Related Experiment Video
Updated: Sep 9, 2025

Measuring Neural Mechanisms Underlying Sleep-Dependent Memory Consolidation During Naps in Early Childhood
Published on: October 2, 2019
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.
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.
Introduction:
Surgery and anaesthesia can cause disruption of the circadian timing system and diurnal sleep-wake rhythm. However, it remains unknown how sleep-wake rhythm in children is affected by anaesthesia and surgery, and if anaesthesia without a surgical procedure disturbs sleep-wake cycles.
Methods:
We recruited children aged 1-11 y undergoing anaesthesia for an elective surgical procedure or magnetic resonance imaging. The Children's Chronotype Questionnaire, Children's Sleep Habits Questionnaire and a daily sleep diary from three days before until seven days after anaesthesia were used to assess sleep-wake rhythm and sleep quality.
Results:
In total, 117 patients (median (IQR [range]) age 4 (2-6 [1-11]) y, 56 (47.9%) female) were included. The midpoint of sleep did not change on the night after anaesthesia when compared with three nights before (estimated median time difference 8 min, 95%CI -15-1, p = 0.12, n = 114). Median (IQR [range]) midpoint of sleep at baseline was 01.42 (01.22-02.19 [00.10-03.15]) for the surgical group and 01.22 (01.03-02.07 [00.15-04.02]) for the magnetic resonance imaging group. The midpoint of sleep did not shift on the night after anaesthesia for either group (surgical group: 01.37 (01.07-02.15 [23.00-03.12]), estimated median time difference -15 min, 95%CI -27-0, p = 0.07, n = 58; magnetic resonance imaging group: 01.30 (01.07-02.07 [23.45-05.00]), estimated median time difference 0 min, 95%CI -9-9, p = 0.90, n = 56), and there was no between-group difference (estimated median time difference: -15 min, 95%CI -30-0 min, p = 0.07). Subjective sleep quality was unaffected.
Discussion:
We found no disruption of sleep-wake rhythm in children after anaesthesia and surgery. Further research is needed to see whether more invasive procedures and accompanying anaesthesia pose a risk of disrupting sleep-wake rhythms in children.
Related Concept Videos
General Anesthesia: Overview
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
Stages of General Anesthesia
Nightmares and Night Terrors
Nightmares...
Insufficient Sleep and Sleep Deprivation
Sleep deprivation is a more severe form of sleep loss...
Substance Use Disorders Affecting Sleep
Understanding the concepts of physical dependence,...
Sleep-Wake Cycles
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:

