Background. It is known that anaesthesia to children could be challenging. The aim of this article/paper was to focus on the differences between an acute and an elective operation in children from an anaesthesilogical point of view. Does complications occur more often during delivery of anaesthesia in acute situations than in elective situations where there has been more time for preoperative preparation and examination of the child?
Methods. Both textbooks and published articles were studied to learn more about the adverse effects that can occur during anaesthesia. Preoperative guidelines and perioperative routines (induction, maintenance and emergence) was sifted through to highlight the differences between acute and elective anaesthesia and operation.
Results. Not many articles or textbooks focuses on this issue, perhaps because the answer is obvious. Nevertheless, I found that some paramount factors like age, presenting illness, timeframe and ASA-status was crucial for the outcome.
Conclusion. Many of these factors must be taken under consideration during anaesthesia and surgery, and they all have a correlation with the final result.A child presenting with multiple disadvantages should either be scheduled for surgery another day to avoid complications, or, if that is not an option, the anaesthesiologist has to be extra careful when handling these patients.