Psychological aspects of pediatric anesthesia

Drašković, Biljana; Simin, Jovana M.; Kvrgić, Ivana M

doi:10.2298/mpns1502029d

Cited by 13 publications

(14 citation statements)

References 18 publications

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“…Surgery and anesthesia provoke significant amount of anxiety in children and their parents (Draskovic, Simin, & Kvrgic, ). Preoperative anxiety is a prevalent phenomenon (Fortier, Del Rosario, Martin, & Kain, ; Kain & Fortier, ).…”

Section: Introductionmentioning

confidence: 99%

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Video game distraction and anesthesia mask practice reduces children's preoperative anxiety: A randomized clinical trial

Dwairej

Obeidat

Aloweidi

2019

Specialist Pediatric Nursing

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Purpose: The study aims to evaluate the effectiveness of combined video game distraction and anesthesia mask exposure and shaping intervention as compared to conventional preoperative preparation on the preoperative anxiety, anesthesia induction compliance and emergence delirium of children undergoing day-case surgery.Design and Methods: The CONSORT guidelines were followed in the current study; a randomized clinical trial, two groups, pre posttest, between subjects design with 1:1 allocation ratio was employed. Children (5-11 years of age; N = 128) admitted for day case surgery were invited to participate in the study. Sixty-four children were assigned to the intervention group receiving combined videogame distraction and anesthesia mask exposure and shaping intervention, and 64 children were assigned to the control group. Results:The results showed that children in the intervention group reported statistically significant lower anxiety scores than the children in the control group at three preoperative points of time: postintervention t = 4.48, p < .001, at the time of transfer to the operation room t = 10.18; p < .001 and during anesthesia induction t = 7.76; p < .001. In addition, compared with the children in the control group, fewer children in the intervention group demonstrated poor anesthesia induction compliance χ 2 = 3.91; p = .04. The results, however, did not reveal statistically significant differences in children's emergence delirium scores.Practice Implication: Combined video game distraction and anesthesia mask exposure and shaping are simple, safe, and time-effective intervention that the nurses can implement at the day of surgery to mitigate children anxiety and to enhance their anesthesia induction compliance. K E Y W O R D S anesthesia induction compliance, preoperative anxiety, anesthesia mask exposure and shaping, children, combined intervention, emergence delirium, preoperative anxiety, randomized clinical trial, video game distraction

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Section: Introductionmentioning

confidence: 99%

“…Children's preoperative anxiety affects their compliance with anesthesia induction (MacLaren & Kain, ). Children with a high level of anxiety usually look agitated and scared; they might cry loudly and stop talking and playing, fight the anesthesia mask or try to leave from the operating room (Draskovic et al, ; Lee et al, ).…”

Section: Introductionmentioning

confidence: 99%

Video game distraction and anesthesia mask practice reduces children's preoperative anxiety: A randomized clinical trial

Dwairej

Obeidat

Aloweidi

2019

Specialist Pediatric Nursing

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“…To overcome the plethora of consequences of preoperative anxiety, many pharmacological and nonpharmacologic anxiolytic interventions have been evaluated for their effectiveness [1] [3]. However, the nonpharmacological anxiolytic interventions are increasingly replacing the pharmacological ones because of their superior or equal effect [9].…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of Video Distraction on Children Preoperative Anxiety: An Integrative Literature Review

Dwairej¹,

Obeidat²,

Khalaf³

2018

OJN

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Background: Children who undergo a day case surgery experience high levels of preoperative anxiety. Preoperative anxiety interferes with anesthesia induction compliance and is associated with many short and long term postoperative complications. Recently, video distraction intervention has been evaluated for its anxiolytic effects in preoperative children. Aim: The aim of this integrative review was to demonstrate the varying methodological approaches utilized to evaluate the effectiveness of a video distraction intervention in reducing preoperative anxiety in children undergoing day case surgery. Methods: A total of 8 articles, meeting the inclusion criteria, were evaluated and included. Findings: The eight studies investigating the effect of video distraction on children preoperative anxiety concluded that video distraction was significant in controlling children preoperative anxiety. Four of the eight studies (50%), investigated video distraction effectiveness against pharmacological comparisons and demonstrated superior or equal anxiolytic effect of video distraction on different points along the surgical continuum. Three of the eight studies compared video distraction against parental presences and video distraction showed superior anxiolytic effect. Three of the eight studies evaluated the effect of video distraction on anesthesia induction compliance and emergence delirium. A significant effect on anesthesia induction was demonstrated while non-significant effect on emergence delirium was documented. Conclusion: Video distraction is a safe, time and cost effective non pharmacological anxiolytic intervention. It can be provided by nurses to control children high level of anxiety before surgery and during anesthesia induction.

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“…Benzodiazepines are unfortunately commonly used in pediatric out-patient clinics during invasive procedures for amnestic and hypnotic effects, even though they lack analgesic properties (2). This contributes to the anxiety of patient and makes the procedure difficult for patient and medical staff (3). The negative impact of these painful interventions in patients are worse particularly when they have to be repeated many times during treatment (4,5).…”

Section: Introductionmentioning

confidence: 99%

Safety of Deep Sedation with General Anesthesia for Minor Invasive Procedures in Pediatric Hematology/Oncology Patients

Tüysüz

Tayfun

2018

Iran J Pediatr

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Background: Multiple invasive procedures are routinely performed in diagnosis and treatment of hematologic/oncologic diseases. Because these procedures are painful, they may cause stress and anxiety in patients and their parents. Especially in patients with malignancies, the repeating procedures can lead to psychiatric disorders like depression and post-traumatic stress disorders. Therefore, general anesthesia is recommended during these invasive procedures for pain control. Objectives: The goal of this study was to evaluate safety and outcome of deep sedation with general anesthesia in hematology/oncology patients during invasive interventions in pediatric outpatient sedation unit. Methods: We retrospectively analyzed records of 129 patients (59 girls and 70 boys) who had undergone 155 invasive procedures with general anesthesia. Patient demographics, reason of operations, anesthesia complications, duration of procedures, and time for recovery from anesthesia were recorded from anesthesia charts. Patients received ketamine (maximum dosage 2 mg/kg) plus midazolam, ketamine plus midazolam plus sevoflurane inhaler (sevoflurane inhaler was added when 2 mg/kg of ketamine was inadequate to obtain deep sedation) and sevoflurane inhaler in 140, 10 and 5 of operations, respectively. Results: Complications occurred in 31 (20%) of these operations. Majority of complications were mild and included post-op agitation, vomiting and local pain which occurred in 6, 5 and 4 of the operations, respectively. Only 2 patients developed severe complications (fall off the stretcher and bronchospasm) which did not lead to any long term morbidity. The complication rate did not differ according to the anesthetic drugs, reason of operations or patient demographics. Conclusions: In this group of patients, deep sedation with general anesthesia in an outpatient sedation unit, administered by trained professionals, was safe, quick, and effective for short-term invasive painful procedures.

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Psychological aspects of pediatric anesthesia

Cited by 13 publications

References 18 publications

Video game distraction and anesthesia mask practice reduces children's preoperative anxiety: A randomized clinical trial

Video game distraction and anesthesia mask practice reduces children's preoperative anxiety: A randomized clinical trial

The Effectiveness of Video Distraction on Children Preoperative Anxiety: An Integrative Literature Review

Safety of Deep Sedation with General Anesthesia for Minor Invasive Procedures in Pediatric Hematology/Oncology Patients

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