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Perioperative Psychiatric Conditions and Their Treatment in Children and Adolescents

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Perioperative Psychiatry

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Abstract

Approximately four million surgical procedures are performed in children annually ranging from elective to life-saving surgeries. This chapter focuses on four common psychiatric conditions in the perioperative period: anxiety, depression, delirium, and aggression. We provide an overview of our current understanding of these conditions, discuss tools for assessment, and outline treatment options across different pediatric age groups.

The focus of this chapter is perioperative psychiatric conditions and their management in children and adolescents. We begin by reviewing the most common surgeries performed in children. Next, we discuss the four most common psychiatric conditions physicians face in the perioperative period. Discussion of management will then proceed in the “Treatment” section.

Surgery can be a stressful and traumatic experience for children and also for their caregivers, and as a result it could lead to anxiety and fear. Understanding the psychological impact of surgery in the context of the pediatric patient’s developmental stage is necessary to minimize or, in the best of cases, overcome these stressful experiences. Regardless of the type of surgery, non-pharmacological and occasionally pharmacological preparation is useful in reducing psychological burden in this patient population and prevent lasting emotional trauma.

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References

  1. Sømme S, Bronsert M, Morrato E, Ziegler M. Frequency and variety of inpatient pediatric surgical procedures in the United States. Pediatrics. 2013;132(6):e1466–72.

    Article  PubMed  Google Scholar 

  2. Grosfeld JL, O’Neill JA. History of pediatric surgery: a brief overview. In: Coran AG, Scott Adzick N, editors. Pediatric Surgery. Philadelphia: Elsevier/Saunders; 2012. p. 3.

    Chapter  Google Scholar 

  3. Durston W, Trans VR. A narrative of monstrous birth in Plymouth October 22, Together with the anatomical observations taken thereupon by William Durston, Doctor of Physick, and communication to Dr. Tim Clerk Philos 1670 undefined pp. 2096;1670.

    Google Scholar 

  4. Goyal PK, Williams AN. To illustrate and increase Chyrurgerie: Ambroise Paré (1510-1590). J Pediatr Surg. 2010;45(10):2108–14.

    Article  PubMed  Google Scholar 

  5. Rickham PP. The dawn of paediatric surgery: Johannes Fatio (1649-1691)--his life, his work and his horrible end. Prog Pediatr Surg. 1986;20:94–105.

    Article  CAS  PubMed  Google Scholar 

  6. Amussat JZ. Histoire d'une opération d'anus practique avec succès par un nouveau procédé. Gaz Med Paris ; pp. 1835;3 SRC - BaiduScholar:753–8.

    Google Scholar 

  7. Ohye RG, Hirsch JC. Congenital heart disease and anomalies of the great vessels. In: Coran AG, Caldamone A, Adzick NS, Krummel TM, Laberge JM, Shamberger R, editors. From pediatric surgery e-book (Vol 2): Elsevier Health Sciences; 2012. p. 1647–71.

    Google Scholar 

  8. Marcdante K. Acyanotic congenital heart disease. 2015. In: Nelson essentials of pediatrics [Internet]. [491–4]. Available from: http://www.logobook.ru/prod_show.php?object_uid=11795781.

  9. Marcdante K. Acyanotic congenital heart disease. 2015. In: Nelson essentials of pediatrics [Internet]. [495–9]. Available from: http://www.logobook.ru/prod_show.php?object_uid=11795781.

  10. Mossey P. Global strategies to reduce the healthcare burden of craniofacial anomalies. Br Dent J. 2003;195(10):613.

    Article  PubMed  Google Scholar 

  11. Genisca AE, Frías JL, Broussard CS, Honein MA, Lammer EJ, Moore CA, et al. Orofacial clefts in the National Birth Defects Prevention Study, 1997-2004. Am J Med Genet A. 2009;149A(6):1149–58.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Harmon Caroll M, Coran AG. Congenital anomalies of the esophagus. In: Coran AG, Scott Adzick N, editors. Pediatric surgery. Philadelphia: Elsevier/Saunders; 2012. p. 893–919.

    Chapter  Google Scholar 

  13. Levitt MA, Pena A. Anorectal malformations. In: Coran AG, Scott Adzick N, editors. Pediatric surgery. Philadelphia: Elsevier/Saunders; 2012. p. 1289–309.

    Chapter  Google Scholar 

  14. Witt WP, Weiss AJ, Elixhauser A. Overview of hospital stays for children in the United States, 2012 2014 [cited 2018 April 12th]. Available from: https://www.hcup-us.ahrq.gov/reports/statbriefs/sb187-Hospital-Stays-Children-2012.jsp.

  15. Addis DG, Shaffer N, Fowler BS, Tauxe RV. The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol. 1990;132:910.

    Article  Google Scholar 

  16. Ramstedt C. Zur operation der angeborenen pylorus stenose.

    Google Scholar 

  17. Kugathasan S, Judd RH, Hoffmann RG, et al. Epidemiologic and clinical characteristics of children with newly diagnosed inflammatory bowel disease in Wiscons: a statewide population-based study. J Pediatr. 2003;143:525–31.

    Article  PubMed  Google Scholar 

  18. Heuschkel R, Salvestrini C, Beattie RM, Hildebrand H, Walters T, Griffiths A. Guidelines for the management of growth failure in childhood inflammatory bowel disease. Inflamm Bowel Dis. 2008;14(6):839–49.

    Article  PubMed  Google Scholar 

  19. Kim SC, Ferry GD. Inflammatory bowel diseases in pediatric and adolescent patients: clinical, therapeutic, and psychosocial considerations. Gastroenterology. 2004;126(6):1550–60.

    Article  PubMed  Google Scholar 

  20. Parray FQ, Wani ML, Malik AA, Wani SN, Bijli AH. Ulcerative colitis: a challenge to surgeons. Int J Prev Med. 2012;3(11):749–63.

    PubMed  PubMed Central  Google Scholar 

  21. Shelley C. Necrotizing enterocolitis treatment and management, Springer; 2016. http://emedicine.medscape.com/article/977956-treatment. Jan 2nd, 2016. May 11th, 2017.

  22. Langer J. Hirschsprung disease. In: Coran AG, Scott Adzick N, editors. Pediatric surgery. Philadelphia: Elsevier/Saunders; 2012. p. 1265–78.

    Chapter  Google Scholar 

  23. CBTRUS statistical report: Primary brain and central nervous system tumors diagnosed in the United States in. Central Brain Tumor Registry of the United States. 2010:2004–6.

    Google Scholar 

  24. Gold EB, Leviton A, Lopez R, Gilles FH, Hedley-Whyte ET, Kolonel LN, et al. Parental smoking and risk of childhood brain tumors. Am J Epidemiol. 1993;137(6):620–8.

    Article  CAS  PubMed  Google Scholar 

  25. Ostrom QT, Gittleman H, Xu J, Kromer C, Wolinsky Y, Kruchko C, et al. CBTRUS statistical report: primary brain and other central nervous system tumors diagnosed in the United States in 2009–2013. Neuro Oncol. 2016;18(suppl_5):v1–v75.

    Article  PubMed  Google Scholar 

  26. McLaughlin EJ, Fisher MJ, Sutton LN, Storm PB. Brain tumors. In: Coran AG, Scott Adzick N, editors. Pediatric surgery. Philadelphia: Elsevier/Saunders; 2012. p. 591–601.

    Chapter  Google Scholar 

  27. Wisoff JH, Epstein FJ. Pseudobulbar palsy after posterior fossa operation in children. Neurosurgery. 1984;15(5):707–9.

    Article  CAS  PubMed  Google Scholar 

  28. Ross AJ, Siegel KR, Bell W, Templeton JM, Schnaufer L, Bishop HC. Massive gastrointestinal hemorrhage in children with posterior fossa tumors. J Pediatr Surg. 1987;22(7):633–6.

    Article  PubMed  Google Scholar 

  29. Reyes J, Murase N, Starzl TE. Principles of transplantation. In: Coran AG, Scott Adzick N, editors. Pediatric surgery. Philadelphia: Elsevier/Saunders; 2012. p. 605–15.

    Chapter  Google Scholar 

  30. Magee J. Renal transplantation. In: Coran AG, Scott Adzick N, editors. Pediatric surgery. Philadelphia: Elsevier/Saunders; 2012. p. 617–29.

    Chapter  Google Scholar 

  31. NAPRTCS : www.naprtcs.org.

  32. Saggi BH, Farmer Douglas G, Busuttil RW. Liver transplantation. In: Coran AG, Scott Adzick N, editors. Pediatric surgery. Philadelphia: Elsevier/Saunders; 2012. p. 643–52.

    Chapter  Google Scholar 

  33. Kim WR, Lake JR, Smith JM, Skeans MA, Schladt DP, Edwards EB, Harper AM, Wainright JL, Snyder JJ, Israni AK, Kasiske BL. OPTN/SRTR 2015 annual data report: liver. Am J Transplant. 2017;17(Suppl 1):174–251.

    Article  PubMed  Google Scholar 

  34. http://www.unos.org/data/about/viewDataReports.asp.

  35. Magee JC, Krishnan SM, Benfield MR, Hsu DT, Shneider BL. Pediatric transplantation in the United States, 1997-2006. Am J Transplant. 2008;8(2):935–45.

    Article  CAS  PubMed  Google Scholar 

  36. Kirk R, Edwards LB, Kucheryavaya AY, et al. The registry of the International Society for Heart and Lung Transplantation: Thirteenth official pediatric heart transplantation report. J Heart Lung Transplant. 2010;29:1119–28.

    Article  PubMed  Google Scholar 

  37. Mah D, Singh TP, Thiagarajan RR, Gauvreau K, Piercey GE, Blume ED, et al. Incidence and risk factors for mortality in infants awaiting heart transplantation in the USA. J Heart Lung Transplant. 2009;28(12):1292–8.

    Article  PubMed  PubMed Central  Google Scholar 

  38. Fuller SMP, Spray TL. Heart transplantation. In: Coran AG, Scott Adzick N, editors. Pediatric surgery. Philadelphia: Elsevier/Saunders; 2012. p. 659–70.

    Chapter  Google Scholar 

  39. Gandhi SK, Albert F, Huddleston CB. Pediatric lung transplantation. In: Coran AG, Scott Adzick N, editors. Pediatric surgery. Philadelphia: Elsevier/Saunders. p. 671.

    Chapter  Google Scholar 

  40. Bronsther B, Abrams MW, Elboim C. Inguinal hernias in children--a study of 1,000 cases and a review of the literature. J Am Med Women’s Assoc (1972). 1972;27(10):522–5. passim.

    CAS  Google Scholar 

  41. Sachs M, Damm M, Encke A. Historical evolution of inguinal hernia repair. World J Surg. 1997;21(2):218–23.

    Article  CAS  PubMed  Google Scholar 

  42. Harris TB, Sibley A, Rodriguez C, Brandt ML. Teaching the psychosocial aspects of pediatric surgery. Semin Pediatr Surg. 2013;22(3):161–6.

    Article  PubMed  Google Scholar 

  43. Marin A. Concepts of illness among children of different ethnicities, socioeconomic backgrounds, and genders. 2010. http://sdsu-dspace.calstate.edu/bitstream/handle/10211.10/1135/Marin_Amanda.pdf?sequence=1.

  44. Kain ZN, Caldwell-Andrews A, Wang S-M. Psychological preparation of the parent and pediatric surgical patient. Anesthesiol Clin North Am. 2002;20(1):29–44.

    Article  Google Scholar 

  45. Kain ZN, Caldwell-Andrews AA, Mayes LC, Weinberg ME, Wang S-M, MacLaren JE, et al. Family-centered preparation for surgery improves perioperative outcomes in children: a randomized controlled trial. Anesthesiology. 2007;106(1):65–74.

    Article  PubMed  Google Scholar 

  46. Eddins-Folensbee F, Klein J, Martinez S, Folensbee R, Harris, T. Child and adolescent development for medical learners—module six: developmental perspectives of emotions and illness. In: MedEdPORTAL. 2011. www.mededportalorg/publication/9134.

  47. Bibace R, Walsh ME. Development of children’s concepts of illness. Pediatrics. 1980;66(6):912–7.

    CAS  PubMed  Google Scholar 

  48. Kain ZN, Maclaren J, Mayes LC. Perioperative behavior stress in children. Philadelphia: Saunders Elsevier.

    Chapter  Google Scholar 

  49. Miller P. Theories of developmental psychology. New York: Worth Publishers; 2002.

    Google Scholar 

  50. Justus R, Wyles D, Wilson J, Rode D, Walther V, Lim-Sulit N. Preparing children and families for surgery: Mount Sinai's multidisciplinary perspective. Pediatr Nurs. 2006;32(1):35–43.

    PubMed  Google Scholar 

  51. Brusch Brenda SM. Pediatrics. In: Levenson J, editor. Textbook of psychosomatic medicine. Arlington: American Psychiatric Publishing, Inc; 2005. p. 761–86.

    Google Scholar 

  52. Bursch B. Textbook of psychosomatic medicine. In: Levenson J, editor. Textbook of psychosomatic medicine. Arlington: American Psychiatric Publishing; 2005. p. 271.

    Google Scholar 

  53. Pritchard MJ. Identifying and assessing anxiety in pre-operative patients. Nurs Stand. 2009;23(51):35–40.

    Article  PubMed  Google Scholar 

  54. Boker A, Brownell L, Donen N. The Amsterdam preoperative anxiety and information scale provides a simple and reliable measure of preoperative anxiety. Can J Anaesth. 2002;49(8):792–8.

    Article  PubMed  Google Scholar 

  55. Rasti R, Jahanpour F, Motamed NJ. The effect of parental presence on anxiety during anesthesia induction in children 2 to 11 years of age undergoing surgery. Univ Med Sci. 2014;12(1):9–16.

    Google Scholar 

  56. Perry JN, Hooper VD, Masiongale J. Reduction of preoperative anxiety in pediatric surgery patients using age-appropriate teaching interventions. J Perianesth Nurs. 2012;27(2):69–81.

    Article  PubMed  Google Scholar 

  57. Dionigi A, Sangiorgi D, Flangini R. Clown intervention to reduce preoperative anxiety in children and parents: a randomized controlled trial. J Health Psychol. 2014;19(3):369–80.

    Article  PubMed  Google Scholar 

  58. Rice M, Glasper A, Keeton D, Spargo P. The effect of a preoperative education programme on perioperative anxiety in children: an observational study. Paediatr Anaesth. 2008;18(5):426–30.

    Article  PubMed  Google Scholar 

  59. William LI, Cheung H, Lopez V, Lee TLI. Effects of preoperative therapeutic play on outcomes of school-age children undergoing day surgery. Res Nurs Health. 2007;30(3):320–32.

    Article  Google Scholar 

  60. Caprilli S, Messeri A, Busoni P. Preoperatory anxiety in children: psychological evaluation of premedication and parental presence efficacy. Pediatr Med Chir. 2004;26(3):169–74.

    CAS  PubMed  Google Scholar 

  61. McEwen AW, Caldicott LD, Barker I. Parents in anesthetic room-parents’ and anesthetists’ views. Anaesthesia. 1994;49(11):987–90.

    Article  CAS  PubMed  Google Scholar 

  62. Kain ZN, Mayes LC, Wang SM, Caramico LA, Krivutza DM, Hofstadter MB. Parental presence and a sedative premedicant for children undergoing surgery: a hierarchical study. Anesthesiology. 2000;92(4):939–46.

    Article  CAS  PubMed  Google Scholar 

  63. Palermo TM, Tripi PA, Burgess E. Parental presence during anaesthesia induction for outpatient surgery of the infant. Paediatr Anaesth. 2000;10(5):487–91.

    Article  CAS  PubMed  Google Scholar 

  64. Arai YCP, Ito H, Kandatsu N, Kurokawa S, Kinugasa S, Komatsu T. Parental presence during induction enhances the effect of oral midazolam on emergence behavior of children undergoing general anesthesia. Acta Anaesthesiol Scand. 2007;51(7):858–61.

    Article  CAS  PubMed  Google Scholar 

  65. Sadeghi A, Tabari AK, Mahdavi A, Salarian S, Razavi SS. Impact of parental presence during induction of anesthesia on anxiety level among pediatric patients and their parents: a randomized clinical trial. Neuropsychiatr Dis Treat. 2017;12:3237.

    Article  PubMed  PubMed Central  Google Scholar 

  66. Sadeghi A, Tabari A, Mahdavi A, Salarian S, Razavi SS, Khaleghnejad TA. Impact of parental presence during induction of anesthesia on anxiety level among pediatric patients and their parents: a randomized clinical trial. Neuropsychiatr Dis Treat. 1920;12:3237–41.

    Article  Google Scholar 

  67. Stirling L, Raab G, Alder EM, Robertson F. Randomized trial of essential oils to reduce perioperative patient anxiety: feasibility study. J Adv Nurs. 2007;60(5):494–501.

    Article  PubMed  Google Scholar 

  68. Spaulding NJ. Reducing anxiety by pre-operative education: make the future familiar. Occup Ther Int. 2003;10(4):278–93.

    Article  Google Scholar 

  69. Fortier MA, Martin SR, Chorney JM, Mayes LC, Kain ZN. Preoperative anxiety in adolescents undergoing surgery: a pilot study. Paediatr Anaesth. 2011;21(9):969–73.

    Article  PubMed  Google Scholar 

  70. Silverman WK, Ollendick TH. Evidence-based assessment of anxiety and its disorders in children and adolescents. J Clin Child Adolesc Psychol, American Psychological Association, Division 53. 2005;34(3):380–411.

    Google Scholar 

  71. Vasey M, Crnic K, Carter W. Worry in childhood: a developmental perspective. Cog Ther Res. 1994;18:529–49.

    Article  Google Scholar 

  72. Turpin G. The psychophysiological assessment of anxiety disorders: three-systems measurement and beyond. Psychol Assess. 1991;3(3):366–75.

    Article  Google Scholar 

  73. Slifer KJ, Tucker CL, Dahlquist LM. Helping children and caregivers cope with repeated invasive procedures: how are we doing? J Clin Psychol Med Sett. 2002;9(2):131–52.

    Article  Google Scholar 

  74. Justus R, Wyles D, Wilson J, Rode D, Walther V, Lim-Sulit N. Preparing children and families for surgery: mount Sinai’s multidisciplinary perspective. Pediatr Nurs. 2005;32(1):35–43.

    Google Scholar 

  75. Bailey L. Strategies for decreasing patient anxiety in the perioperative setting. AORN J. 2010;92(4):445–57. quiz 58.

    Article  PubMed  Google Scholar 

  76. Li HCW, Lopez V, Lee TLI. Psychoeducational preparation of children for surgery: the importance of parental involvement. Patient Educ Couns. 2007;65(1):34–41.

    Article  PubMed  Google Scholar 

  77. Vagnoli L, Caprilli S, Messeri A. Parental presence, clowns or sedative premedication to treat preoperative anxiety in children: what could be the most promising option? Paediatr Anaesth. 2010;20(10):937–43.

    Article  PubMed  Google Scholar 

  78. Kain ZN, Mayes LC, O’Connor TZ, Cicchetti DV. Preoperative anxiety in children. Predictors and outcomes. Arch Pediatr Adolesc Med. 1996;150(12):1238–45.

    Article  CAS  PubMed  Google Scholar 

  79. Jenkins BN, Fortier MA, Kaplan SH, Mayes LC, Kain ZN. Development of a short version of the modified Yale preoperative anxiety scale. Anesth Analg. 2014;119(3):643–50.

    Article  PubMed  Google Scholar 

  80. Rullander A-C, Lundström M, Lindkvist M, Hägglöf B, Lindh V. Stress symptoms among adolescents before and after scoliosis surgery: correlations with postoperative pain. J Clin Nurs. 2016;25(7–8):1086–94.

    Article  PubMed  Google Scholar 

  81. Andersen MO, Christensen SB, Thomsen K. Outcome at 10 years after treatment for adolescent idiopathic scoliosis. Spine. 2006;31:350–4.

    Article  PubMed  Google Scholar 

  82. Danielsson AJ, Romberg K, Nachemson AL. Spinal range of motion, muscle endurance, and back pain and function at least 20 years after fusion or brace treatment for adolescent idiopathic scoliosis: a case-control study. Spine. 2006;31:275–83.

    Article  PubMed  Google Scholar 

  83. Rhodes L, Nash C, Moisan A, Scott DC, Barkoh K, Warner WC, et al. Does preoperative orientation and education alleviate anxiety in posterior spinal fusion patients? A prospective, randomized study. J Pediatr Orthop. 2015;35(3):276–9.

    PubMed  Google Scholar 

  84. Landman Z, Oswald T, Sanders J. Prevalence and predictors of pain in surgical treatment of adolescent idiopathic scoliosis. Spine. 2011;36:825–9.

    Article  PubMed  Google Scholar 

  85. Wong GT, Yuen VM, Chow BF, Spine J. Persistent pain in patients following scoliosis surgery. Eur Spine J. 2007;16:1551–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  86. LaMontagne L, Hepworth JT, Salisbury MH, Cohen F. Effects of coping instruction in reducing young adolescents’ pain after major spinal surgery. Orthop Nurs. 2003;22(6):398–403.

    Article  PubMed  Google Scholar 

  87. Auerbach AD, Vittinghoff E, Maselli J, Pekow PS, Young JQ, Lindenauer PK. Perioperative use of serotonin reuptake inhibitors and risks for adverse outcomes of surgery. JAMA Intern Med. 2013;173(12) https://doi.org/10.1001/jamainternmed.2013.714.

    Article  CAS  PubMed  Google Scholar 

  88. Roose SP, Rutherford BR. Selective serotonin reuptake inhibitors and operative bleeding risk: a review of the literature. J Clin Psychopharmacol. 2016;36(6):704–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  89. Elbe D, Bezchlibnyk-Butler KZ, Virani AS, Procyshyn RM. Clinical handbook of psychotropic drugs for children and adolescents. Boston: Hogrefe Publishing; 2014.

    Book  Google Scholar 

  90. Taghizadeh N, Davidson A, Williams K, Story D. Autism spectrum disorder (ASD) and its perioperative management. Pediatr Anesth. 2015;25(11):1076–84.

    Article  Google Scholar 

  91. Rivet TT, Matson JL. Review of gender differences in core symptomology in autism spectrum disorders. Res Autism Spectr Disord. 2011;5:957–76.

    Article  Google Scholar 

  92. Charman T, Pickles A, Chandler E. IQ in children with autism spectrum disorders: data from Special Needs and Autism Project (SNAP). Psychol Med. 2011;41:619–27.

    Article  CAS  PubMed  Google Scholar 

  93. Wolfe MD, Mack MD, Papili CNS, Frese RN, Strohm J, Deeter RN, et al. H. A. S. Warrington, PharmD; K. S. J. PICU/Clinical Pathway — ICU http://www.chop.edu/clinical-pathway/picu-pcu-delirium-clinical-pathway.

  94. Schieveld JNM, Ista E, Knoester H, Molag ML. Pediatric delirium: a practical approach. In: Rey JM, editor. IACAPAP e-textbook of child and adolescent mental health. Geneva: International Association for Child and Adolescent Psychiatry and Allied Professions; 2015.

    Google Scholar 

  95. Emergence delirium and agitation in children. https://www.uptodate.com/contents/emergence-delirium-and-agitation-in-children. Accessed 7 July 2017.

  96. Ista E, van Dijk M, Gamel C. Withdrawal symptoms in children after long-term administration of sedatives and/or analgesics: a literature review. Assessment remains troublesome. Intensive Care Med. 2007;33:1396–406.

    Article  CAS  PubMed  Google Scholar 

  97. Sikich N, Lerman J. Development and psychometric evaluation of the pediatric anesthesia emergence delirium scale. Anesthesiology. 2004;100:1138–45.

    Article  PubMed  Google Scholar 

  98. Smith HA, Boyd J, Fuchs DC. Diagnosing delirium in critically ill children: validity and reliability of the pediatric confusion assessment method for the intensive care unit. Crit Care Med. 2011;39:150–7.

    Article  PubMed  PubMed Central  Google Scholar 

  99. Silver G, Traube C, Kearney J. Detecting pediatric delirium: development of a rapid observational assessment tool. Intensive Care Med. 2012;38:1025–31.

    Article  PubMed  Google Scholar 

  100. van Dijk M, Knoester H, van Beusekom BS. Screening pediatric delirium with an adapted version of the Sophia Observation Withdrawal Symptoms Scale (SOS). Intensive Care Med. 2012;38:531–2.

    Article  PubMed  Google Scholar 

  101. Thom RP. Pediatric delirium. Am J Psychiat Residents J. 2020;12(2):6–8. https://doi.org/10.1176/appi.ajp.rj.13.

    Article  Google Scholar 

  102. Esseveld MM, Leroy PL, Leue C. Catatonia and refractory agitation in an updated flow chart for the evaluation of emotional-behavioral disturbances in severely ill children. Intensive Care Med. 2013;39:528–9.

    Article  PubMed  Google Scholar 

  103. Difusco LA. Pediatric surgery. In: Rothrock JC, editor. Alexander’s care of the patient in surgery. 15th ed. St Louis: Mosby; 2015. p. 1008–80.

    Google Scholar 

  104. Mason KP. Paediatric emergence delirium: a comprehensive review and interpretation of the literature. Br J Anaesth. 2017;118(3):335–43.

    Article  CAS  PubMed  Google Scholar 

  105. Zhou Q, Shen L, Zhang X, Li J, Tang Y. Dexmedetomidine versus propofol on the sedation of pediatric patients during magnetic resonance imaging (MRI) scanning: a meta-analysis of current studies. Oncotarget. 2017;8(60):102468–73.

    PubMed  PubMed Central  Google Scholar 

  106. Kain ZN, Caldwell-Andrews AA, Maranets I. Preoperative anxiety and emergence delirium and postoperative maladaptive behavior. Anesth Analg. 2004;99:1648–54.

    Article  PubMed  Google Scholar 

  107. Turkel SB. Pediatric delirium: recognition, management, and outcome. Curr Psychiatry Rep. 2017;19(12):101.

    Article  PubMed  Google Scholar 

  108. Somaini T, Engelhardt R, Fumagalli PM, Ingelmo JM. Emergence delirium or pain after anaesthesia—how to distinguish between the two in young children: a retrospective analysis of observational studies. Br J Anaesth. 2016;116(3):377–83. https://doi.org/10.1093/bja/aev552.

    Article  CAS  PubMed  Google Scholar 

  109. Girard TD, Pandharipande PP, Ely EW. Delirium in the intensive care unit. Critical Care. 2008;12(3):S3.

    Article  PubMed  PubMed Central  Google Scholar 

  110. Bettencourt A, Mullen JE. Delirium in children: identification, prevention, and management. Crit Care Nurse. 2017;37(3):e9–e18. https://doi.org/10.4037/ccn2017692.

    Article  PubMed  Google Scholar 

  111. Leack KM. Perioperative preparation of the child and family. In: Tkacz Browne N, Flanigan LM, McComiskey CA, Pieper P, editors. Nursing care of the pediatric surgical patient. 3rd ed. Burlington: Jones & Bartlett Learning; 2013. p. 3–16.

    Google Scholar 

  112. Ahmed MI, Farrell MA, Parrish K, Karla A. Preoperative anxiety in children risk factors and non-pharmacological management. Middle East J Anaesthesiol. 2011;21(2):153–64.

    PubMed  Google Scholar 

  113. Williams K, Thomson D, Seto I, Contopoulos-Ioannidis DG, Ioannidis JP, Curtis S, et al. Standard 6: age groups for pediatric trials. Pediatrics. 2012;129(Suppl 3):S153–60.

    Article  PubMed  Google Scholar 

  114. Lee J-H, Jung H-K, Lee G-G, Kim H-Y, Park S-G, Woo S-C. Effect of behavioral intervention using smartphone application for preoperative anxiety in pediatric patients. Korean J Anesthesiol. 2013;65(6):508–18.

    Article  PubMed  PubMed Central  Google Scholar 

  115. Johnson NL, Rodriguez D. Children with autism spectrum disorder at a pediatric hospital: a systematic review of the literature. Pediatr Nurs. 2013;39(3):131–41.

    PubMed  Google Scholar 

  116. Titlebaum HM. Relaxation. Holist Nurs Pract. 1988;2(3):17–25.

    Article  CAS  PubMed  Google Scholar 

  117. Varvogli L, Darviri C. Stress management techniques: evidence-based procedures that reduce stress and promote health. Health Sci J. 2011;5:74–89.

    Google Scholar 

  118. Graham RJ, Wachendorf MT, Burns JP, Mancuso TJ. Successful and safe delivery of anesthesia and perioperative care for children with complex special health care needs. J Clin Anesth. 2009;21(3):165–72.

    Article  PubMed  Google Scholar 

  119. Cote CJ, Lerman J, Todres ID. A practice of anesthesia for infants and children: Saunders Elsevier; 2009. p. 27.

    Google Scholar 

  120. Bozkurt P. Premedication of the pediatric patient-anesthesia for the uncooperative child. Curr Opin Anesthesiol. 2007;20:211–5.

    Article  Google Scholar 

  121. Ghai B, Grandhe RP, Kumar A. Comparative evaluation of midazolam and ketamine with midazolam alone as oral premedication. Pediatr Anesth. 2006;53:73–8.

    Google Scholar 

  122. Kanegave JT, Favela JL, Acosta M. High dose rectal midazolam for pediatric procedures: a randomized trial of sedative efficacy and agitation. Pediatric Emerg Care. 2003;19:329–36.

    Article  Google Scholar 

  123. van der Walt JH, Moran C. An audit of perioperative management of autistic children. Pediatric Anesth. 2001;11:401–8.

    Article  Google Scholar 

  124. Mehta UC, Patel I, Castello F. EEG sedation for children with autism. Behav Pediatr. 2004;25:102–4.

    Article  Google Scholar 

  125. Zub D, Berkenbosch J, Tobias J. Preliminary experience with oral dexmedetomidine for procedural and anesthetic premedication. Pediatric Anaesth. 2005;15:932–8.

    Article  Google Scholar 

  126. Lubisch N, Roskos R, Berkenbosch JW. Dexmedetomidine for procedural sedation in children with autism and other behavioral disorders. Pediatric Neurolo. 2009;41:88–94.

    Article  Google Scholar 

  127. Peng K, Wu S, Ji F, Li J. Premedication with dexmedetomidine in pediatric patients: a systematic review and meta-analysis. Clinics. 2014;69(11):777–86.

    Article  PubMed  PubMed Central  Google Scholar 

  128. Cromhout A. Ketamine: its use in the emergency department. Emerg Med. 2003;15:155–9.

    Article  Google Scholar 

  129. Whinney C. Perioperative medication management: general principles and practical applications. Clevel Clin. 2009;76(Suppl 4):S126–S32.

    Article  Google Scholar 

  130. Huyse FJ, Touw DJ, Schijndel RS. Van psychotropic drugs and the perioperative period: a proposal for a guideline in elective surgery. Psychosomatics. 2006;47:8–22.

    Article  CAS  Google Scholar 

  131. Courtman S, Mumby D. Children with learning disabilities. Pediatr Anesth. 2008;18:198–207.

    Article  Google Scholar 

  132. Muluk V, Macpherson D. Perioperative medication management. Up To Date [Internet]. 2012. Available at: http://www-uptodate-com.proxy.lib.mcw.edu. Accessed 23 July, 2017.

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Authors and Affiliations

  1. Yale University School of Medicine, New Haven, CT, USA

    Orna Alpert

  2. Department of Psychiatry, Medical College of Wisconsin, Milwaukee, WI, USA

    Imran Iqbal

  3. Children Hospital of Philadelphia, Philadelphia, PA, USA

    Gabriela Andrade

  4. Metro Health Care, Cleveland, OH, USA

    Raman Marwaha

  5. Medical College of Wisconsin, Milwaukee, WI, USA

    Johnathan Ebben & Katherine Zappia

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  1. Orna Alpert
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  2. Imran Iqbal
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  3. Gabriela Andrade
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  4. Raman Marwaha
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  5. Johnathan Ebben
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  6. Katherine Zappia
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Editors and Affiliations

  1. Department of Psychiatry, New Haven, CT, USA

    Paula C. Zimbrean

  2. Department of Psychiatry, University of Rochester Medical Center, Rochester, NY, USA

    Mark A. Oldham

  3. Department of Psychiatry, University of Rochester Medical Center, Rochester, NY, USA

    Hochang Benjamin Lee

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Alpert, O., Iqbal, I., Andrade, G., Marwaha, R., Ebben, J., Zappia, K. (2019). Perioperative Psychiatric Conditions and Their Treatment in Children and Adolescents. In: Zimbrean, P., Oldham, M., Lee, H. (eds) Perioperative Psychiatry. Springer, Cham. https://doi.org/10.1007/978-3-319-99774-2_15

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  • DOI: https://doi.org/10.1007/978-3-319-99774-2_15

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