Postoperative Reactions in Children: "Normal" and Abnormal Responses After Cardiac Surgery

Danilowicz, Dolores A.; Gabriel, H. Paul

doi:10.1176/ajp.128.2.185

Cited by 28 publications

(7 citation statements)

References 6 publications

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“…Five percent (n = 2) were re-admitted to the hospital within 72 hours of discharge, and that time was added to the total length of stay. The average number of weeks between the pre-and postoperative assessment was 5.8 ± 1.9 (range, [4][5][6][7][8].…”

Section: Resultsmentioning

confidence: 99%

Posttraumatic stress disorder in children after cardiac surgery

Connolly

McClowry

Hayman

et al. 2004

The Journal of Pediatrics

114

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Section: Resultsmentioning

confidence: 99%

Posttraumatic stress disorder in children after cardiac surgery

Connolly

McClowry

Hayman

et al. 2004

The Journal of Pediatrics

114

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“…Following open heart surgery, adult patients were noted to have abnormal behaviour (17). Such reactions were thought to be very rare in children, although a single study reported abnormal behaviour in 4 of 68 children undergoing cardiac surgery (18). The terms "the intensive care syndrome" and "ICU psychosis" were subsequently used to describe abnormal behaviour in adult intensive care patients (19,20).…”

Section: Abnormal Behaviourmentioning

confidence: 99%

A prospective study of the adverse effects of midazolam on withdrawal in critically ill children

et al. 1994

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Fifty-three critically ill infants and children received midazolam as sedation in a regional intensive care unit. Assessment of the level of sedation was carried out at regular intervals on withdrawal of midazolam. Forty-nine patients were fully alert within 4 h of midazolam being stopped. Four patients took from 6 h to 1 week to become fully alert. Four patients had abnormal behaviour highly suggestive of midazolam withdrawal. The onset of abnormal behaviour was within 12 h of discontinuation of midazolam. The duration of the abnormal behaviour ranged from 3 h to 1 week. One child had a paradoxical reaction to midazolam. The overall incidence of adverse effects to midazolam in the patients studied was 17%. No adverse effects were observed in infants; all adverse effects were observed in children. We have shown that it is possible to prospectively study the toxicity of sedatives in critically ill infants and children.

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“…Furthermore, most of them were of school age and were heart rather than heart-lung recipients. Cognitive impairment8, 9 and behavioural and emotional10, 11 disturbance have been reported in children who have had open heart surgery, particularly for cyanotic conditions. Adverse effects have also been reported in parents12 and siblings12, 13 of children with congenital heart disease.…”

Section: Introductionmentioning

confidence: 99%