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The Pediatrician's Role in the Evaluation and Preparation of Pediatric Patients Undergoing Anesthesia

Rita Agarwal1, Tammy Wang1, Christina D Diaz2

  • 1Department of Anesthesiology, Perioperative and Pain Medicine, Division of Pediatric Anesthesiology, Stanford University School of Medicine, Stanford, California.

Pediatrics
|February 16, 2026
PubMed

Insights

Pediatricians are crucial for preparing children and families for anesthesia and surgery. This report updates guidelines on their role in ensuring optimal medical readiness and emotional preparedness for the perioperative process.

Area of Science:

  • Pediatric medicine
  • Surgical preparation

Background:

  • Pediatricians are essential in preparing patients and families for anesthesia and surgery.
  • Key concerns include optimizing the patient's medical condition and ensuring emotional and cognitive readiness.
  • Logistical aspects, including communication and prerequisites for safe perioperative passage, are also vital.

Purpose of the Study:

  • To provide updated recommendations for pediatricians regarding the perioperative preparation of patients.
  • To emphasize the pediatrician's role in addressing medical, emotional, and logistical aspects of surgical preparation.

Main Methods:

  • This report is a revision of previous recommendations.
  • It synthesizes current best practices for pediatric perioperative preparation.

Main Results:

  • Pediatricians address two primary areas: medical/emotional/cognitive preparation and logistical facilitation.
  • Effective preparation ensures patients are medically optimized and families are ready for surgery.
  • Streamlined communication and prerequisites are necessary for safe perioperative care.

Conclusions:

  • The pediatrician's role in perioperative preparation is multifaceted, encompassing medical, psychological, and logistical support.
  • Updated recommendations aim to enhance the safety and experience of pediatric patients undergoing surgery.
  • This guidance supports pediatricians in optimizing patient and family readiness for surgical procedures.

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