Anaesthesia plays a crucial role in paediatric medicine. It is an important basis not only for ensuring children ‘ s painlessness in the operation, but also for its smooth operation and post-operative recovery. However, for this particular group of children, the management of narcotic drugs is challenging and requires close cooperation between parents and doctors. We will elaborate on the essence of drug management before and after anaesthesia of children. Before a thorough preparation of a full medical history inquiry and a medical examination for anaesthesia, doctors will carefully examine the child’s medical history, allergies and family history in order to develop a personalized anaesthesia programme for the child. At the same time, the child is required to undergo a full medical examination to ensure that he/she is fit for anaesthesia. Before strictly eating, the child is subject to dietary control, i.e., fasting, as instructed by the doctor. This is because anaesthesia weakens protective reflections of the child, such as coughing and swallowing, and where there are food or liquid residues in the stomach, vomiting may cause severe consequences such as respiratory blockage. Parents should therefore comply strictly with the dietary control requirements of doctors. The necessary psychotherapy and anesthesia are an unknown fear for children. Parents should have a better understanding of the psychological state of the child and be given appropriate psychological attention, such as a brief process of surgery and anaesthesia, as well as a better prospect of post-operative rehabilitation, thus reducing the psychological burden on the child. 2. Precise choice of anaesthesia and the use of personalized anaesthesia methods for children include, inter alia, basic anesthesia, local anesthesia and general anesthesia. The doctor selects the most appropriate form of anaesthesia for the child, depending on his/her age, type of operation and state of health. The basic anaesthesia is used in cases where there is a need for calm; the local anaesthesia is used to interrupt the neurotransmission of the surgery; and the whole body anaesthesia allows the child to undergo surgery in a deep sleep. Careful choice of narcotic drugs is equally important. Doctors choose the most appropriate narcotic drugs and doses for their children, taking into account their age, weight, state of health and surgical needs. At the same time, doctors pay close attention to the side effects and safety of drugs, ensuring that the process of anaesthesia is smooth and that the effects on children are minimized. The precise control of the depth of anaesthesia is a key part of the process. Excessive anaesthesia may cause the child to feel pain or discomfort during surgery, while excessive anaesthesia may pose a threat to the vital signs of the child. As a result, the doctor closely monitors the vital signs of the child, such as breathing, heart rate, blood pressure, etc., and adjusts the depth of the anesthesia to the actual situation so as to ensure that the child is operated in a safe and painless state. 3. Upon the awakening of children in intensive care after anaesthetization and observation, parents shall pay close attention to vital signs such as breathing, heart rate, body temperature, etc., and create a quiet and comfortable environment to avoid excessive irritation and interference. In the event of an abnormal situation, such as a lack of breath, an abnormal heart rate, etc., the doctor shall be immediately informed of the treatment. The gradual recovery of diet and drinking water is followed by a full awakening of the child and a medical assessment. In the early stages, fresh, digestible foods should be the key to avoiding over-eating and water-related disorders. The child may feel pain after a personalized pain management programme. Doctors develop personalized pain relief programmes for children based on their degree of pain and type of surgery. Parents should pay close attention to the pain of the child and provide timely feedback to the doctor so that he or she can adjust the pain programme to the actual situation of the child. Parents can also help their children with pain and stress by hugging and consoling. The prevention and treatment of anaesthesia can lead to a number of adverse effects, such as nausea, vomiting, itching, irritation, etc. Most of these reactions are normal and will recede over time. However, in the event of serious discomfort or abnormality of the child, such as frequent vomiting, respiratory depression, etc., the parents should immediately notify the medical staff for treatment. At the same time, parents should be aware of preventive measures for post-aesthetic adverse effects, such as avoiding overactivity of children and maintaining indoor air circulation, in order to reduce the occurrence of adverse effects. The essence of drug management before and after anaesthesia of children lies in adequate pre-operative preparation, precise choice and use of anaesthesia, nuanced post-operative care and observation, and the prevention and treatment of adverse reactions. Through a joint effort of parents and doctors, we can ensure that children undergo surgery in a safe and pain-free state and promote their post-operative rehabilitation.
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