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Childhood-diseases

Question
Posted by: | 2019/09/09

Q.

2 year old getting tonsils removed.

Hi Dr. I have written to you a few times about our 2 year-old daughter with GDD and possible ASD. We are scheduled to have her tonsils and adenoids removed this Wednesday, she has had tonsillitis 4 times this year and it causes such major setbacks every time she gets so sick... We informed the ENT about the GDD/ASD and concerns regarding preparation for surgery as I do not want to subject her to sitting in a pre-op room for hours on end, hungry/thirsty and terrified because she doesn't understand what is going on.. The ENT reassured us that surgeries are scheduled by age and that he would prioritize her due to her difficulty communicating, so she will be first in for surgery at around 8am. I just wanted to ask your opinion regarding eating/drinking before surgery as the ENT suggested that we wake her up at 2am Wednesday morning to feed her and giver her a bottle and that it would not cause problems with the anesthesia, is this fine? I would like to keep her as comfortable as possible without causing issues.

Expert's Reply

A.

Paediatrician
- 2019/09/09

Thank you for your question and for keeping in touch. The usual practice with feeds prior to an anaesthetic is for there to be at least an 8 hour period of no food or drink prior to the anaesthetic. If you are going to feed your daughter, it would be better to feed her at midnight prior to an 8 am operation. I hope that the operation is very successful.

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