / crying and it is heartbreaking. i just held my little girl (she was 3½ ) until she fell asleep. day 5 to 10 was the worst for us, because the pain is the worst then and she also started refusing the supps. don''t give him anything that is mushy because it sticks to the wound, like pronutro. buy biscuits like marie or tennis biscuits or give him toast. we opted for the pre-med and i am very glad that we did. she can not remember anything about the theatre or op, just knows she went there. good luck, hope it all goes well. and as sambinoct said, it is the best decision.

Reply to heidi
Posted by: sambinoct | 2010-03-03

It is very important that you stick to the nil per mouth recommended by the ent. They will ask you before the op when his last food was. The risks are high. My cousins daughter woke up from surgery, only to vomit and inhale her own vomit and had infection in both her lungs! If he is going in at 6:30, he will be the first operation which will probably be 7:30. You can feed him straight afterwards and if he''s still breastfeeding it will be a great comfort for him. Rather wake him up at 1am and give him a big feed. I had the same thing with my son and was very worried that he will want the breast when he opens his eyes, but it all worked out fine. Don''t worry about it so much, you will need your strength for after the operation more :) Good luck and I know you will see that this is the best decision you''ve made to remove the tonsils.

Reply to sambinoct

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