Week 10. The Child Having Surgery. Pediatric Surgery. Most surgical procedures performed as outpatient – day surgery More complex procedures may require hospitalization If elective – prepared by preadmit clinics If emergency-little time to prepare
The Child Having Surgery
Minimizing negative effects
1. Only a parent or legal guardian can give consent.
2. The person giving consent must be at least 18 years old.
3. The risks and benefits of a procedure are part of the consent process.
4. A mental age of 7 years or older is required for a consent to be considered "informed."
1. Guardian of the person — appointed by the court.
2. Someone who has been named as an attorney for personal care.
3. Someone appointed as a representative by the Consent and Capacity Board.
4. Spouse, partner or relative in the following order:
a. spouse or partner,
b. child if 16 or older; custodial parent (who can be younger than 16 years old if the decision is being made for the substitute’s child); or Children’s Aid Society;
c. parent who has only a right of access;
d. brother or sister;
e. other relative.
5. Public Guardian and Trustee is the substitute decision-maker of last resort in the absence of any more highly ranked substitute, or in the event two more equally ranked substitutes cannot agree.
Most common congenital craniofacial anomaly
1 in 700 births
Failure of maxillary processes to fuse with nasal elevations on frontal prominence at 6th week gestation
Can be unilateral or bilateral
Development of cleft occurs early in pregnancy
Lip fuses by 5-6 weeks
Palate closes by week 9
Occurs frequently in association with other anomalies such as heart defects, ear malformations, skeletal deformities & genitourinary abnormality