What helps children cope with anxiety before an operation?

Photo of a mother with an anxious child (PantherMedia / Alexander Sorokopud)

Children often feel anxious before surgery, and really don’t want to go ahead with it. The time spent waiting before they are given the anesthetic can be particularly distressing for children and their parents. But there are a number of things you can do to help reduce children’s anxiety.

For years now, hospitals have been trying to make the circumstances surrounding surgery as anxiety-free as possible for children, and address parents’ concerns better too. Nowadays children are often not admitted to the hospital until the actual day of the surgery, and are able to go home soon after. They only need to stop drinking two hours before having the anesthetic.

The most important thing is to be there for your child. Parents are usually allowed to stay with their child until he or she is given the anesthetic. They are also often allowed to sit by their child’s bed when they wake up afterwards. If a child has to stay overnight in the hospital, parents can normally stay with them the whole time.

How can parents help their child before an operation?

Different children handle the idea of upcoming surgery differently. So parents can try to find out what helps their child to cope better.

Children are generally very curious and want to learn about things, and surgery is no exception. Parents and doctors might worry that talking to children about the operation could scare them. But avoiding the subject sometimes has the opposite effect: Not knowing what is going to happen might actually make them feel more scared. Children often hear things about surgery and hospitals from other sources – some of which aren’t always very helpful, such as the Internet or television.

You can help children worry less by listening to their concerns and answering any questions they have. For example, children often want to know whether the operation will hurt or whether they will have an injection. Honest answers can help them to be better prepared.

A lot of children want to take a toy along. Things like their favorite soft toy, blanket or pacifier may be comforting.

A number of activities can help children by making it easier for them to understand the procedures and what the different kinds of medical equipment do. For instance, reading to them, telling them stories, drawing pictures, and putting on plays or puppet shows can prepare them for what will happen or offer distraction. Studies have shown that listening to music before surgery can relieve anxiety in children and teenagers. Different people will be able to relax to different types of music, depending on their personal taste in music.

What do hospitals offer?

Initial studies suggest that films, computer games and clowns dressed as doctors can help children feel less anxious before operations. But there isn’t any high-quality research in this area. And different children find different things helpful. There hasn’t been enough research to be able to say whether games or comic strips help too.

Children can be given low doses of sedatives or sleeping medication shortly before the operation. They are used in the form of a syrup, suppositories to be inserted into the anus, or nose drops. The most commonly used drug is called midazolam. The possible side effects include dizziness, headaches and gastrointestinal (stomach and bowel) problems.