Perioperative anxiety and postoperative behavioural disturbances in children

Bal, N.; Saricaoglu, Fatma; Uzun, Şennur; Dal, Didem; Çelebi, Nalan; Çeliker, Varol; Aypar, Ülkü

doi:10.1017/s0265021506000408

Cited by 20 publications

(14 citation statements)

References 16 publications

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“…Similar to ours, a study from Turkey reported no relation between the families' preoperative state anxiety level and their children's anxiety upon arrival to the operating room, at induction, and at the 13 th minute in the recovery room [17]. Previous studies in the 1990s from the United States [18,19] reported that a child's anxiety is strongly affected by the state-and trait-anxiety of the parent.…”

Section: Discussionsupporting

confidence: 84%

Association Between Anxiety Level of Child with Parental and Patient Factors During Preoperative Anesthesia Visit

Doğangün¹,

Babazade²,

Sutas-Bozkurt³

et al. 2015

TOPJ

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Introduction: Preoperative anxiety in children is an important concern for the anesthesiologist. In our study, we aimed to determine the association between parental and patient factors with patients' anxiety during the preoperative anesthesia visit and additionally, aimed to inform clinicians about the parents' concerns and effects of culture.Methods: Following the faculty ethical committee's approval, written consent was obtained from the parents of eligible children undergoing various surgical and radiological procedures under general anesthesia. The parents were given a socio-demographic questionnaire and both the child and the parents completed the Spielberger State -Trait Anxiety Inventory (STAI).Results: A total of 117 children were enrolled. The majority of children were boys (67%) and the mean age was 10.2 (years). Children had mean state anxiety scores of 47.8 ± 7.4 and mean trait anxiety scores of 33.8 ± 7. There was a significant negative correlation between child state and child trait anxiety (r=-.39, moderate strength, p<0.001). Parent's state and trait anxiety scores had significant correlation. Poorly educated parents had significantly higher state anxiety scores (p<0.001). We did not find any statistically significant relationship between other factors and state anxiety scores of either the children or the parents. Eleven of the parents who had replied to the open ended question (n=55) asked for further information about the surgery and anesthesia to reduce anxiety level; others mainly stated that they were confident that the physicians will do their best to take care of their children.Conclusion: Anxiety states are not universal. Conflicting relations between state and trait anxiety and socio-demographic factors affecting anxiety may differ in different countries and cultures.

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Section: Discussionsupporting

confidence: 84%

Association Between Anxiety Level of Child with Parental and Patient Factors During Preoperative Anesthesia Visit

Doğangün¹,

Babazade²,

Sutas-Bozkurt³

et al. 2015

TOPJ

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“…18,28,29 Induction of anaesthesia may be the most stressful procedure a child experiences during his hospitalisation. 18,22,30,31 Inhalational anaesthesia is thought to be more suitable for children, possibly due to the increased fear of needles. 31 However, experienced paediatric anaesthesiologists know that children also fear a face mask.…”

Section: Discussionmentioning

confidence: 99%

“…18,22,30,31 Inhalational anaesthesia is thought to be more suitable for children, possibly due to the increased fear of needles. 31 However, experienced paediatric anaesthesiologists know that children also fear a face mask. 28,32 Children do not accept an unknown object on their face, and start manifesting their discontent immediately after the mask is placed there.…”

Section: Discussionmentioning

confidence: 99%

“…It becomes even less acceptable if the mask continues to be used against the child's wishes. 31,33 Volatile anaesthetics have an unfamiliar and sometimes irritating smell, so even the best prepared child stops being calm once the gas concentration increases. Too much attention is given to a child's phobia of needles, whereas the issue of mask phobia is often neglected, even though it exists.…”

Section: Discussionmentioning

confidence: 99%

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Are postoperative behavioural changes after adenotonsillectomy in children influenced by the type of anaesthesia?

Stipić

Carev

Kardum

et al. 2015

European Journal of Anaesthesiology

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The prevalence of NPOBC after elective adenotonsillectomy in 6 to 12-year-old children was very high (80%). The choice of anaesthetic technique for adenotonsillectomy in children influenced the incidence and type of NPOBC. Sevoflurane/nitrous oxide anaesthesia was associated with more frequent and prolonged NPOBCs than TIVA, especially in the separation anxiety, general anxiety and withdrawal/apathy subscales.

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“…[4] Ketamine is also known as a dissociative anesthetic agent which has been used as an oral sedative for many years. [416–18] Promethazine is an antihistaminic used for mild sedation for daily dental patients. [15] To monitor the safety of the cases, such measurements are being tested with a 15-minute interval on recordings for both pulse oximeter and the BP.…”

Section: Discussionmentioning

confidence: 99%

Comparison of oral Midazolam-Ketamine and Midazolam-Promethazine as sedative agents in pediatric dentistry

et al. 2012

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Background:Investigation was designed to evaluate the behavioral changes in children receiving dental treatment while they have been administered combination of Midazolam/Ketamine or Midazolam/Promethazine.Materials and Methods:This was a randomized double blind clinical trial with cases being selected from those uncooperative children aged 2 to 6 years from those referred for treatment under general anesthesia. Anxiety score of all cases were recorded before any attempt using Frankel's anxiety scoring system with those in negative category being included. Cases with at least a pair of similar size cavities on similar teeth were selected with each tooth being randomly allocated for one sedative regimen group. To avoid sequence effect, half of the patients received one regimen at the first visit while the other half received the other regimen as the first. Each case served as control for him or herself to reduce influencing factors. Child's reaction was recorded before, during, and at the end of dental procedure. SO2 as well as Pulse rate were recorded as the most critical vital signs. Collected data were then analyzed using analysis of variance (ANOVA) and paired t-test.Results:Patients’ mean age was 3.5 years with 43% being male. Only 10% of the Ketamine/Midazolam group showed considerable amount of change in their behavior with a statistical significant difference being presented (P=0.029).Conclusion:Under the current circumstances, Ketamine/Midazolam combination provided sufficient sedative effect in lower doses. However, Midazolam/Promethazine combination did not produce similar results.

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Perioperative anxiety and postoperative behavioural disturbances in children

Abstract: Addition of subhypnotic dose of propofol to sevoflurane induction did not reduce the incidence of postoperative behavioural disturbances.

Cited by 20 publications

References 16 publications

Association Between Anxiety Level of Child with Parental and Patient Factors During Preoperative Anesthesia Visit

Association Between Anxiety Level of Child with Parental and Patient Factors During Preoperative Anesthesia Visit

Are postoperative behavioural changes after adenotonsillectomy in children influenced by the type of anaesthesia?

Comparison of oral Midazolam-Ketamine and Midazolam-Promethazine as sedative agents in pediatric dentistry

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