Perioperative anxiety and postoperative behavioural disturbances in children undergoing intravenous or inhalation induction of anaesthesia

Aguilera, I. M.; Patel, Davandra; Meakin, G.; Masterson, Jerry

doi:10.1046/j.1460-9592.2003.01002.x

Cited by 55 publications

(41 citation statements)

References 27 publications

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“…Franz (2004) found that children aged between 4 and 12 years who underwent an inhalation induction had greater medical fears in the post-operative period compared with those who had an IV induction. However, Aguilera et al (2003) found that a greater number of the children (aged 2-14 years) in their study displayed anxious behaviour during an IV induction compared to an inhalation induction. It would therefore, also be of use to determine which type of anaesthesia holds the least possibility of increasing anxiety in the peri-operative period.…”

Section: Introductionmentioning

confidence: 68%

Factors associated with a difficult induction of general anaesthesia

Cropper

Edwards

Hearst

et al. 2011

Cochlear Implants International

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Undergoing cochlear implantation under GA is a major life event for many recipients. Psychologically preparing children for this has been found to be efficacious, but is not currently available to all children. It is suggested that preparation can be targeted at children, as identified in this study, who have elevated emotionality or sociability scores or who have previous experience of procedures under general anaesthesia. This is of particular current relevance as children are increasingly likely to require re-implantation as they grow older and as unilaterally implanted children are now being offered a sequential bilateral implant, both necessitating further surgery.

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Section: Introductionmentioning

confidence: 68%

Factors associated with a difficult induction of general anaesthesia

Cropper

Edwards

Hearst

et al. 2011

Cochlear Implants International

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“…Midazolam premedication can prolong recovery time, but it can also lessen the postoperative agitation caused by sevoflurane. 40 Midazolam cannot be suitable for all patients, therefore a detailed analysis and evaluation of the use of this agent would be welcome.…”

Section: Discussionmentioning

confidence: 99%

Are postoperative behavioural changes after adenotonsillectomy in children influenced by the type of anaesthesia?

Stipić

Carev

Kardum

et al. 2015

European Journal of Anaesthesiology

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The prevalence of NPOBC after elective adenotonsillectomy in 6 to 12-year-old children was very high (80%). The choice of anaesthetic technique for adenotonsillectomy in children influenced the incidence and type of NPOBC. Sevoflurane/nitrous oxide anaesthesia was associated with more frequent and prolonged NPOBCs than TIVA, especially in the separation anxiety, general anxiety and withdrawal/apathy subscales.

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“…Unter Verwendung von Midazolam und "eutectic mixture of local anesthetic" (EMLA) hatten nur 10 % der Kinder Angst bei der Maskeneinleitung, 46 % hingegen, wenn versucht wurde, zuerst eine Vene zu punktieren [3]. Alte Daten, nach denen eine inhalative Einleitung mehr postoperative Verhaltensverände-rungen bewirkt als eine intravenöse, beruhen nicht auf einer heute für gut befundenen anästhesiologischen Praxis.…”

Section: Inhalative Narkoseeinleitungunclassified

Inhalation and intravenous anesthesia in pediatric patients

Jöhr

2016

Anaesthesist

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Inhalation as well as total intravenous anesthesia have both advantages and disadvantages. The pros of an inhalation technique are mask induction without the initial need for intravenous access and precise dosing; the pros of an intravenous technique are postoperative quiet recovery and a low incidence of vomiting. With both techniques the aim is to reach a certain, most often constant effect site concentration, which after a short latent period equals the blood concentration. Initially, with both techniques a higher dosing is required to wash in the compound. An inhalational technique allows the end-tidal concentration to be measured and dosing to be adjusted. Dosing of intravenous anesthetics is based on assumptions. For neonates and young infants an inhalation technique is often preferred because of metabolic immaturity and the resulting difficulties of dosing, whereas older children can often profit from a quiet awakening and a reduced incidence of vomiting. The increased availability of syringe pumps with incorporated algorithms as well as of electroencephalograph (EEG)-based monitoring systems will further promote the popularity of total intravenous anesthesia.

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Perioperative anxiety and postoperative behavioural disturbances in children undergoing intravenous or inhalation induction of anaesthesia

Abstract: Although children were more anxious during i.v. induction than inhalation induction, there was no difference in the incidence of behavioural disturbances in the first 2 weeks postoperatively.

Cited by 55 publications

References 27 publications

Factors associated with a difficult induction of general anaesthesia

Factors associated with a difficult induction of general anaesthesia

Are postoperative behavioural changes after adenotonsillectomy in children influenced by the type of anaesthesia?

Inhalation and intravenous anesthesia in pediatric patients

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