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[Uncooperative children during induction of anesthesia : theory and practice]

A Zutter1, F J Frei

  • 1Abteilung für Pädiatrische Intensivbehandlung (APIB), Universitätsklinik für Kinderheilkunde, Inselspital, 3010, Bern, Schweiz. Andreas.Zutter@insel.ch

Der Anaesthesist
|July 6, 2011
PubMed

Insights

Pediatric perioperative anxiety impacts anesthesia induction cooperation. Factors like child, parent, and hospital environment influence anxiety, necessitating non-pharmacological strategies or, if needed, careful decisions on restraint or postponement.

Area of Science:

  • Anesthesiology
  • Pediatric Medicine
  • Psychology

Background:

  • Perioperative anxiety is a significant challenge in pediatric anesthesia, affecting patient cooperation during anesthesia induction.
  • Anxiety levels are influenced by child-specific, parental, and environmental factors within the hospital setting.

Observation:

  • Non-pharmacological interventions can improve cooperation during anesthesia induction.
  • Despite optimal preparation, some children remain uncooperative.

Findings:

  • The extent of pediatric anxiety during anesthesia induction is multifactorial.
  • Various non-pharmacological methods exist to enhance child cooperation.
  • Anesthetists must weigh criteria for postponing surgery or using physical restraint for uncooperative children.

Implications:

  • Effective management of pediatric perioperative anxiety is crucial for safe and efficient anesthesia induction.
  • Non-pharmacological strategies should be prioritized to improve patient cooperation.
  • Clinical judgment is essential when deciding on physical restraint or surgical postponement for uncooperative pediatric patients.

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