An evidence-based review of parental presence during anesthesia induction and parent/child anxiety

Chundamala, Josie; Wright, James G.; Kemp, Sheelagh M.

doi:10.1007/s12630-008-9008-3

Cited by 100 publications

(80 citation statements)

References 21 publications

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“…Although beneficial to some families and practiced in a number of centers, PPIA is not effective in relieving anxiety in the children, especially if the parent(s) is anxious. [5][6][7] PPIA can be stressful to parents, and the pediatrician should thus make sure families know that PPIA may be an option but is never mandatory.…”

Section: Introductionmentioning

confidence: 99%

The Pediatrician’s Role in the Evaluation and Preparation of Pediatric Patients Undergoing Anesthesia

Goldschneider¹,

Cravero²,

Anderson³

et al. 2014

Pediatrics

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Pediatricians play a key role in helping prepare patients and families for anesthesia and surgery. The questions to be answered by the pediatrician fall into 2 categories. The first involves preparation: is the patient in optimal medical condition for surgery, and are the patient and family emotionally and cognitively ready for surgery? The second category concerns logistics: what communication and organizational needs are necessary to enable safe passage through the perioperative process? This revised statement updates the recommendations for the pediatrician' s role in the preoperative preparation of patients. Pediatrics 2014;134:634-641 INTRODUCTIONPrimary care providers, including pediatricians, are frequently called on to evaluate and psychologically prepare patients and families before a child undergoes a procedure requiring anesthesia or sedation. This policy statement identifies that primary care provider' s preoperative goals of care are as follows: to clearly define the child' s medical issue; to delineate the physiologic effects and limitations imposed by each condition; and to optimize the management of any comorbid conditions. Furthermore, the policy recommends that pediatricians facilitate essential communication about the historical, physical, and laboratory findings in children with unusual or complex medical histories with the anesthesiologist and/or surgeon to ensure safe perioperative care.The objectives of the present statement were twofold:1. to describe to pediatricians the issues of concern to anesthesiologists and surgeons to improve the effectiveness of medical consultations in preparing pediatric patients and families for the perioperative period; and 2. to present information that will encourage and facilitate communication among surgeons, anesthesiologists, medical subspecialists, pediatricians, and other primary care providers.

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Section: Introductionmentioning

confidence: 99%

The Pediatrician’s Role in the Evaluation and Preparation of Pediatric Patients Undergoing Anesthesia

Goldschneider¹,

Cravero²,

Anderson³

et al. 2014

Pediatrics

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show abstract

“…Contrary to popular belief, in most cases parental presence does not alleviate parents' or children's anxiety. 16 In rare instances when concern is diminished, premedicating children with oral midazolam or distracting them with video games has been shown to be a viable alternative.…”

Section: Familiesmentioning

confidence: 99%

Integrating Perioperative Information From Divergent Sources

Frost

2012

Mount Sinai J Medicine

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The enormous diversity of physician practices, including specialists, and patient requirements and comorbidities make integration of appropriate perioperative information difficult. Lack of communicating computer systems adds to the difficulty of assembling data. Meta analysis and evidence‐based studies indicate that far too many tests are performed perioperatively. Guidelines for appropriate perioperative management have been formulated by several specialties. Education as to current findings and requirements should be better communicated to surgeons, consultants, and patients to improve healthcare needs and at the same time decrease costs. Means to better communication by interpersonal collaboration are outlined. Mt Sinai J Med 79:3–12, 2012. © 2012 Mount Sinai School of Medicine

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“…Education, distraction, and familiarity with the environment (including Child Life Instructors) are all effective to varying degrees (14)(15)(16). Parental presence has been a contentious practice in which parents have held that their presence is helpful in defusing the child's anxiety although the literature presents a rather different interpretation (17).…”

Section: Getting the Child To The Ormentioning

confidence: 99%

Anesthetizing children: little people, big problems!

Lerman¹

2012

AML

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". Our understanding of the etiology and pathogenesis of many of the "big problems" that children present may lead to better outcomes and better quality of care, and it is the quintessential proposition for the delivery of excellence in clinical care to these "little people". In this lecture we review a number of contentious and controversial issues that face pediatric anesthesiologists on a daily basis and present practical, evidence based approaches to addressing them.

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An evidence-based review of parental presence during anesthesia induction and parent/child anxiety

Abstract: Purpose The purpose of this evidence-based review was to examine the effect of parental presence during anesthesia induction on parents' and children's anxiety.

Cited by 100 publications

References 21 publications

The Pediatrician’s Role in the Evaluation and Preparation of Pediatric Patients Undergoing Anesthesia

The Pediatrician’s Role in the Evaluation and Preparation of Pediatric Patients Undergoing Anesthesia

Integrating Perioperative Information From Divergent Sources

Anesthetizing children: little people, big problems!

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