Do They Numb a Baby Boy Before Circumcision

At Children'due south Hospital of Pittsburgh of UPMC, we believe parents and guardians can contribute to the success of this surgery and nosotros invite you to participate. Please read the following information to learn near the surgery and how you can help.

Fast Facts About Circumcision

• Circumcision (SIR-come up-siz-yun) is a surgery to remove the skin that covers the end of the penis.
• Your child'due south surgery will be done under general anesthesia (an-es-THEEZ-ya), which means that he will be sound asleep during the surgery, volition experience no pain and will accept no memory of it.
• Your child will also receive caudal (COD-ool) anesthesia, which volition give pain relief in the surface area below the waist during the surgery and for 4 hours later on.
• A pediatric urology dr.—a specialist in weather condition of the urinary tract and reproductive organs of children—will do your child'south circumcision.
• This surgery is done through Children's Hospital's Same Day Surgery Heart.

What Is A Circumcision?

Circumcision is a surgery to remove a male child's foreskin, the fold of skin at the end of the penis. This surgery is done on boys who did not receive a circumcision when they were newborns.  For most children, circumcision is normally not medically necessary, but in that location are a variety of religious, social and cultural reasons why parents may cull to circumcise their sons.

• Some faiths exercise circumcision.
• Some parents fright their sons volition be teased if not circumcised.
• Some parents cull to have their sons circumcised because other men in the family unit are circumcised.
• Some believe that circumcision makes the penis easier to keep clean.
• There are several medical atmospheric condition in which circumcision may help to lower a boy's risk of urinary tract infections.
• The decision to circumcise or non circumcise is completely up to a kid's parents or guardians.

What Is Anesthesia?

Full general anesthesia makes your child's whole body go to sleep and is needed for circumcision and so that his reflexes will exist completely relaxed.  General anesthesia makes the surgery easier and safer to do because your child will non experience any pain or have any memory of it.

Caudal anesthesia is given with general anesthesia to cake hurting in the low back, belly and lower torso area. It allows the anesthesia doc to requite a smaller amount of general anesthesia during the surgery, and as well provides upwardly to 4 hours of pain relief in that area later the surgery.

Home Preparation

When general anesthesia is needed, there are important rules for eating and drinking that must be followed in the hours before the surgery. One business twenty-four hour period before your child's surgery, you will receive a phone phone call from a surgical nurse between the hours of 1 and nine p.chiliad. (Nurses do not brand these calls on weekends or holidays.) Please take paper and a pen ready to write downward these important instructions.

• The nurse will requite you lot specific eating and drinking instructions for your kid based on your child'south age. Following are the usual instructions given for eating and drinking. No thing what age your child is, y'all should follow the specific instructions given to you on the phone past the nurse.

For children older than 12 months:

• After midnight the nighttime before the surgery, exercise non give whatsoever solid nutrient or non-clear liquids. That includes milk, formula, juices with pulp, java and chewing glue or candy.

For infants under 12 months:

• Up to vi hours earlier the scheduled arrival time, formula-fed babies may exist given formula.
• Up to 4 hours before the scheduled arrival time, breastfed babies may nurse.

For all children:

• Up to two hours before the scheduled arrival time, give simply clear liquids. Clear liquids include water, Pedialyte®, Kool-Assist® and juices y'all can see through, such equally apple or white grape juice. Milk is non a clear liquid.
• In the 2 hours before scheduled arrival time, give nothing to eat or drink.
• You may bring forth a "comfort" particular—such every bit a favorite blimp fauna or "blankie"—for your child to hold before and later the surgery.

A Parent's/Guardian's Office

The most of import function of a parent or guardian is to assistance your child stay calm and relaxed before the surgery. The best way to help your child stay calm is for you to stay calm.

Going To Sleep

Once your child has been registered for the surgery at the Same Twenty-four hour period Surgery Centre, a nurse, nurse practitioner or md's banana and a fellow member of the anesthesia staff will meet with you to take your child'due south vital signs, weight and medical history. As the parent or legal guardian, you will exist asked to sign a consent form before the anesthesia is given.

• The anesthesiology doctor will review your child's medical information and determine which kind of sleep medication he should get.
• If your child is very scared or upset, the dr. may give him a special medication to help him relax. This medication is flavored and takes effect in 10 to 15 minutes.
• If you wish, you lot may go with your child to the room where the surgery will be done and stay as the sleep medication is given.
• Younger children will go their sleep medication    through a "space mask" that volition behave air mixed with    medication. Your child may cull a favorite scent
  to flavour the air flowing through the mask. At that place are no shots or needles used while your kid is withal awake.
• Older children may cull between getting their medication through the mask or directly into a vein through an intravenous (IV) line.
• When your kid has fallen asleep, you will be taken to the waiting room. If it has not already been washed, an IV volition be started and then that medication tin can be given to keep your child sleeping throughout the surgery.
• After the Iv has been placed, your child volition exist turned onto his side. The lower dorsum near the spine will be cleaned for the caudal anesthesia injection.

The Surgery

After your child is asleep, the doctor volition begin the circumcision.

• The penis will exist cleaned and the foreskin of the penis will be removed.
• Fine sutures (SOO-chers) or stitches that dissolve on their own will be placed at the time of the surgery.
• The surgery itself will take only about 15 to 30 minutes.
• A simple dressing volition be placed on the penis.

While Asleep

While your child is comatose, his heart rate, blood pressure, temperature and claret oxygen level will be checked continuously.

• Your child may have a breathing tube placed while he is asleep. If a breathing tube is used, your child may have a sore throat later on the surgery.
• To go along your child asleep during the surgery, he may be given anesthetic medication by mask, through the IV or both. When the surgery is over, the medications volition be stopped and your child will begin to wake up

Waking Up

When your child is moved to the recovery room, you lot will be called so that you can exist there as he wakes upwardly.

• The doctor who did your kid's surgery volition meet with you to talk virtually the surgery and respond any questions you might accept.
• The caudal anesthesia volition allow your child to wake up comfortably, without any pain from the surgery, and keep him comfortable for several hours subsequently.
• Your child will demand to stay in the recovery room to be watched until he is alarm and his vital signs are stable. The length of time your child volition spend in the recovery room will vary because some children take longer than others to wake up after general anesthesia.
• Children coming out of anesthesia may react in unlike ways. Your child may cry, be fussy or confused, feel sick to his or her tum, or vomit. These reactions are normal and will go away as the anesthesia wears off.
• Children who have received caudal anesthesia may have some weakness, numbness or tingling in their legs. These feelings are normal and should go away within a few hours.
• The caudal anesthesia may brand it hard for your kid to walk in the hours just after the surgery.  You should watch your child closely for a few hours to prevent tripping or falling.

Going Home

After your child is discharged and goes home, he may still be groggy and should have it like shooting fish in a barrel for the 24-hour interval.

• You will be told how to care for your child'due south dressing. An ointment may be prescribed for y'all to use with the dressing.
• The penis may look ruby and sore, and there may be a little bleeding for a day or and so.
• Your child will be restricted from bathing for several days after surgery.
• Your child'south surgeon will determine when your kid may resume normal activities.
• Your kid may begin to eat and drink a little at a time and resume normal eating and drinking as long every bit he is feeling well.
• If you notice a fever college than 101.4˚F, a lot of bleeding or foul smelling drainage from the area around the circumcision, call the md who did the surgery right abroad.

Special Needs

If your child has whatever special needs or health issues you feel the doctor needs to know about, delight call the Department of Urology at Children'southward Hospital earlier the surgery and ask to speak with a nurse. It is important to notify us in accelerate near whatever special needs your child might accept.

millenderdisid1937.blogspot.com

Source: https://www.chp.edu/our-services/urology/patient-procedures/circumcision

Share this post