Pre and Post Operative Care
Pre and Post Operative CareHow do my child and I prepare for the procedure?
We encourage good communication between you and your child, including the necessity and overview of the procedure as well as ensuring them that you are close by the whole time. Holding them or their hands until they leave for the procedure is a great way to provide support.
You will be given specific instructions along the way but you may need to arrive a few hours before the scheduled procedure to have some blood tests done. When you arrive at the hospital, a doctor will review the procedure and associated risks, after which you will sign a consent form. When we are ready to get started with the procedure, a nurse will place an intravenous line to deliver sedating medications and you will be allowed to accompany your child in the operating room until they are asleep, after which you will be escorted to a waiting room.
What happens after the procedure?
Nurses will monitor your child in the recovery area for 4-6 hours for successful recovery from anesthesia and any immediate complications. The doctor may decide to have your child admitted to the hospital for an overnight stay. As mentioned, there may be some discomfort around the needle insertion sites for some days following the procedure. Bandages and dressing must be kept clean and dry and can be removed 24 hours after the procedure. If a drainage catheter is left in place, you will receive specific instructions for its maintenance.
When can my child bathe?
You child can sponge bath for the first 24 hours while the bandage and dressing are in place, after which shower and full water submersion are allowed. However, if a drainage catheter is left in place, the exit site and dressing must be kept dry and clean until its removal, usually about a week after the procedure. Children with drainage catheters may only sponge bathe during this time.
Are there any activity restrictions?
Though your child may resume normal school-going or daycare attendance, children with drainage catheters must avoid rough-playing or contact sports, which can result in pulling of the catheter.
CONTACT CNMC IMMEDIATELY IF YOUR CHILD EXPERIENCES ANY OF THE FOLLOWING:
•Redness, pain, swelling, or bruising at the needle insertion site.
•Fever higher than 101o Fahrenheit or 38o Celsius.
The department of Interventional Radiology can be reached at: 202-476-3791, Monday through Friday, between 8 a.m. and 5 p.m.
At all other times please call 202-259-8643, which is the on-call pager. Follow the instructions and wait for a call back.