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Negative Behaviour After Surgery

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Perioperative Medicine in Pediatric Anesthesia

Abstract

Early postoperative negative behaviour (e-PONB) and long-term negative behaviour changes affect young children after general anaesthesia. The aetiology and physiopathological mechanism are currently unclear. For clinicians, the more relevant components of e-PONB are pain, emergence delirium and emergence agitation. The recognition of the different aspects of e-PONB remains challenges, even for expert nurses and doctors. Several risk factors were described, but none clear indication for clinical practice is available due to the lack of consensus on definition, validated tools and gold standard management.

Actually, suggested management of e-PONB includes total intravenous general anaesthesia, prevention of preoperative anxious, accurate assessment of e-PONB during early period after awakening, adequate parental information and pharmacologic management of selected cases.

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Author information

Authors and Affiliations

  1. Department of Anaesthesia and Intensive Care, Niguarda Ca’ Granda Hospital, Milan-Bicocca University, Milan, Italy

    Marta Somaini MD

  2. Department of Anesthesia, Montreal Children’s Hospital, MUHC, McGill University, Montreal, QC, Canada

    Pablo M. Ingelmo MD

Authors
  1. Marta Somaini MD
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  2. Pablo M. Ingelmo MD
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Correspondence to Marta Somaini MD .

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Editors and Affiliations

  1. UCO di Anestesia e Rianimazione, AO-U Policlinico di Catania, Catania, Italy

    Marinella Astuto

  2. MUHC Montreal Children’s Hosp, McGill Un, Department of Anesthesia, Montreal, Canada

    Pablo M Ingelmo

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Somaini, M., Ingelmo, P.M. (2016). Negative Behaviour After Surgery. In: Astuto, M., Ingelmo, P. (eds) Perioperative Medicine in Pediatric Anesthesia. Anesthesia, Intensive Care and Pain in Neonates and Children. Springer, Cham. https://doi.org/10.1007/978-3-319-21960-8_22

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  • DOI: https://doi.org/10.1007/978-3-319-21960-8_22

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