Dr Adrian R Lloyd-Thomas  Consultant Paediatric Anaesthetist

This is the usual method used to begin anaesthesia in adults and is the method of choice for children older than 6 years. Some children as young as 4 years who have easy veins may be suitable for this method of induction. If your child is older than 6 years or if you have chosen this method of beginning anaesthesia please make sure that local anaesthetic cream (EMLA) is applied two hours before the operation is due to start, for many patients this will mean immediately upon arrival in the ward- your nurse will help you with this.


When you arrive in the anaesthetic room the local anaesthetic cream will be removed. With your child either sitting on your lap or lying on the theatre bed, I will place a cannula (drip) into a vein.

I will then tell you as the medicines are being given. Most patients notice a very cold sensation in the hand, which gradually works its way up the arm. Just at the point of dropping off to sleep many patients notice a funny taste in their mouth. From then onwards I will look after your child and see them safely through the operation.

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