Information about sedation for circumcision by the Vatan Clinic.

Circumcision Vatan Clinic

Information about sleep sedation

The sleep SEDATION agent can be administered via a nasal spray.

Natural sleep sets in within 30 to 90 minutes after administration. Due to the selective effect of the drug, especially on sleep, it is a safe agent that is used for short-term interventions and procedures.

Monitoring takes place during sleep. The oxygen level and respiration are monitored as well as the heart rate. A pediatrician is always present during the procedure.

Local anesthesia is always given as well.

We only start the circumcision when there is deep sleep and no pain is felt. After the procedure, you can go home asleep after a few check-ups.

A child with a developmental delay/behavioral disorder/trauma earlier can sometimes take longer for them to sleep.

What kind of sleep sedation are there?

Natural sleep
Because it causes a natural sleeping situation, it is important that the environment also takes this into account. This means no unnecessary noise and a dim environment. Then the results are best.

The patient can be awakened if necessary. As with early awakening from sleep, this is unpleasant. It is best to let the patient sleep in and to remain calm.

Children undergoing sedation should only be given clear fluids in the 2 hours prior to this. So a light meal is allowed up to 2 hours before the procedure. Make sure your child has urinated well beforehand.

When not?

  • Age < 6 months
  • Serious heart/lung diseases
  • Congenital heart defects
  • Heart rhythm problems, then first a heart film
  • Known low blood pressure
  • Brain abnormalities, acute
  • Recent head trauma

Way of application
The sleep SEDATION drug is preferably administered through the nose with a nasal spray. During administration, the child should lie supine or sit with the head tilted back.

Medications administered through the nasal mucosa enter the bloodstream almost as quickly as through an IV. The situation is assessed 20 minutes after the 1st administration and a 2nd dose is administered if necessary. If adequate sedation has not been achieved after 60 minutes, an intravenous drip is inserted for administration.

When to go home?
As soon as the patient is awake, he can go home. It is advisable, however, not to leave the patient alone until fully awakened. This applies to the first 8 hours.

Means of transport may not be public transport.

The extra additional costs for sleep SEDATION are 250 euros.