I'm afraid! Children's experiences of being anesthetized

Andersson, Lisbet; Karlsson, Katarina; Johansson, Pauline; Osterberg, S

doi:10.1111/pan.13931

Cited by 15 publications

(35 citation statements)

References 19 publications

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“…By the way, majority of parents of those preschoolers prefer withholding surgical and anesthetic information from their kids for the fears of children’s anxiety and stress induced by potential upcoming surgery and anesthesia. As results, children in this subgroup are psychologically underprepared prior to operating room (OR) [ 7 ]. Accordingly, most of these children were likely to develop anxiety when they cognitively perceived that their body would go through some kinds of manipulation under surgical knife when they are forced to put under deep sleep.…”

Section: Introductionmentioning

confidence: 99%

Effects of advance exposure to an animated surgery-related picture book on preoperative anxiety and anesthesia induction in preschool children: a randomized controlled trial

et al. 2022

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Background Our aim was to investigate whether early surgical preparation by reading an animated picture book about procedure-related events could reduce the preoperative anxiety in preschoolers. Methods 131 patients, aged 3–6 years and underwent elective minor surgery were randomized either to a control or a picture book group. Both groups received general information about surgery and anesthesia in pre-anesthesia clinic. Patients in study group also received a surgery-depicting picture book for them to read at home a week earlier before surgery. Child anxiety was evaluated with the modified Yale Preoperative Anxiety Scale Short Form in six observing time points before anesthesia induction, and the compliance of anesthesia induction was assessed with the Induction Compliance Checklist (ICC). Results There were significantly lower anxiety scores in picture book group than in control group at the time of ready for intravenous cannulation in operating room [51.9 (23.6) vs. 67.2 (22.0); mean difference 15.3; 95% confidence interval (CI) 6.4–24.1; P = 0.001] and at the time of pre-anesthesia visit [27.8 (7.6) vs. 33.2 (13.6); mean difference 5.3; 95%CI 0.93–9.8; P = 0.018]. No significant differences of anxiety levels were found between two groups at other observed time points: in the anesthesia outpatient clinic, in the holding area, at separation from parent to operating room (OR), and on entrance to OR (P = 0.584, 0.335, 0.228, 0.137, respectively). The percentage of children with poor induction compliance (i.e., ICC ≥ 6) was higher in control group compared with that in picture book group [38% vs.21%; odds ratio(95%CI): 0.78(0.61–0.99); P = 0.041]. Conclusions Home-reading an animated picture book to get familiar with the perioperative events earlier prior to surgery could effectively reduce the preoperative anxiety level and increase the compliance during the induction of anesthesia in preschool children. Trial registration ChiCTR2000033583, 06/06/2020 www.chictr.org.cn.

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Section: Introductionmentioning

confidence: 99%

Effects of advance exposure to an animated surgery-related picture book on preoperative anxiety and anesthesia induction in preschool children: a randomized controlled trial

et al. 2022

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“…It could be that parents and children have different causes of anxiety. Parents may be more worried about the surgical outcomes, anesthesia-related side effects and potential complications, while the picture book we used couldn't answer those questions [20,21].…”

Section: Discussionmentioning

confidence: 99%

Effects of Advance Exposure to an Animated Surgery-Related Picture Book on Preoperative Anxiety and Anesthesia Induction in Preschool Children: A Randomized Controlled Trial

Yang¹,

Zhang²,

Sun³

et al. 2021

Preprint

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Background: Our aim was to investigate whether early surgical preparation by reading an animated picture book about procedure-related events could reduce the preoperative anxiety in preschoolers.Methods: 131 patients, aged 3-6 years and underwent elective minor surgery were randomized either to a control or a picture book group. Both groups received general information about surgery and anesthesia in pre-anesthesia clinic. Patients in study group also received a surgery-depicting picture book for them to read at home a week earlier before surgery. Child anxiety was evaluated with the modified Yale Preoperative Anxiety Scale Short Form in six observing time points before anesthesia induction, and the compliance of anesthesia induction was assessed with the Induction Compliance Checklist (ICC).Results: There were significantly lower anxiety scores in picture book group than in control group at the time of ready for intravenous cannulation in operation room [51.9 (23.6) vs. 67.2 (22.0); P = 0.001] and at the time of pre-anesthesia visit [27.8 (7.6) vs. 33.2 (13.6); P = 0.018]. No significant differences of anxiety levels were found between two groups at other observed time points: in the anesthesia outpatient clinic, in the holding area, at separation from parent to operating room (OR), and on entrance to OR (P = 0.584, 0.335, 0.228, 0.137, respectively). The percentage of children with poor induction compliance (i.e., ICC ≥ 6) was higher in control group compared with that in picture book group (38% vs.21%, P = 0.041).Conclusions: Home-reading an animated picture book to get familiar with the perioperative events earlier prior to surgery could effectively reduce the preoperative anxiety level and increase the compliance during the induction of anesthesia in preschool children.Trial registration: ChiCTR2000033583, 06/06/2020 www.chictr.org.cn.

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“…Positive feelings toward being present (14) "It was good for me, now my heart is a bit better" (Interview 10). "I was happy to go inside, it changed my mindset about theatre" (Interview 12).…”

Section: Theme: a Positive Experiencementioning

confidence: 99%

“…From the child's perspective, several studies demonstrated that children think the presence of their caregivers during induction of anesthesia reduce their own anxiety. 14,15 Research from the African continent is limited. 16 SA is a country rich in diversity and culture, where multiple ethnic groups, speaking different languages coexist.…”

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confidence: 99%

Attitudes and perceptions of caregivers regarding their presence at induction of anesthesia

Roux

Redelinghuys

2022

Pediatric Anesthesia

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Background Caregiver presence at their children's induction of anesthesia is practiced daily around the world. Research exploring the attitudes and perceptions of caregivers regarding this practice is limited within the African context. Aims The aim of this study was to describe caregivers' attitudes and perceptions regarding their presence at induction of their children's anesthesia. Methods This descriptive, phenomenological, qualitative study was conducted in 2020 at Chris Hani Baragwanath Academic Hospital, a 3200‐bed facility in South Africa. Twenty caregivers of children (2 to 8 years) undergoing elective surgery were recruited. Data were collected through face‐to‐face, in‐depth, semistructured individual interviews using convenience sampling. Interviews ranged between 11 and 55 minutes in duration and were conducted within 24 hours of induction of anesthesia. The audio‐recorded interviews were transcribed and subjected to inductive reflexive thematic analysis. Results Six themes were developed: Fulfillment of caregiver role, A positive experience, A traumatic experience, Not prepared for the experience, My world is my reality, and Your world is a place different to mine. Conclusion A caregiver's perception of the induction process is influenced by multiple factors. A finding specific to our cohort is the interplay between complex multifaceted cultural beliefs and anesthesia of their children. By acknowledging and addressing these beliefs, a caregiver's presence can be tailored to ensure a positive experience for all involved at induction.

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I'm afraid! Children's experiences of being anesthetized

Abstract: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Cited by 15 publications

References 19 publications

Effects of advance exposure to an animated surgery-related picture book on preoperative anxiety and anesthesia induction in preschool children: a randomized controlled trial

Effects of advance exposure to an animated surgery-related picture book on preoperative anxiety and anesthesia induction in preschool children: a randomized controlled trial

Effects of Advance Exposure to an Animated Surgery-Related Picture Book on Preoperative Anxiety and Anesthesia Induction in Preschool Children: A Randomized Controlled Trial

Attitudes and perceptions of caregivers regarding their presence at induction of anesthesia

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