From the Research
Surgical clearance for a 7-year-old patient requires a comprehensive preoperative assessment, as outlined in the 2022 study published in the American Family Physician 1, to ensure safety during anesthesia and surgery. The child should undergo a thorough physical examination, including vital signs, cardiopulmonary assessment, and airway evaluation.
- Laboratory tests are not routinely recommended for healthy children having low-risk procedures, but may be considered for patients with underlying conditions to assess clinical stability 1.
- The HEMSTOP questionnaire can be used to identify patients with coagulation disorders 1.
- Any chronic medications should be reviewed with specific attention to whether they should be continued or held before surgery.
- The child should fast appropriately before surgery, with clear liquids allowed up to 2 hours before, breast milk up to 4 hours before, and solid foods/formula up to 6 hours before anesthesia.
- Parents should be instructed to report any recent illnesses, especially respiratory infections, which may necessitate postponing elective procedures.
- If the child has any chronic conditions, such as asthma, diabetes, or congenital heart disease, these should be optimally controlled before surgery, potentially requiring consultation with relevant specialists.
- Psychological preparation is also important, with explaining the procedure in age-appropriate terms able to reduce anxiety and improve cooperation, as noted in the 2022 study in American Family Physician 1. This comprehensive approach ensures the child is in optimal condition for surgery while minimizing risks associated with anesthesia and the surgical procedure.