Should I tell my child about the surgery?
Yes. Definitely.
As their parent, you know them best and will be able to explain in language they will understand.
The hospital environment is scary and disorienting and should definitely not come as a surprise.
Many hospitals have orientation videos on their websites and play therapists to offer distraction.
Trust that the anaesthetist will have met every variety of anxious child and family before. Getting your child through this is what they do best.
Younger children may come for a “special day at the doctor’s…and get a special sticker (dressing / plaster). “
Older children will be “go to hospital and meet some doctors and nurses to help with the problem…”
What about feeding before surgery?
Your hospital will send you clear instructions about when to stop food, feed and fluids.
The risk of milk or food ending up in the wrong place during surgery far outweighs the unpleasantness of a hungry, angry child.
If the team seem blasé about keeping your child hungry, it is because they will have seen nasty chest infections arising from full stomachs at the time of anaesthesia.
Instead, focus on a lovely, comforting feed or meal after surgery, once it is safe and allowed to do so.
Should I read up on the operation?
Yes, if you want to.
We live in an information age and most doctors understand this.
Some people are quite happy to know only as much as they need to know, and trust the knowledge and experience of their team.
Some people need to do their own research! And that’s ok.
Pro tip: we also live in the disinformation age!
Just because you’ve read a lot doesn’t mean you are in full command of all the facts. You will have the chance to discuss the matter with a subject specialist, who also has the benefit of experience. Use the opportunity to lean into this knowledge to make the best decision for your child.
Consent: what questions to ask.
Is this an operation you do commonly?
What are the risks during surgery?
How long will it take?
What are the complications after surgery?
How painful will this be, and how can this be handled?
Can we eat and drink after surgery?
When will we get home after surgery?
Will there be a dressing or wound to look after?
Will there be follow-up?
