Anaesthesia, general assessment

H61. Hussey, A. J., Howie, J., Allan, L. G., Drummond, G., Hayes, J. D., and Beckett, G. J., Impaired hepatocellular integrity during general anaesthesia, as assessed by measurement of plasma glutathione S-transferase. Clin. Chim. Acta 161, 19-28 (1986). 

Secondly, talk with the parents and where possible with the child. Explain the procedure and try to assess whether it will be possible to perform the procedure under sedation or whether general anaesthesia should be used. 

Chambers D, Paulden M, Paton F, Heirs M, Duffy S, Craig D, Hunter J, Wilson J. Sugammadex for the reversal of muscle relaxation in general anaesthesia a systematic review and economic assessment. Health Technol Assess 2010 14(39) 1-211. 

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