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Basics pp 11-17 | Cite as

Strategy to Manage Pediatric Patients: the Family and the Child

  • Giuseppe Rosano
  • Manuela Antoci
  • Marinella Astuto
Part of the Anaesthesia, Intensive Care and Pain in Neonates and Children book series (AICPNC)

Abstract

An important responsibility of physicians who care for children is the elimination of anxiety and suffering whenever possible, especially during the preoperative period. It is known that preoperative anxiety in children is associated with adverse postoperative outcomes (i.e. increased incidence of emergence delirium, increased pain) and so an adequate preparation programme should be applied routinely. The strategy to manage the pediatric patient should include the parents to avoid increasing the parents’ anxiety and concomitantly the child’s anxiety.

Keywords

Physical Restraint Anesthesia Induction Parental Anxiety Oral Midazolam Preoperative Anxiety 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Kain ZN, Caldwell-Andrews A, Mayes L et al (2007) Family-centered preparation for surgery improves perioperative outcomes in children: a randomized controlled trial. Anesthesiology 106:65–74CrossRefPubMedGoogle Scholar
  2. 2.
    Kain ZN, Mayes LC, O’Connor TZ et al (1996) Preoperative anxiety in children. Predictors and outcomes. Arch Pediatr Adolesc Med 150:1238–1245PubMedGoogle Scholar
  3. 3.
    Shirley PJ, Thompson N, Kenward M, Johnston G (1998) Parental anxiety before elective surgery in children. Anaesthesia 53:956–959CrossRefPubMedGoogle Scholar
  4. 4.
    Kain ZN, Caldwell-Andrews AA (2005) Preoperative psychological preparation of the child for surgery: an update. Anesthesiol Clin North Am 23:597–614CrossRefGoogle Scholar
  5. 5.
    Iacobucci T, Federico B, Pintus C, De Francisci G (2005) Evaluation of satisfaction level by parents and children following paediatric anaesthesia. Paediatr Anaesth 15:314–320CrossRefPubMedGoogle Scholar
  6. 6.
    Ammentorp J, Mainz J, Sabroe S (2006) Determinants of priorities and satisfaction in pediatric care. Pediatr Nurs 333:340–348Google Scholar
  7. 7.
    Spencer C, Franck LS (2005) Giving parents written information about children’s anesthesia: are setting and timing important. Paediatr Anaesth 15:547–553CrossRefPubMedGoogle Scholar
  8. 8.
    Astuto M, Rosano G, Rizzo G et al (2006) Preoperative parental information and parents’ presence at induction of anaesthesia. Minerva Anestesiol 72:461–465PubMedGoogle Scholar
  9. 9.
    Miller GG (2003) Waiting for an operation: parents’ perspectives. Can J Surg 47:179–181Google Scholar
  10. 10.
    Arai YC, Ito H, Kandatsu N et al (2007) Parental presence during induction enhances the effect of oral midazolam on emergence behaviour of children undergoing general anaesthesia. Acta Anaesthesiol Scand 51:858–861CrossRefPubMedGoogle Scholar
  11. 11.
    Bailey PD Jr, Bastien JL (2005) Preinduction techniques for paediatric anaesthesia. Curr Opin Anaesthesiol 18:265–269CrossRefPubMedGoogle Scholar
  12. 12.
    Lucas-Polomeni MM (2004) Hypnosis: a new anaesthetic technique! Pediatr Anesth 14:975–976CrossRefGoogle Scholar
  13. 13.
    Fukumoto M, Arima H, Ito S (2005) Distorted perception of smell by volatile agents facilitated inhalational induction of anaesthesia. Pediatr Anesth 15:98–101CrossRefGoogle Scholar
  14. 14.
    Vagnoli L, Caprilli S, Robiglio A, Messeri A (2005) Clown doctors as a treatment for preoperative anxiety in children: a randomized, prospective study. Paediatrics 116:563–567CrossRefGoogle Scholar
  15. 15.
    Caprilli S, Messeri A (2006) Animal-assisted activity at A. Meyer Children’s Hospital: a pilot study. Evid Based Complement Alternat Med 3:379–383CrossRefPubMedGoogle Scholar
  16. 16.
    American Academy of Pediatrics (1997) The use of physical restraint interventions for children and adolescents in the acute care setting. American Academy of Pediatrics Committee on Pediatric Emergency Medicine. Pediatrics 99:497–498CrossRefGoogle Scholar
  17. 17.
    Christiansen E, Chambers N (2005) Induction of anesthesia in a combative child; management and issues. Paediatr Anaesth 15:421–425CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Italia 2009

Authors and Affiliations

  • Giuseppe Rosano
    • 1
  • Manuela Antoci
    • 2
  • Marinella Astuto
    • 1
  1. 1.Department of Anesthesia and Intensive Care, Pediatric Anesthesia and Intensive Care SectionCatania University HospitalCataniaItaly
  2. 2.Department of Anesthesia and Intensive Care, Postgraduate School of Anesthesia and Intensive CareCatania University HospitalCataniaItaly

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