Anaes Cases · Paediatric anaesthesia
The inhalational induction of the needle-phobic child
The inhalational induction long case — the sevoflurane technique, the vital-capacity vs the gradual method, the management of breath-holding and laryngospasm, and the placement of the IV after loss of consciousness.
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Prompt
A 4-year-old, terrified of needles, needs an inhalational induction for a hernia repair. Discuss the technique, the potential complications, and the transition to the IV cannula.
Presentation
A 4-year-old boy is booked for an elective inguinal hernia repair. He is terrified of needles and will not accept an IV cannulation awake. His parents request an inhalational induction. He is otherwise well, fasted appropriately, with no URTI symptoms. Discuss the technique, the potential complications, and the transition to the IV cannula.
References1ShowHide
- [3]Cook TM, et al. NAP7: high mortality risk in neonates and very low risk in children. British Journal of Anaesthesia, 2025.PMID 39645515