Perioperative anxiety in children

Fortier, Michelle A.; Rosario, Antonio M. Del; Martin, Sarah R.; Kain, Zeev N.

doi:10.1111/j.1460-9592.2010.03263.x

Cited by 175 publications

(181 citation statements)

References 20 publications

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“…A child in anxious state has increased sympathetic responses to pain stimulus that makes him or her even more aware of the pain signal (Arntz, Dreesen, & Jong, 1994), which will reduce pain thresholds and lead to more pain experienced (Linton & Linton, 2005). Some researchers have reported that children with high perioperative anxiety level experience more postoperative pain (Fortier, Del Rosario, Martin, & Kain, 2010;Kain et al, 2006).…”

mentioning

confidence: 99%

The Effectiveness of Therapeutic Play Intervention in Reducing Perioperative Anxiety, Negative Behaviors, and Postoperative Pain in Children Undergoing Elective Surgery: A Systematic Review

Zhu

Chan

et al. 2015

Pain Management Nursing

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mentioning

confidence: 99%

The Effectiveness of Therapeutic Play Intervention in Reducing Perioperative Anxiety, Negative Behaviors, and Postoperative Pain in Children Undergoing Elective Surgery: A Systematic Review

Zhu

Chan

et al. 2015

Pain Management Nursing

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“…Preoperative anxiety is common among typically developing children (9). This anxiety can lead to decreased cooperation during anesthesia induction and increased emergence delirium.…”

mentioning

confidence: 99%

Perioperative and Anesthesia Guidelines for Children with Autism: A Nationwide Survey from Sweden

Berglund

Huus

Enskär

et al. 2016

J Dev Behav Pediatr

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Perioperative and anesthesia guidelines for children with autism: A nationwide survey from Sweden. Developmental and Behavioral Pediatrics, 37(6) The overall aim of this study was to describe the current set of guidelines for the preparation and care for children with Autism spectrum disorder (ASD) in the perioperative setting across Sweden and explore the content of these guidelines in detail. Method: An online questionnaire was distributed to the chairpersons of all anesthesia departments (n= 68) and pediatric departments (n= 38) throughout Sweden. Follow-up phone calls were made to those departments that did not return the questionnaire. The presence of guidelines was analyzed via descriptive statistics. These guidelines and comments on routines used in these departments were analyzed inspired by conventional content analysis. Results: Seven out of the 68 anesthesia departments and none out of the 38 pediatric departments across Sweden have guidelines for preparing and/or administering care to children with ASD within the perioperative setting. From the guidelines and routines used, 3 categories emerge: "lacking the necessary conditions," "no extra considerations needed" and "care with specific consideration for children with ASD." These 3 categories span a continuum in the care. In the first category, the anesthesia induction could result in the child with ASD being physically restrained. In the last category, the entire encounter with the health care service would be adapted to the specific needs of the child. Conclusion: There is a lack of evidence-based guidelines specifically designed to meet the needs of children with ASD in the preoperative period in Sweden. Further research is needed to understand if children with ASD would benefit from evidence-based guidelines. Journal of

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“…1,19 − 21 The present study had a number of limitations. First, parental or guardian anxiety, which may affect the preoperative anxiety of the child, 20,27 was not assessed. Secondly, management of children in the preoperative period varies widely and so the results may not be applicable to other institutions; for example, in the present study intravenous cannulation was always performed in the admission room or day surgery centre in the presence of guardians.…”

Section: Je Kim By Jo Hm Oh Et Al Preoperative Sedative Use In Chimentioning

confidence: 99%

High Anxiety, Young Age and Long Waits Increase the Need for Preoperative Sedatives in Children

Kim

Jø

et al. 2012

J Int Med Res

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OBJECTIVE:This prospective, observational study aimed to identify children likely to require sedation preoperatively by measuring anxiety levels using the modified Yale Preoperative Anxiety Scale (mYPAS). Other possible predictive factors for preoperative sedation were also investigated. METHODS: A total of 455 patients aged 2 -12 years scheduled for surgery requiring general anaesthesia were enrolled in the study. Patients' anxiety levels were measured using the mYPAS in a preoperative holding area just before patients were separated from their parents or guardians and entered the operating theatre. Anaesthetists blinded to the mYPAS assessments judged whether the child could be separated and enter the operating theatre without a sedative. The ability of the mYPAS to predict the need for preoperative sedation was analysed by receiver operating characteristic (ROC) curve analysis. RESULTS: The optimum mYPAS cut-off for requiring sedatives was 41.7 according to ROC curve analysis. Multivariate logistic regression analysis showed that age, mYPAS > 40 and waiting time were independent predictors of the requirement for sedative administration. CONCLUSIONS: High anxiety levels, young age and long waits contributed to the need for preoperative sedation in children.

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Perioperative anxiety in children

Abstract: Identification and prevention of anxiety in children can help prevent negative outcomes following surgery.

Cited by 175 publications

References 20 publications

The Effectiveness of Therapeutic Play Intervention in Reducing Perioperative Anxiety, Negative Behaviors, and Postoperative Pain in Children Undergoing Elective Surgery: A Systematic Review

The Effectiveness of Therapeutic Play Intervention in Reducing Perioperative Anxiety, Negative Behaviors, and Postoperative Pain in Children Undergoing Elective Surgery: A Systematic Review

Perioperative and Anesthesia Guidelines for Children with Autism: A Nationwide Survey from Sweden

High Anxiety, Young Age and Long Waits Increase the Need for Preoperative Sedatives in Children

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