Parental presence during anesthesia induction. Does it improve quality of anesthesia?

Sánchez, Á.; Soliveres, J.; Hernández, María José; Palomar, Gemma Rodríguez; Solaz, C.; Lledó, M. Bernabeu

doi:10.1097/00003643-201406001-00067

Cited by 4 publications

(5 citation statements)

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“…These results keep up with the study by Arai et al, 8 where the PPIA þ MDZ group presented a lower degree of postoperative agitation than the MDZ group (mean score of 3 and 4, respectively). However, in the study by Sánchez et al, 6 although the PPIA group had better induction quality compared with the NADA group, they found no significant differences in postoperative maladaptive behaviors according to the State Trait Anxiety Inventory scale. Our results follow the line of the study by Aono et al, 9 where they concluded that children between 3 and 5 years of age are more prone to postoperative agitation compared with older children.…”

Section: Discussionmentioning

confidence: 80%

“…Our results are in line with those described in other studies. 6,7 However, in the study by Arai et al, 8 they determined that the presence of parents did not improve compliance during the induction of anesthesia, from which it is assumed that beforehand preparation of parents is necessary for it to become an effective tool. It is interesting to highlight that PPIA alone as a preoperative preparation approach is equivalent in efficacy to pharmacological premedication (MDZ) with a very similar perfect induction rate (55.6 vs. 56.2%), which means that PPIA could be an alternative to premedication in cases where sedatives cannot be administered or are not indicated due to shortage of time, in very young children or with associated pathologies that relatively contraindicate pharmacological premedication: prematurity, sleep apnea syndrome, etc.…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

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

et al. 2021

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“…There was a need to develop ways to help children cope better with what they are likely to remember as a distressing experience. Results are contradictory about whether the presence of parents during the GA induction would diminish their child's anxiety (Kain et al, 1996;Sanchez et al, 2014); however, it may increase the parent's heart rate and skin conductance level (Kain, Caldwell, Andrews, Mayes, Wang, Krivultza, & LoDolce, 2003). In studies by Rodd et al (2013Rodd et al ( , 2014, children reported negative as well as positive emotional and physical outcomes.…”

Section: Discussionmentioning

confidence: 99%

Experiences of Children Undergoing Dental Treatment under General Anesthesia: A Qualitative Study in Canada

2019

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Permission to UseIn presenting this thesis/dissertation in partial fulfillment of the requirements for a postgraduate degree from the University of Saskatchewan, I agree that the Libraries of this University may make it freely available for inspection. I further agree that permission for copying of this thesis/dissertation in any manner, in whole or in part, for scholarly purposes may be granted by the professor or professors who supervised my thesis/dissertation work or, in their absence, by the Head of the Department or the Dean of the College in which my thesis work was done. It is understood that any copying or publication or use of this thesis/dissertation or parts thereof for financial gain shall not be allowed without my written permission. It is also understood that due recognition shall be given to me and to the University of Saskatchewan in any scholarly use which may be made of any material in my thesis/dissertation.

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“…6,11,12 Positive viewpoints described in previous studies were also noted in our research, with some caregivers describing the experience as "good" (Interview 10), "eye-opening" (Interview 12), and "satisfying" (Interview 15). Motivations for caregivers to be present at induction include caregiver anxiety 7,10,12,13 , child anxiety 10,12 , caregiver curiosity 12 , caregiver fear 10,12 , the caregiver's sense of duty 7,12 , caregiver's own anesthetic experience 12 , to comfort their children 12 , and the feeling of expectation by medical staff. 7,12 Similarly, reasons expressed by caregivers interviewed in this study included providing comfort to their children, to assist the medical team, and to reassure themselves that their children are safe.…”

Section: Code (N) Quotationmentioning

confidence: 99%

“…CPIA is not a new concept and has been practiced for decades 3 . Multiple studies on CPIA have been conducted in the Americas 3–7 , Europe 8–10 , and Asia 11–13 describing different perspectives of the various role players; the caregiver present, the anesthetist, and the child. From the caregivers' perspective, a range of experiences are described in the literature, from comforting and reassuring to traumatizing and disturbing.…”

Section: Introductionmentioning

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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Parental presence during anesthesia induction. Does it improve quality of anesthesia?

Cited by 4 publications

References 0 publications

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

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

Experiences of Children Undergoing Dental Treatment under General Anesthesia: A Qualitative Study in Canada

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

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