A five year old child should not be allowed to help choose the induction technic. The best way to confirm readiness on the part of the anesthesiologist is to use a checklist. The number one error in pediatric anesthesia management is inadequate ventilation. The number one error in pediatric anesthesia management is inadequate preparation. Effective routes of administration for midazolam include rectal, oral and nasal.
Anticholinergics are usually necessary.
Educate the patient and family. Obtain pertinent medical information. Decide what consultations and tests are needed. Obtain informed consent. The cream should be used on mucous membranes for topical anesthesia.