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Parental intervention choices for children undergoing repeated surgeries
Zeev N Kain1, Alison A Caldwell-Andrews, Shu-Ming Wang
1Departments of *Anesthesiology, †Pediatrics, and ‡Child Psychiatry, Yale University School of Medicine, New Haven, Connecticut.
Anesthesia and Analgesia
|March 26, 2003
Summary
Parents overwhelmingly prefer parental presence during anesthesia induction for children
Area of Science:
- Pediatric Anesthesiology
- Child Psychology
Background:
- Parental preferences for preoperative interventions in children undergoing repeat surgeries are not well-documented.
- Understanding these preferences is crucial for optimizing perioperative care and reducing child anxiety.
Purpose of the Study:
- To investigate parental preferences for preoperative interventions in children undergoing a subsequent surgery.
- To determine if previous interventions or child anxiety influence these preferences.
Main Methods:
- Prospective data collection from 83 children undergoing a subsequent surgery.
- Analysis of parental choices for preoperative interventions (midazolam, parental presence, or no intervention) at the initial and subsequent surgeries.
Main Results:
- Over 80% of parents chose parental presence during anesthesia induction (PPIA), with or without midazolam, for the subsequent surgery.
- Parental preference for PPIA remained high regardless of the intervention received at the initial surgery.
- Children's anxiety levels during the initial surgery significantly influenced parental choices for subsequent interventions.
Conclusions:
- Parental presence during anesthesia induction is the preferred intervention for subsequent surgeries, irrespective of prior interventions.
- Child anxiety is a key factor influencing parental decisions regarding preoperative interventions.