Fathalla M Mashali, MD
Location and Office HoursNew England Pain Associates
6 Blockstone Valley Place
Lincoln, RI 02865
- BC/BS of Rhode Island
- CIGNA HealthCare
- Neighborhood Health Plan
- United Healthcare
- Landmark Medical Center
- Rehabilitation Hospital of Rhode Island
How will my child be given anesthesia before surgery?
Anesthetic agents can be started in several ways. Most commonly in adults, anesthesia is started by an intravenous injection so the patient becomes unconscious rapidly. This is also a method that can be used for children. Another method of beginning anesthesia is to let your child breathe anesthetic agents until losing consciousness. This is called a mask or inhalational induction. With this approach, your child will be asked to breathe through a "space mask" quietly, and no needle sticks will be performed until after your child is sound asleep. The choice of which method to begin anesthesia will be made by the anesthesiologist based on many factors.
What research is being done to make anesthetic drugs safer for children?
One of the most difficult decisions parents face is whether their young child should have surgery. The issue becomes more complicated due to concerns about a child's response to general anesthesia or sedation.
To address the critical public health issues associated with the safe use of anesthesia and sedatives in young children and provide parents and doctors with the information they need when faced with such a dilemma, the U.S. Food and Drug Administration (FDA) and the International Anesthesia Research Society (IARS) have created research initiative called SmartTots. The IARS is working with the FDA and multiple stakeholders (e.g., professional societies, academic research institutions, patient advocacy groups, industry and other government and nonprofit organizations) to increase the safety of anesthetic drugs for the millions of infants and children who undergo anesthesia each year.
Early research suggests that some anesthetic drugs may be safer than others when administered to very young children, especially if they undergo multiple surgeries.
How does the doctor know what type of anesthesia to use?
Patricia Bartley Daniele, Ambulatory Care Nursing, answered on behalf of Honor Society of Nursing (STTI)
The type and length of surgery will determine the method of anesthesia needed. The choices of anesthesia can range from sedation to general anesthesia, in which the patient is totally asleep. You should discuss with your anesthesiologist the anesthesia options for your surgery. Past surgical and anesthesia history is important and can influence the plan. It will provide an opportunity to determine the best type of anesthesia needed. For example, if you have a history of postoperative nausea and vomiting, medications can be given in the operating room to help decrease the risk of postoperative vomiting. It is also important to share these issues with the surgeon so a comprehensive plan can be tailored to your needs.
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