Effects of anaesthesia and surgery on sleep-wake timing and subjective sleep quality in children: an observational

Arjen J G Meewisse1, Sharon J Meijer1, Kee Fong Choi1

  • 1Department of Anaesthesiology, Amsterdam UMC location University of Amsterdam, Amsterdam, the Netherlands.

Anaesthesia
|August 28, 2025
PubMed

Insights

Children

Area of Science:

  • Pediatric Anesthesiology
  • Sleep Medicine
  • Circadian Biology

Background:

  • Anesthesia and surgery can disrupt the circadian timing system and sleep-wake rhythms.
  • The impact of anesthesia and surgery on children's sleep-wake rhythms is not well understood.
  • Investigating whether anesthesia alone, without surgery, affects sleep-wake cycles is crucial.

Purpose of the Study:

  • To investigate the effects of anesthesia and surgery on sleep-wake rhythm in children aged 1-11 years.
  • To determine if anesthesia without a surgical procedure impacts children's sleep-wake cycles.
  • To assess changes in sleep quality following anesthesia and surgical procedures.

Main Methods:

  • Recruited 117 children (1-11 years) undergoing anesthesia for elective surgery or MRI.
  • Utilized the Children's Chronotype Questionnaire, Children's Sleep Habits Questionnaire, and daily sleep diaries.
  • Collected data for three days before and seven days after anesthesia to assess sleep-wake rhythm and quality.

Main Results:

  • No significant disruption in the midpoint of sleep was observed on the night after anesthesia compared to baseline.
  • Neither the surgical nor the MRI group showed a significant shift in sleep midpoint post-anesthesia.
  • Subjective sleep quality remained unaffected in children following anesthesia and surgical procedures.

Conclusions:

  • Anesthesia and elective surgery did not appear to disrupt the sleep-wake rhythm in the studied pediatric population.
  • Further research is recommended to explore potential risks associated with more invasive procedures and anesthesia.
  • The findings suggest that current anesthetic and surgical practices may not significantly alter children's sleep-wake patterns.
Abstract

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