Evaluación de las escalas empleadas para determinar la ansiedad y el comportamiento del niño durante la inducción de la anestesia. Revisión de la literatura

Jerez, Carlos Hornillos; Lázaro, Juan José; Ullán, Ana M.

doi:10.1016/j.redar.2015.05.007

Cited by 6 publications

(6 citation statements)

References 39 publications

(25 reference statements)

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“…The test re-test has a high correlation (0.73-0.86), and its validity has been demonstrated with high and low levels of anxiety in studies performed on large cohorts of students. The correlation values obtained of 0.83 to 0.94 suggest a very strong validity (Jerez et al 2016b ). Scales specific to the surgical context ◦ Modified Yale Preoperative Anxiety Scale (m-YPAS) (Kain et al 1995 ).…”

Section: Methodsmentioning

confidence: 81%

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Comparison of different scales for the evaluation of anxiety and compliance with anesthetic induction in children undergoing scheduled major outpatient surgery

et al. 2021

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Introduction Anxiety in children triggered by a scheduled surgical intervention is a major issue due to its frequency and consequences. Preoperative anxiety is associated with increased patient fear and agitation on anesthetic induction. The aim of this study is to compare three preoperative anxiety scales for children undergoing elective outpatient surgery, and to correlate each of these tools with the degree of patient compliance on induction, as assessed by the Induction Compliance Checklist (ICC). Methods An observational prospective study was performed on a cohort of children with ages between 2 and 16 years old, scheduled for outpatient surgery. Anxiety was assessed upon arrival to the hospital (M0), during transfer to the surgical unit (M1), and in the operating room during anesthetic induction (M2). Anxiety in the parents (measured with the State-Trait Anxiety Inventory, STAI) and in the children (measured with the Spence Anxiety Scale-Pediatric, SCAS-P, the State-Trait Anxiety Inventory Children, STAIC, and Modified Yale Preoperative Anxiety Scale, m-YPAS) was assessed. Compliance with anesthetic induction was assessed with ICC. Results The study included 76 patients (72.4% male, median age 7.9 years). Anxiety scores (m-YPAS) increased as the moment of surgery approached, being greater at the entrance to the surgical unit (M0 = 26.1 ± 9.5; M1 = 31.8 ± 18.1; M2 = 33.5 ± 21.1). A strong correlation was found between ICC scale and m-YPAS at M1 (0.738) and M2 timepoints (0.794), but not with the rest of scales at M0. Conclusions Standard anxiety assessment scales do not predict the quality of anesthetic induction. m-YPAS scale can detect increasing anxiety in children as they approach the surgical procedure and this correlates strongly with a worse anesthetic induction, defined by higher score on ICC scale.

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Section: Methodsmentioning

confidence: 81%

“…In this scale, higher scores reflect a higher level of anxiety. The short version comprises 18 items, and does not consider the interaction with family members, with a minimum score of 23 and a maximum score of 100 (Jerez et al 2016b ). With both scales, the presence of anxiety is defined by a score greater than or equal to 30.…”

Section: Methodsmentioning

confidence: 99%

Comparison of different scales for the evaluation of anxiety and compliance with anesthetic induction in children undergoing scheduled major outpatient surgery

et al. 2021

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“…For the bivariate analysis of the association between APP and independent variables such as preoperative anxiety, the short version of the modi ed Yale preoperative scale (mYPAS-SF) was employed, which allows measuring preoperative anxiety through 18 items distributed in 4 categories: activity, vocalization, emotional expressiveness and state of agitation, with a score range of 22.7-100, indicating that the higher the score, the greater the anxiety [19].…”

Section: Methodsmentioning

confidence: 99%

Factors associated with acute postoperative pain in preschool children in a referral clinic in eastern Colombia

Lizcano,

Melendez,

Wilches

et al. 2023

Preprint

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Purpose Pain is one of the most difficult variables to quantify in the pediatric population, besides being the most determinant parameter of the length of stay in a post-anesthetic recovery room. The aim of this study is to characterize the most determinant variables in postoperative pain in our pediatric population. Methods An observational cross-sectional study was conducted in preschoolers and school children operated at Clínica Materno Infantil San Luis in Bucaramanga, between January and June 2018. Postoperative pain was evaluated and characterized using the LLANTO pain scale in addition to other related variables. Results Postoperative pain prevalence was 65.6%. Propofol and fentanyl were identified as protective factors to prevent postoperative pain with a RR of 0.55 and 0.44, respectively. The urology and laparotomy surgical groups were associated with less postoperative pain with a RR of 0.63 and 0.6, respectively. Conclusion Propofol and fentanyl use was identified as the most important protective factor for postoperative pain. In addition, there is a close relationship between anxiety and postoperative pain. According to the surgery type, it is suggested to use different adjusted anesthetic methods for each case.

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“…According to the child's behavior when placing the face mask, their compliance during induction was classified as poor (Induction Compliance Checklist [ICC] > 4), moderate (ICC ¼ 1-4), or perfect (ICC ¼ 0), as reported by the ICC scale. 4 The anesthetist assessed both scales.…”

Section: Methodsmentioning

confidence: 99%

“…The degree of preoperative anxiety was assessed with the m-YPAS scale 4 (the modified Yale Preoperative Anxiety Scale) upon admission to the operating room; m-YPAS scale contains 22 items in five categories: activity, emotional expressivity, state of arousal, vocalization, and use of parents. Each category consists of a list of interrelated behaviors; the most representative observed in each of the five categories is the score for that category (score ranges from 23.4 to 100).…”

Section: Methodsmentioning

confidence: 99%

Parental Presence during Induction of Anesthesia Improves Compliance of the Child and Reduces Emergence Delirium

et al. 2021

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Introduction Preoperative stress and anxiety in pediatric patients are associated with poor compliance during induction of anesthesia and a higher incidence of postoperative maladaptive behaviors. The aim of our study was to determine which preoperative preparation strategy improves compliance of the child during induction and decreases the incidence and intensity of emergence delirium (ED) in children undergoing ambulatory pediatric surgery. Materials and Methods This prospective observational study included 638 pediatric American Society of Anesthesiologists I–II patients who underwent ambulatory pediatric surgery, grouped into four preoperative preparation groups: NADA (not premedicated), MDZ (premedicated with midazolam), PPIA (parental presence during induction of anesthesia), and PPIA + MDZ. The results were subsequently analyzed in four age subgroups: Group 1 (0–12 months), Group 2 (13–60 months), Group 3 (61–96 months), and Group 4 (> 96 months). Preoperative anxiety (modified Yale Preoperative Anxiety Scale [m-YPAS]), compliance of the child during induction (Induction Compliance Checklist [ICC]), and ED (Pediatric Anesthesia Emergence Delirium scale) were analyzed in each group. Results Eighty-one percent of patients in the PPIA + MDZ preparation group presented a perfect compliance during the induction of anesthesia (ICC = 0), less preoperative anxiety (mean score m-YPAS = 26), less probability of ED (odds ratio: 10, 5 [3–37.5]; p < 0.05), and less ED intensity compared with the NADA group (1.2 vs. 5.8; p = 0.001). Conclusion PPIA associated with midazolam premedication improves compliance during induction and decreases the incidence and intensity of ED.

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Evaluación de las escalas empleadas para determinar la ansiedad y el comportamiento del niño durante la inducción de la anestesia. Revisión de la literatura

Cited by 6 publications

References 39 publications

Comparison of different scales for the evaluation of anxiety and compliance with anesthetic induction in children undergoing scheduled major outpatient surgery

Comparison of different scales for the evaluation of anxiety and compliance with anesthetic induction in children undergoing scheduled major outpatient surgery

Factors associated with acute postoperative pain in preschool children in a referral clinic in eastern Colombia

Parental Presence during Induction of Anesthesia Improves Compliance of the Child and Reduces Emergence Delirium

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