The Pediatric Perioperative Surgical Home (PPSH) is a team of experts that works to keep your child safe, comfortable and free from pain during and after your child’s surgery or procedure.
Our team includes expert anesthesiologists and nurse anesthetists, who have undergone advanced training in pediatric anesthesia. Together, they form an integral part of your child’s surgical team and will work with you to develop the right anesthesia plan for your child.
Your child’s physician anesthesiologist will determine the safest and most effective type of anesthesia based on the type of surgery, your child’s age and your child's medical condition. He or she will discuss the risks of anesthesia with you. We encourage you to ask any questions.
Before we give anesthesia, we may give your child a sedative to make him/her feel calm and relaxed. This happens before we move your child into the operating room (OR). Once in the OR, the different types of anesthesia we may use include:
Each child wakes up from anesthesia differently. Some become wide awake in the recovery room. Others may be groggy for hours. It may take children one to two hours to fully wake from anesthesia in the recovery room. We will contact you as soon as possible to reunite you with your child, either in the recovery room, known as the post-anesthesia care unit (PACU), or the intensive care unit (ICU), depending on the type of surgery.
About one-third of all children experience confusion or excitement, known as “emergence delirium,” as they wake from anesthesia. Emergence delirium is a common reaction that can happen to any child, especially those younger than 6 years old. It may cause children to cry inconsolably and sometimes even scream or thrash. This may be upsetting to parents who assume their child is in pain.
Important things to remember about emergence delirium:
Members of the surgical team will be there in the PACU or ICU with you and can talk you through it. The best role for you as a parent or guardian is to try to stay calm and comfort your child during the excited states.
Sometimes even minor illness, such as a cough, runny nose or fever, can cause problems during surgery and anesthesia. If this is the case, your anesthesiologist may decide to postpone surgery. Before surgery, let your surgeon’s office know immediately if your child:
Read about what to expect after your child’s surgery.