Hi S.,
My daughter, who is four had her tonsils and adenoids (T&A) out when she was three and spent the night in the hospital (Methodist). My son, who is now almost 2.5 is having his out March 21, 2007 at Methodist. I am also a RN, so I'll try to give you the Mom and the nurse perspective.
Each hospital has a different policy on anesthesia and the child falling asleep. The best thing for Natalee will be for you to be calm and relaxed. Bring with any comfort items from home and if you have a spare or two, bring them with also (hide them in a pack along bag). Also bring diapers, pull-ups and wipes or whatever you are using. The hospital usually has them, but it is easier to have what you use with. Expect to spend the night with Natalee, so bring a bag for yourself with a toothbrush and etc in. I did not bring a change of clothes, and wish I had as my daughter threw up all over me. We talked a lot in advance about the hospital and the surgery. Methodist did not have parents in the recovery room. We waited in her hospital room after the doctor talked to us while she was in recovery. It took he awhile to wake up and come to her room (at least 2.5 hours, which is a bit longer than usual). The nurse told us she woke up calm and relaxed. From experience as a nurse, the calmer anyone is going under, the calmer they are waking up. They did give her a drink with atropine (to dry up spit) and versed (a nice sedative/relaxing medication) in purple juice prior to taking her to the operating room. We did not accompany her to the operating room.
Once back in the room her vital signs (blood pressure etc) were taken frequently. She had an IV hooked up for hydration and a pulse oximeter (clip with a light) on her finger to monitor oxygen saturation. We brought plenty of her favorite DVD movies and I pretty much watched movies with her for most of the entire stay. She had no pain for about 3 hours after she arrived in her room. She drank quite a bit. Once the pain hit, it was difficult to get her to drink. Dehydration is serious, so in advance think of ways to get fluids in. In the hospital it is not an issue when the IV is going, but is a huge issue at home.
My daughter threw up at least 4 times and I can't imagine the pain she felt when she did. Most likely it was the morphine (given IV) for pain. The other pain medication is usually Tylenol (liquid infant as it is more concentrated, not the big toddler bottle) or Tylenol with codeine. The Tylenol is easily tolerated by kids. The Tylenol with codeine burns the throat when they take it, so after the first dose, my daughter refused it and I had a hard time getting her to take any. Your daughter will also be on an antibiotic afterwards and if she associates a burning hurting throat with medication, it will be nearly impossible to get her to take any of it. I would strongly suggest using only the Tylenol for starters for the pain for the first 3 days or so. Stock up on the infant Tylenol (the kind with the dropper) in advance. FYI I think generic is just as good as the brand name.
Since you have two children, I would recommend having extra family at your house for a few days once Natalee comes home (usually before noon the next day). Natalee will most likely occupy all of your attention and will be clingy, crying and whiney (expect the worst). Lucas would do best to have someone give him some attention etc (Grandma, whomever). Natalee will be on a no activity (running, jumping) restriction for 10-14 days usually--so plan ahead for this if she is in daycare or whatever.
Find ways in advance to bribe her to get her to take sips of water, ice chips, sorbet, popsicles, jello and etc. She will not be allowed to use straws or any suction forming sippy as the suction could break off the clot and cause bleeding, so practice ways now to get her to drink.
One of the other moms mentioned using liquid aloe. I am going to the health food store to try it now--my son's surgery is coming up also.
On the tough side, it was three weeks of hell after surgery with our daughter. On the good side, she has hardly had a cold or illness since the surgery and is sleeping better (bad snoring before). She was instantly night time potty trained 2 days after surgery (was daytime only prior).
Oh and the bad breath is normal and does smell very bad. I think it took about 3 weeks to go away.
Best wishes with the sugery. My son's is about the same time and we have children at similar ages.
J.