Anaesthesia induction in children: a psychological evaluation of the efficiency of parents’ presence

Abstract

Maternal presence, compared with the father's presence, is fundamental in helping to overcome anxiety in a child receiving anaesthesia. If the parents are present during the induction, the addition of premedication does not offer further benefit. Parents themselves judged their presence during the induction of anaesthesia in their child as a positive event. We also found a statistical significant correlation between anxiety of the parents with the level of the stress of the child during induction of anaesthesia.

The effects of preanesthetic parental presence on preoperative anxiety of children and their parents: A randomized clinical trial study in Iran

“…Based on previous research, anxious parents do not benefit anxious children and they actually increase anxiety in calm children during anesthesia induction. [2324] In a study, Kain et al . reported that presence of a calm parent benefits an anxious child during induction of anesthesia and the presence of an overly anxious parent has no benefit.…”

“…have recently indicated that anxious parents increase the stress of anesthetic induction in children, even those who have been premeditated. [24] It is suggested that parents were allowed to use their own coping strategies during the preoperative period.…”

Caregivers' reactions to preoperative procedures in outpatient pediatric surgery

“…This is a stressful period for the patient's family; emotional involvement may affect peoples' behavior and interfere with solid judgement and common sense, with potential risks for the child and the caregivers. (2,3) …”

“…Mothers often assume the caregiver role and are therefore more susceptible to stress, emotional strain and apprehension related issues. (2,3) …”

Comparative Study to Evaluate the Effects of Intranasal Dexmedetomidine Versus Midazolam as a Premedication Agent in Children Undergoing Elective Surgery

“…3 Among the various routes of premedication, intranasal route has come into practice from early nineties. 4,5 It is relatively a quick, painless with a high bioavailability.…”