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:-)

I am sorry for the delay I have been out of town. The problems with

anesthesia have to do with the amount of time they have to go without

food/drink before a procedure. Typically, our RSS kids can not fast due to

hypoglycemia. Also, if they are going to intubate then you need to let them

know that the epiglottis may be more anterior than expected and that they

may need to use a smaller tube since the neck is usually " younger " than the

head. (they do not all pick these things up right away) Knowing to watch for

these things ahead of time make the intubation less traumatic. They may want

to place the tube using a scope to view her throat as they intubate her.

Maddison may or may not have these issues but it is best to warn them of the

possibilities so they are prepared. It is not a good situation if they are

not.

One more thing is if Maddison has reflux it is possible she may reflux while

under anesthesia and aspirate. If Maddison does have the reflux issue and

has a g-tube not a g-j tube then they may want to suck out any juices in the

stomach before putting her out to help prevent the reflux under anesthesia.

It is a precaution and it is helpful when done.

That is my two cents and every child is different so please use this advice

appropriately taken from someone who has been there when things went well

and when they did not.

>

> Reply-To: RSS-Support

> Date: Wed, 26 Nov 2003 03:40:13 -0000

> To: RSS-Support

> Subject: teeth problems

>

> Hi J

> Thanks for the advice. Please tell me more of what you mean with

> complications. And the aspirating thing what do I need to know??

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