Preoperative anxiety is associated with a high incidence of problematic behavior on emergence after halothane anesthesia in boys

Aono, Jun; Mamiya, Kikyo; Manabe, Masanobu

doi:10.1034/j.1399-6576.1999.430509.x

Cited by 82 publications

(53 citation statements)

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“…Tonsillektomi, adenoidektomi gibi üst hava yolu girişimleriyle, oftalmolojik işlemlerin ve sünnetin de risk faktörü olduğu bilinmektedir. (9,10) Çocuklarda postoperatif ajitasyon, genellikle kısa süreli ve kendini sınırlayan bir durum olmakla birlikte, çocuğun kendine ve cerrahi alana zarar vermesine neden olabilir. Ebeveynlerin de anestezi kalitesini sorgulamasına neden olur.…”

Section: Gereç Ve Yöntemunclassified

The Effect of Gabapentin Premedication on the Emergence Delirium in Pediatric Patients Undergoing Circumcision Under Sevoflurane Anesthesia

Dönmez¹,

Salman²,

Sülemanji³

et al. 2012

J Turk Anaesth Int Care

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ÖZETAmaç: Gabapentin anksiyolitik ve analjezik etkileri nedeniyle kullanılan antiepileptik bir ajandır. Gabapentinin perioperatif dönemde kullanımı son yıllarda çalışılmıştır.Biz bu çalışmada gabapentinin sevofluran anestezisi altında sünnet yapılan çocuklarda postoperatif analjezik tüketi-mine ve derlenme ajitasyonu üzerine etkisini incelemeyi amaçladık.Gereç ve Yöntem: Yaşları 3'ten büyük 25 ASA I-II grubu sünnet yapılacak çocuk, bu prospektif randomize çalışmaya dahil edildi. Gabapentin grubuna(grup G,n=12) 15 mg kg -1 gabapentin 10 mL salin içinde operasyondan ½ sa önce verildi. Kontrol grubuna (grup K, n=13) ise 10 mL salin verildi. Sevofluran tek anestetik ajan olarak kullanıldı. Cerrahiden önce tüm çocuklara penil blok uygulandı. Vital parametreler, preoperatif anksiyete skorları, göz açma süresi, Modifiye Aldrete skorları ve derlenme ajitasyon skorları kaydedildi. Postoperatif 24. saatte toplam analjezik tüketim, aile memnuniyeti ve yan etkiler sorgulandı.Bulgular: Demografik veriler, preoperatif anksiyete skorları, vital parametreler, Modifiye Aldrete skorları, operasyon süresi, göz açma süresi, postoperatif ağrı skorları, 24 saatlik toplam analjezik tüketim, aile memnuniyeti skoru gruplar arasında benzerdi. Postoperatif 10. dk. derlenme skoru gabapentin grubunda anlamlı olarak düşüktü.Sonuç: Kısıtlı sayıda hasta üzerinde yapılan bu çalışmada, preoperatif oral gabapentinin postoperatif ağrı ve total analjezik tüketimi üzerine etkisi gösterilememiştir. Postoperatif 10. dk. derlenme skoru anlamlı olarak düşüktür.Anahtar kelimeler: Gabapentin, deliryum, pediatri SUMMARY The Effect of Gabapentin Premedication on the Emergence Delirium in Pediatric Patients Undergoing Circumcision Under Sevoflurane AnesthesiaObjective: Gabapentin, an anticonvulsant drug, has been used for its analgesic and anxiolytic properties. The use of gabapentin in the perioperative setting has been studied in recent studies involving adults. In this study, we aimed to investigate the effect of gabapentine on the postoperative analgesic consumption and emergence delirium of pediatric patients undergoing circumcision under sevoflurane anesthesia.Material and Methods: Twenty-five ASA I-II children >3 years of age undergoing circumcision under sevoflurane anesthesia were included in this prospective randomized study. Gabapentin 15 mg kg -1 dissolved in 10 mL saline was given to group G (n=12) children orally 30 min. prior to surgery. Control group (n=13) received 10 mL of saline. Sevoflurane is used as sole anesthetic agent. Penile block was performed to all patients before surgery. Vital signs, preoperative anxiety scores, time to eye openning, Modified Aldrete scores, emergence agitation scores were recorded. All parents were contacted 24 hours after surgery to evaluate pain, total analgesic consumption at 24 hr, family satisfaction, and any side effects.Results: Demographic data, preoperative anxiety scores, vital signs, Modified Aldrete scores, operation time, time to eye opening, postoperative pain scores and total analgesic consumpti...

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Section: Gereç Ve Yöntemunclassified

The Effect of Gabapentin Premedication on the Emergence Delirium in Pediatric Patients Undergoing Circumcision Under Sevoflurane Anesthesia

Dönmez¹,

Salman²,

Sülemanji³

et al. 2012

J Turk Anaesth Int Care

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show abstract

“…Preoperative emotional status was based on a child's behaviour during induction and was ranked on the following three-point scale by one anaesthesiologist: 1, calm, asleep, smiling, or readily accepted the mask; 2, slightly fearful or anxious; and 3, expressing fear or anxiety by verbal response, crying, or screaming. 18 Those patients with a score of 2 or 3 were considered to have a poor preoperative emotional status.…”

Section: Anaesthesia and Study Designmentioning

confidence: 99%

Use of Laryngeal Mask Airway and Its Removal in a Deeply Anaesthetized State Reduces Emergence Agitation after Sevoflurane Anaesthesia in Children

Lee

et al. 2011

J Int Med Res

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“…Parental presence was reported recently to be beneficial on emergence behavior of children undergoing general anesthesia [4]. The impact of parental anxiety on behavior in children before surgery has been a matter of curiosity [5] [6].…”

Section: Introductionmentioning

confidence: 99%

The Association between Preoperative Parental Anxiety and Emergence Agitation in Preschoolers

Erkılıç¹,

Kesimci²,

Döğer³

et al. 2017

OJEpi

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Introduction: The preoperative distress and anxiety experienced by preschoolers are associated with an increased incidence of troubled recovery from anesthesia. However, influences of parental anxiety on children at different stages of the surgical processes are not clear. The aim of this study was to evaluate any existing association between preoperative parental anxiety and emergence agitation in a pediatric surgery population. Materials and Methods: A total of 60 children ASA class I or II, aged 3 -12 years old, undergoing adenotonsillectomy with sevoflurane, were included in the study. Before surgery, we used State-Trait Anxiety Inventory S-T (STAI S-T) to assess parental anxiety. Emergence agitation of the children was assessed with Watcha scale and recorded every 10 min of first 30 min of the postoperative period. Parents were contacted 24 hours after the surgery to evaluate their satisfaction, post operative pain and any side effect observed in the children. Results: Preoperatively, the mean STAI-S scores of mothers were significantly higher than those of fathers (p < 0.05). The details of surgery, anesthesia and length of hospital stay after surgery were found to be associated with these scores. The STAI-T scores of mothers and fathers were similar (p > 0.05). The children had the highest agitation scores at 10 th postoperative minutes with an incidence of 73.9%. There was no correlation between parental anxiety and emergence agitation. Logistic regression analysis showed that low educational level of the parent was the only independent factor for state anxiety (OR: 8.96, 95% CI: 1.50 -40.35, p = 0.030). Discussion: In this study, we observed that education level of the parents might affect their preoperative anxiety. The factors influential in parental anxiety were not correlated with pediatric emergence agitation in this study.

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Preoperative anxiety is associated with a high incidence of problematic behavior on emergence after halothane anesthesia in boys

Abstract: The boys who were anxious before anesthesia showed a significantly greater incidence of problematic behavior on emergence from halothane anesthesia, compared with the boys who were calm before anesthesia.

Cited by 82 publications

References 1 publication

The Effect of Gabapentin Premedication on the Emergence Delirium in Pediatric Patients Undergoing Circumcision Under Sevoflurane Anesthesia

The Effect of Gabapentin Premedication on the Emergence Delirium in Pediatric Patients Undergoing Circumcision Under Sevoflurane Anesthesia

Use of Laryngeal Mask Airway and Its Removal in a Deeply Anaesthetized State Reduces Emergence Agitation after Sevoflurane Anaesthesia in Children

The Association between Preoperative Parental Anxiety and Emergence Agitation in Preschoolers

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