Anaesthetists

Specialists in the speciality field of Anaesthesiology


Dr’s Lance Lasersohn, Clover-Ann Lee, Stephanie Fischer, Mike Blackburn and Dylan Hepburn are all specialist anaesthetists that run Paediatric predominant practices, and perform the vast majority of anaesthetics for the practice. They are fully qualified Specialist Anaesthetists with a specific interest in the field of paediatrics. Further profiles for Dr’s Lasersohn, Blackburn and Hepburn can be found on the Dunkeld Anaesthesia website .

The comfort of your child


We will change your child into surgical wear once they are asleep

The first thing to understand about your child undergoing any anaesthetic procedure is that we do not treat them as adults. The view of the Johannesburg Paediatric Surgery Practice is that the more comfortable your child is the better. This means:

    • No hospital gowns – you child can wear whatever they feel like to make them more comfortable. We will change them into surgical wear once they are asleep. We have seen tiaras to jumpsuits, pyjamas to Spiderman outfits – we want your child to be happy.

 

    • Bring any toys or distractions – feeling safe and happy before a procedure is of paramount importance to our team. We want your child to feel relaxed and if this means playing with a doll, teddy bear or an action man, then the staff are more than happy to do it.

 

    • No needles or drips – our preferred method of anesthetising is a mask. We use gas to put the child to sleep, and try incorporating the mask into play. Our Anaesthetists will show your child the mask in the ward before the surgery. This is to try to reduce your child’s anxiety. If we need to use drips, they will be inserted once the child is asleep.

 

  • A parent may accompany the child into theatre – having a parent with them helps children relax. We encourage one parent to assist us in anaesthetising their child. This again is to keep them calm and worry free. Once your child is asleep you will be asked to wait in the waiting room and you will be invited back to the recovery ward on the completion of the procedure.

Of course these priorities all come into play with elective procedures. In the case of emergencies and/or trauma we will do everything necessary to get your child into theatre immediately, however in these situations our priority will always be the safety of your child first, and we may well deviate from the above guidelines.

With cases of children aged between 0-6 months, we generally do not allow parents into theatre. Older children benefit from parental presence whereas in the early phase of life the benefit is not as significant.

Anaesthetic Guidelines


You will be provided with a list detailing all the necessary precautions to take before surgery and we will take care to answer all questions you may have.

In the past there has been some misconception about eating and drinking before a procedure. We actively encourage children to eat until 6 hours prior to surgery, and to take clear fluids until 2 hours before. A clear fluid is anything you could read a book through – we recommend clear apple juice or weak black tea with sugar.

Risks of Anaesthesia on young children


There is no evidence to suggest that anaesthesia poses a risk to a child’s brain.

That said there are risks with any surgery – be it in a child or an adult. Again, these risks will be discussed with you at length before the procedure. The risks are greater with younger and sicker patients, but these are not necessarily anaesthesia related, but rather as a direct result of the child’s reason for admission. Care provided by a suitably qualified and experienced team, as at the Johannesburg Paediatric Surgery Practice, whilst not negating these risks, goes a long way to reducing their occurrence.

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