Your Child and Anesthesia

Anesthesia Resources for Children (ARCh) is a dedicated group of board certified, pediatric fellowship-trained anesthesia subspecialists who focus on pediatric anesthesia services for the youngest patients at Medical City Children’s Hospital, including neonates, infants and children. In collaboration with parents, surgeons and pediatric specialists, the ARCh physician anesthesia team provides the highest quality anesthesia care with a total commitment to your child.

ARCh provides all physician anesthesia care at Medical City Children’s Hospital. Along with your child’s other specialists, ARCh physicians are committed to supporting and safely guiding your child through the anesthetic journey.

Our objective is to provide safe, optimal conditions during surgery, making the operative experience as pleasant and comfortable as possible. ARCh considers every procedure important, whether general anesthesia or conscious sedation for minor procedures. Our physicians remain at your child’s side the entire time, continually monitoring vital functions and attending to his or her needs until safely recovered from the effects of anesthesia.

What Do Pediatric Anesthesiologists Do?

ARCh physicians provide a full spectrum of anesthetic care, from outpatient surgery center services to high-risk inpatient procedures, including:

What Does The Pediatric Anesthesiologist Need To Know?

One of the Pediatric Anesthesiologists will make every effort to contact you the evening prior to surgery to review important aspects of your child’s health. However, in the event that you have not been contacted, the anesthesiologist will meet you and discuss the anesthesia the day of the surgery.

We will ensure that your child is in the best possible physical condition before surgery. Based on this information, we will determine the optimal anesthetic technique and go over this plan with you. This is also a good time for your child to ask questions and express any concerns he or she might have to the anesthesiologist.

Questions Your Anesthesiologist Will Ask You

  • Prior anesthetic or surgical history?
  • Prior family history of problems with surgery or anesthesia?
  • Current medical conditions?
  • Current medications?
  • Allergies to medications?

Minor illnesses, such as sniffles and colds, may cause problems during some types of surgery and anesthesia. For this reason, on rare occasions, the anesthesiologist may feel it’s best to postpone your child’s surgery. Remember, the anesthesiologist has your child’s safety in mind.

Fasting Guidelines

The following guidelines may be modified by your anesthesiologist based on other medical conditions that your child may have.

Typical food and liquid fasting guidelines prior to surgery:

  • 3 hours for clear liquids*
  • 4 hours for breast milk
  • 6 hours for infant formula
  • 6 hours for non-human milk
  • 8 hours for solids

*Clear liquids include: water, Pedialyte®, fruit juices without pulp, carbonated beverages, popsicles, Gatorade® and Kool Aid®.

Answers to Commonly Asked Questions

  • Pre-medication is frequently used for sedation when age appropriate.
  • Anesthesia most commonly begins with your child breathing anesthetic gasses through a mask.
  • If an intravenous (IV or “needle poke”) is needed, it is usually done after your child is asleep. The expertise of a pediatric anesthesiologist allows this process to occur in a smooth and non-threatening way.
  • Pain control is of utmost importance. It can be achieved with intravenous or oral pain relieving medications. Pediatric anesthesiologists also have the training to utilize a variety of novel pain-relieving techniques, including caudal, epidural and peripheral nerve blocks. Your anesthesiologist will discuss these with you in more detail if appropriate.
  • On awakening from anesthesia, your child may experience nausea and vomiting or agitation. These are common side effects of anesthesia, and are usually easily remedied.
  • Like other medical specialists, anesthesia charges are separate from facility and surgeon fees. If you have any questions about your insurance plan or anesthesia bill, please contact our office at (972) 934-5220.

Contact Information

Anesthesia Resources for Children
13737 Noel Road, Suite 1400
Dallas, TX 75240

Phone: (214) 217-ARCh (2724)
Fax: (903) 874-3373

Billing/Insurance Questions
Prior to Surgery: (972) 776-3011
After Surgery: (972) 934-5220

ARCh accepts most major insurance plans and can work with you on all others. For more information and a list of educational links to the American Academy of Pediatrics and the American Society of Anesthesiologists, visit