My 2 years old son is going to have a circumcision operation by a pediatrics surgeon, however when we discussed with the anesthetist doctor he mentioned that he prefers going for sedation + caudal block instead of general anesthesia, since he will not be sleeping we are concerned that he could be scarred and shocked even though the anesthetist assured us that the sedation will make him not feeling what's going on.Can you please confirm the sedation + caudal is okay compared to general anesthesia.Thanks
Person's Gender: Male
Are you available for chat?
The sedation + regional anesthesia is certainly better than general anesthesia. It implies less risks, is better tolerated and does not generally require intubation nor ventilation.
There's no need to worry about him being scared or traumatised, because the sedation will induce amnesia of the episode, so he will not know nor remember anything during the procedure.
yes I'm available for chat
Please read my answer and let me know if you have more doubts
So you conform that sedation is enough for the doctor to perform safely the operation and for my kid to not feel anything or noticing something is going on ?
Yes. The sedation will make him "sleep" and not remember anything that happened.
The actual anesthesia is the regional one, which will be caudal in this case
very similar to the epidurals performed for baby delivery
Anesthitst also asked for my kid to be fasting for 5 hours prior to operation, is this somethiong to do with sedation ?
Yes, it is a general safety measure
In case something happens and they need to intubate/ventilate him, it's safer to be fasting, because there's no risk of reflux from the stomach and aspiration into the lungs
it is required for all surgical /anesthetic procedures
No matter the complexity
thanks doctor for the information
It's the "better safe than sorry" way of thinking
You are very welcome
I'm going to accept your answer
Don't worry, this is a simple procedure
I'm glad I could help. My best wishes!
Pediatric Immunology. General Pediatrics