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Postoperative maladaptive behavioral changes in children
1Department of Anesthesiology, Perioperative and Pain Medicine, Children's Hospital Boston, 300 Longwood Avenue, Boston, Massachusetts 02115, USA.
Middle East Journal of Anaesthesiology
|March 23, 2012
Summary
Anesthesia induction causes stress in children, leading to anxiety, delirium, and behavioral changes post-surgery. Understanding risk factors like preoperative distress and personality is key to preventing these common issues.
Area of Science:
- Pediatric Anesthesiology
- Child Psychology
- Perioperative Medicine
Background:
- Anesthesia induction is stressful for children and families, increasing risks of psychological disturbances.
- These include preoperative anxiety, emergence delirium, and postoperative behavioral changes.
- Postoperative behavioral changes affect up to 60% of children undergoing general anesthesia.
Purpose of the Study:
- To review the psychological disturbances associated with anesthesia induction in children.
- To understand the relationship between induction distress, personality traits, and postoperative behavior.
- To identify risk factors for preventing and treating perioperative behavioral changes.
Main Methods:
- Review of existing literature on psychological effects of anesthesia in children.
- Analysis of tools used to measure psychological manifestations and personality traits.
- Examination of studies associating induction distress and personality with postoperative behavior.
Main Results:
- Anesthesia induction is linked to preoperative anxiety, emergence delirium, and postoperative behavioral changes.
- Postoperative issues include sleep/eating disorders, separation anxiety, and aggression.
- A strong association exists between induction distress, personality, and these changes, though causality is undetermined.
Conclusions:
- Understanding risk factors for behavioral changes is crucial for perioperative care.
- Early identification of at-risk children can guide preventive strategies.
- Further research may clarify causal links for targeted interventions.
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