WWYD - Gas or IV for GA for grommits?

[StartingAfresh]

It looks like we have a choice for ds, age 4 (but with social communiction problems)

Also, has anyone's dc had a pre-med and would they recommend it?

I'm inclined to refuse it if allowed.

Many TIA

SOrry, I don't understand.

I don't mind a pre-med being given seconds before the magic juice iyswim, but I don't want to be left with an agressive distressed ds for an hour or so before the cannula is put in otherwise we'll get no compliance at all.

Although I'm not sure why a sedative is given as part of the GA process, when the GA knocks you out completely. Why not just give that then?

dd (severe cp) had an op last year and she had the gas, they just held the mask near her mouth and nose, she would have got really upset if she had had the cream and IV.
I had the same problem with ds(nt) as the cream never worked, so he had gas as well.

Sorry, meant to say thanks shift for the help. TBH, until I spoke to the playworker at the hospital on the phone I have been very impressed with how the NHS have handled ds and me so far.

She has got me all nervous by her very clear lack of understanding about ASD.

The sedative is usually given just before the magic milk, certainly not an hour before, with the idea being to relax the patient while the anaesthetic is being given. If you're seriously concerned though that this in itself might make him flip out then you need to inform the anaesthetist of that.

Meant to say as well, that I'd be very surprised if you weren't allowed to stay with him until he's asleep.

Glad you've had a good experience so far, shame about the playworker. Worth feeding this back to the hospital if you feel you can.

DTD 3.5 had one last week.

DH went in with her but before they gave her magic cream. He said she sat on his lap, but so she was looking over his shoulder, and someone entertained her whilst another doctor bunged the cannula in. She had no idea it happened

Good luck :)

Thanks bambi that sounds perfect. I'll ask if they have a fan for ds to watch. They could probably do the op with him awake if he had a fan to watch - LOL

Another question, until he is asleep, will he have to wear anything that is not his own clothes? Will I?

That will be a hard one if we do, but I can do it I think!

Thanks shift, - so it isn't a given that he HAS to have a premed?

I have no idea how he will react, but if I was a betting person I'd bet it wouldn't be good.

When ds is alert though he can be reasoned with with patience and logic and before I ever got a asd dx, I was smug for having the best behaved child that followed all the rules and did whatever was asked, - but he gets frightened if he doesn't understand and can turn into fight or flight and then I'd never get him on a bus again (because we have to go to the hospital by bus, 3 in fact) let alone a hospital.

DTD wore a hospital gown for the op, but she was given this to change into about an hour before. We came in that morning and she wore the dress she came in until then. When she woke up and got out of bed she put her own jammies on, and stayed in those till we left the next morning.

DH had to wash his hands and wear those shower cap things over his shoes, but that was it. He said the doctors were in their scrubs, but not masks. I think he found quite hard, as she suddenly went floppy when he was holding her. Don't worry though, I think its quite hard for everyone.

HTH

Oh ds will be a day patient for sure. We have to stay 2 hours after the op.

I'm wondering now though, whether he will manage the 2.5 hour 3 bus trip home afterwards, although I don't have much choice about that. I don't drive, can't afford a cab that far(especially as all my spare money has to go on getting a childminder to have dd from 5am in the morning so we can get there in time) and hospital transport doesn't go to that hospital and if if did, it doesn't take children [consused]

Is he going to a Childrens hospital? DD was seen at GOSH and I know they have arrangements for this sort of thing...could you call and find out, i'm sure other hospitals have the same.

Otherwise is there anyone who could drive you, especially if your not staying long, and you could repay with free childcare/ favour ect??

DD just wore a gown.
She was fine afterwards once she had eaten (was about a 16 hour fast for her, and she likes her food... was very hard for her!

There weren't really any after-effects.