Parental Satisfaction Assessment After Paediatric Procedural Sedation: There Are Still Issues to Address

Saraçoğlu, Kemal Tolga; Dal, Didem; Baygın, Ömer

doi:10.5152/tjar.2014.05025

Cited by 4 publications

(5 citation statements)

References 20 publications

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“…Throughout the literature, caregivers' satisfaction is rated as high by most of the examined samples across studies, 1–8 regardless of the pharmacological regimen used. The factors affecting parental satisfaction are heterogeneous, including environment, timeliness, and communication issues 4,5,9 . Accordingly, the limited space and privacy of the MRI area have been proved to affect satisfaction negatively 3 .…”

Section: Discussionmentioning

confidence: 99%

“…The factors affecting parental satisfaction are heterogeneous, including environment, timeliness, and communication issues. 4,5,9 Accordingly, the limited space and privacy of the MRI area have been proved to affect satisfaction negatively. 3 Moreover, the recovery pattern has been demonstrated to deeply influence satisfaction, 10 particularly irritability.…”

Section: Discussionmentioning

confidence: 99%

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Recovery characteristics and parental satisfaction in pediatric procedural sedation

Wiel

Monasta

Pascolo

et al. 2022

Pediatric Anesthesia

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Background Despite being a standard of care for children undergoing stressful procedures, little data exist on parental perception of pediatric sedation. Aims This study aimed to investigate recovery characteristics and parental satisfaction for pediatric sedations performed with four widely used sedative regimens. Methods A prospective observational study was conducted at the Institute for Maternal and Child Health of Trieste, Italy, enrolling children undergoing procedural sedation with one of the following pharmacological regimens: propofol, propofol + midazolam, ketamine + propofol, and dexmedetomidine + midazolam. A questionnaire was used to assess the occurrence of symptoms upon recovery from sedation and the following day, and the caregivers' satisfaction for both the recovery pattern and the overall sedation experience, according to a numerical rating scale (0–10). Answers were collected through a telephone survey. The primary outcome was the difference in the quality of the recovery as perceived by caregivers; the secondary and tertiary outcomes were the perceived quality of the overall sedation experience and the frequency of sedation‐related adverse events, respectively. Results Data from 655 patients, 149 receiving propofol, 245 propofol + midazolam, 134 ketamine + propofol, and 127 dexmedetomidine + midazolam, were analyzed. The level of parents' satisfaction for both the recovery and the sedation experience was overall high and increased with the patients' age in all the pharmacological groups (Spearman's rank correlation, ρ .083, p = .033, and ρ .087, p = .026, respectively), with no statistically significant differences between groups when adjusting for age. The occurrence of irritability, prolonged sleepiness, hyperactivity, unsteadiness, hallucinations, emesis, and respiratory distress at any moment negatively affected parental satisfaction. Conclusions In this study, caregivers' satisfaction with pediatric sedation was high, regardless of the regimen used. Lower parental satisfaction was associated with younger age, irritability after sedation, prolonged sleepiness, hyperactivity, unsteadiness, hallucinations, emesis, and respiratory distress.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Recovery characteristics and parental satisfaction in pediatric procedural sedation

Wiel

Monasta

Pascolo

et al. 2022

Pediatric Anesthesia

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“…The fourth section explored the effect of the preoperative video, if they have watched the video, was this reassuring and if the content of preoperative information was enough. https://www.youtube.com/watch?v=JZJ4X5img1U &feature=youtube The last section explored the overall satisfaction with the service (Alsaif, 2018;West, 2014;Milliken-Glabbe, 2017;Dal, 2014).…”

Section: Methodsmentioning

confidence: 99%

Impact of parents’ satisfaction with the service of pediatric anesthesia on clinical and surgical outcomes

Alhamied¹,

Almaneea²,

Alrasheed³

et al. 2022

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Background: Preoperative anxiety is considered one of the major problems for the patients, which leads to undesirable negative effects on preoperative and postoperative stress, resulting in delayed induction of anesthesia and increased risk of anesthesia. Providing appropriate preoperative information to the pediatric patients and their caregivers to enhance postoperative outcomes. Therefore, in this study we aim to evaluate the parents' satisfaction with the use of the services of the Pediatric Anesthesia Department verifying if they feel satisfaction with the services and outcomes. Methods: This is an observational questionnaire study of parents' satisfaction with the service of pediatric anesthesia at King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia, which is a tertiary care center. The study was conducted from July 2021 to September 2021. A questionnaire was designed for the study and participants were asked to watch a video explaining the process of anesthesia in the pre-anesthesia clinic setting and fill the survey before discharge. Results: 111 surveys were collected. 85 (76.6%) of the guardians were mothers. The highest age demographic was 1-5 years accounting for 67 (60.4%) of the study population.Parents' satisfaction was significantly impacted by the whole care of their child by (96%). In addition, anesthesia team perceived professionalism and respectfulness were significant for the satisfaction of the parents (96.2%).Conclusions: Our study suggests that the benefits of parents' satisfaction after preoperative education is important to reduce patient anxiety and improve surgical outcomes.

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“…Furthermore, awareness of parents’ perception about the different available drug regimens may be relevant to guide the pediatrician in tailoring the best pharmacological option to each child. In the literature, caregivers’ satisfaction for pediatric sedation is rated as high, regardless of the pharmacological regimen used [ 5 , 6 , 7 ]. However, caregivers’ overall perception is likely influenced by several variables (from parking facilities to waiting times, staff pleasantness, specific procedure’s related issues), and may be also limited by the fact that the sedation regimen examined is often the only one they ever experienced, with no or limited experience of the other existing options.…”

Section: Introductionmentioning

confidence: 99%

“…We believe that understanding nurses’ opinion could help in improving the standard of care. Remarkably, very little is known about pediatric nurses’ perception of the quality of sedation performed with the different available pharmacological regimens [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Nurses’ Perceptions of the Quality of Procedural Sedation in Children Comparing Different Pharmacological Regimens

et al. 2022

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Nurses play a pivotal role during pediatric procedural sedation and their perspective is an important indicator for the quality of care. The aim of this study is to examine nurses’ satisfaction comparing four different pharmacological regimens used for pediatric sedation outside of the operating room. A prospective observational study was conducted in a third-level pediatric teaching hospital, involving all the nurses with experience in the field of pediatric procedural sedation. A 13-item survey was used to assess the level of nurses’ satisfaction for the quality of sedation with four different analgesic–sedative drugs. Fifty-one questionnaires were completed by pediatric nurses, with a median length of experience of 10 years. Regarding the overall quality of the sedation, the highest median satisfaction scores were observed for propofol (8, IQR 7–9), dexmedetomidine (8, IQR 6–8) and midazolam (8, IQR 7–9). Ketamine (5, IQR 3–7) displayed the lowest score. When asked to rate their level of perceived safety, nurses gave high scores to all the four drugs studied, with no statistically significant difference between them. Non-pharmacological techniques during procedural sedation were judged as important by 38 (74.5%) nurses. According to this sample of pediatric nurses, the best quality of procedural sedation in children outside of the operating room is obtained with propofol, dexmedetomidine and midazolam. During procedural sedation, nurses feel safe overall, regardless of the pharmacological regimen used. Moreover, they highlighted the relevance on non-pharmacological approaches in the preparation of the child for the procedure.

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Parental Satisfaction Assessment After Paediatric Procedural Sedation: There Are Still Issues to Address

Cited by 4 publications

References 20 publications

Recovery characteristics and parental satisfaction in pediatric procedural sedation

Recovery characteristics and parental satisfaction in pediatric procedural sedation

Impact of parents’ satisfaction with the service of pediatric anesthesia on clinical and surgical outcomes

Nurses’ Perceptions of the Quality of Procedural Sedation in Children Comparing Different Pharmacological Regimens

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