Pediatric Pre-Anesthesia Instructions

Pediatric Pre-Anesthesia Instructions
Provider Email
Please dial the number below (or click on the link if you are on a mobile device) to listen to the pre-recorded audio.

Be sure to listen out for the KEY PHRASE provided at the end of the recording

469-916-8843 extension 11
Busy parents of pediatric patients may call the number below to listen to the pre-recorded instructions regarding your child's anesthesia, IN LIEU OF an actual preop call

You must listen to the entire recording and submit this form with the correct key phrase provided at the end of the recording

469-916-8843 extension 11
Your Child's Name*

First NameLast Name
YesNo
The preoperative instructions must be done by the parent or the legal guardian of the pediatric patient

Please have the legal guardian listen to the preoperative instructions
YesNo
YesNo
The preoperative instructions must be relayed to the individual who will accompany the patient for at least 12 hours before and 24 hours after the anesthesia
Key Phrase (provided to you at the end of the recording)*
NoneWet coughDry coughFeverFeeling or being illRunny nose (clear)Runny nose (non-clear)Other illness-like symptoms
Symptoms Score (alert provider if greater than 0)
Frequently Asked Questions

Is anesthesia safe?

- Anesthesia can be relatively safe for healthy individuals, but can have higher risks for others. This is why it's very important to be transparent about your child's medical history.

Why can't my child eat or drink before anesthesia?

- During anesthesia, pressure from the oxygen that helps your child breathe can push anything in the stomach back up and into the lungs.

- The throat is also asleep during anesthesia to stop the food and drink from entering the lungs.

- This means ANY food or drink (even small) can enter the lungs. Stomach acid will then start to melt the lungs, which can lead to serious infections, brain death, or death.

How long will the procedure be?

- The duration of the procedure is dependent on the dentist and the procedure. It is best to inquire your dentist about the length of the procedure.
YesNo
Please enter your email address. We will respond to your question via email.*
I don't have an email address
Phone number where you can be reached*
Format: (000) 000-0000.
Briefly describe your question:*
Signature*

Clear
I attest that I have listened to and understood the entire recording, and understand that a refusal to fully listen to our preoperative guidelines may result in a dismissal from our service.
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