ABSTRACT
This chapter outlines recommended current practices in the perioperative care of the pediatric or adolescent gynecology patient.
Although guidelines may vary depending on local practice, Table 25.1 provides guidelines for elective anesthesia or sedation that represent safe practice. 1 If a patient is on medication for seizures, or cardiac or respiratory conditions, these may be given before operation at the usual time with a small sip of water. Studies have demonstrated that gum chewing before anesthesia increases the amount of gastric residual and results in an increased risk for aspiration on induction. 2 In some institutions, therefore, gum is treated like a clear liquid meal and the case will be delayed accordingly.
