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Related Experiment Videos

[Perioperative psychobehavioural changes in children].

D Cohen-Salmon1

  • 1Département d'anesthésie-réanimation, hôpital d'enfants Armand-Trousseau, 26, avenue du Dr-Arnold-Netter, 75571 Paris cedex 12, France. didier.cohen-salmon@orange.fr

Annales Francaises D'Anesthesie Et De Reanimation
|April 3, 2010
PubMed
Summary

Children undergoing surgery may experience psychological distress, including preoperative anxiety and postoperative behavioral changes. Strategies like preparation, sedation, and parental presence can help manage this distress.

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Area of Science:

  • Pediatric Anesthesiology
  • Child Psychology
  • Perioperative Care

Context:

  • Children undergoing surgery often experience psychological distress, manifesting as preoperative anxiety, emergence delirium, and postoperative behavioral changes.
  • These issues can persist for up to a year, impacting children and families.
  • Risk factors include young age, prior negative medical experiences, parental anxiety, and child's personality traits.

Purpose:

  • To review literature on managing psychological distress in children undergoing surgery.
  • To identify risk factors and effective interventions for perioperative anxiety and behavioral changes.
  • To highlight the importance of addressing children's psychological needs in pediatric anesthesia.

Summary:

  • Preoperative anxiety is common during anesthesia induction, while emergence delirium and postoperative behavioral issues like separation anxiety and nightmares can follow surgery.
  • Tools such as the m-YPAS and PHBQ can quantify anxiety and behavioral changes.
  • Effective strategies include preoperative preparation, appropriate premedication (e.g., Midazolam), and parental presence during induction, especially within a family-centered approach.

Impact:

  • Recognizing and managing perioperative distress is crucial for improving pediatric surgical outcomes.
  • Early identification of at-risk children during preanesthesia consultations can guide interventions.
  • Integrating psychological support into pediatric anesthesia care is essential for the child's well-being.