vcug + renal us for 3 year old: seeking information (long)
Our 3 year old daughter has to go for a VCUG with sedation and a Renal Ultrasound following a bladder infection that occurred in November (they're slow in scheduling). According to the ped and all online sources I've checked, this is normal procedure, i.e. not an indication of any suspected problem, just standard followup for a bladder infection in a child of this age. Whew!
Here's the problem: Our ped is out on maternity, her office is backlogged hence no chance to chat with the covering ped. The radiology department called this morning, but the person calling was not familiar with the procedure and her knowledge of what we should expect left me feeling rather unsettled. For instance: she indicated that DD could eat/drink freely up to 1/2 hour before procedure time, but when asked about interference with anesthesia, she recanted (however, still didn't indicate a timeframe for cessation of eating/drinking and/or whether other meds could be taken before hand). She also didn't take any medical history which I understood was supposed to be a part of her call. I called back and spoke with someone in pre-registration who put me through to the long term radiology employee who knows everything, but she's not in today. Ack!
We've always prepared our children for any type of medical procedure by providing them with as much information as possible beforehand, answering questions, role-playing with dolls, etc., but I'm having a hard time getting her prepared without the proper information. The procedures are scheduled for Thursday morning. HELP!
Does anyone here know what to expect? The Renal Ultrasound requires a full bladder. What does that amount to in terms of H2O consumption for a 3 year old? How long ahead of time? Will/should I be able to be with her during this part of the testing? How long will it take? Does it involve injecting any dye into the urethra?
The VCUG is supposed to be under sedation. I assume that means that they'll want an IV and they'll use a mask for anesthesia. Is that right? I'm also guessing that I/we will not be able to accompany her for this part. Am I wrong on that (please say I'm wrong on that!)? No food/drink/meds after when for an 8:30am appointment? Can she have a comfort item (i.e. blankie)? Are there restrictions after this procedure/sedation, such as not eating for a certain length of time? Concerns about activity post-procedure (she'd probably love to go eat at her favorite restaurant)?
Anyone here a Radiology/Anesthesiology expert? Anyone had these procedures or had a child undergo them? I'd appreciate any and all input. I'm going to try to call the hospital Ambulatory Surgery Center to see if someone there can talk to me, and I'll try back tomorrow for the regular employee, but in the meantime...I need to be preparing her!
Thanks in advance!