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4 yo seems traumatised post adeniotonsillectomy

3 replies

girliefriend · 08/09/2010 11:37

Hello just loooking for a bit of advice from any mums that have had a child go through something similar. She had the op last friday and it was much more traumatic than any of us expected, she was screaming post op and needed morphine before calming down. We came home the next day but she seems to have really withdrawn into herself, is very quiet and seems almost depressed. Also not eating much and not able to settle or play. Ive been taking it slowly with her and making sure she is topped up with calpol, she doesn't seem in pain. Is this normal or something anyone else can relate to?!

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Jaybird37 · 08/09/2010 12:58

Poor little thing. I would say that 5 days post op that is fairly unusual for such a routine operation, both the screaming post op and the behaviour now.

Is she willing to talk to you at all about what happened?

I would also speak to your GP about it.

Finally, I would request her medical records under the Data Protection Act, so that you can see exactly what went on. If you need advice interpreting them I would contact AvMA.

I suppose there are 3 or 4 possible explanations for her waking up screaming like that:

  1. The anaesthetist did not prescribe a post-op pain relief regime;
  1. The post-op pain relief was inadequate, either because she happens to metabolise drugs more quickly than average, or because she was given an inadequate dose; or
  1. Extremely rare, and highly unlikely, but I suppose it is conceivable that she had an anaesthetic awareness.

That said, when my son was 2 he was in hospital for about 6 weeks following a delay in diagnosing a perforated appendix. He was very weak when he was discharged (in fact he could not really stand or walk at all). Physically he picked up quickly, but emotionally he was pretty shaken by the experience. It took over a year for me to feel OK about him and for some time after that it was clear that triggers which reminded him of the pain he had been through were frightening and upsetting for him (for example seeing or hearing about others who were hurt or ill).

The difference was perhaps easier for me to track because he has an identical twin.

He is totally fine now, physically and emotionally robust, although I think he has remained quite an empathic child.

Not entirely reassuring I know and not much practical advice I can offer you except to say that it helped my son to feel safe.

girliefriend · 08/09/2010 16:40

hello thankyou for that, it is interesting as they were telling me in the recovery room that this is 'normal behaviour' even though she seemed possessed and I and never seen her in such a distressed state before, they sent her back to the ward still screaming and it wasn't until one of the nurses got her some morphine that she settled down (passed out midscream)
Yesterday was a bad day as she seemed overwhelmingly sad all day but today she has seemed a bit more like her usual self so i'm hoping we are over the worst. She is eating much more today as well which is reasuring. I will speak to the gp if she seems to dip again and Im trying to be aware of listening out for signals that she is ready to talk about it - I don't think she is yet. Thankyou.

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Jaybird37 · 08/09/2010 18:39

Sometimes facilitative questioning helps, which is a jargon way of saying that you say things like "Lots of people/ some people feel scared/ cross/ sad when xxx happens" ie recognising the emotion and making the child feel that what they are experiencing is normal under the circumstances.

You can also talk about experiences you had, how you felt a worried for a while, but then after a while stopped worrying, emphasise that she is not in pain now and then reassure her about the future.

Glad to hear she is perking up though.

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