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Parental presence at anaesthesia induction: A systematic review
Eunice K Erhaze1, Maura Dowling2, Declan Devane3
1Barrington's Hospital, Limerick, Ireland.
International Journal of Nursing Practice
|June 9, 2016
Summary
Parental presence during anesthesia induction for children undergoing procedures did not significantly reduce anxiety levels in children or parents. Further research is needed with validated tools to assess outcomes.
Area of Science:
- Pediatric Anesthesiology
- Child Psychology
- Evidence-Based Medicine
Background:
- Parental presence during anesthesia induction is a debated intervention for pediatric patients.
- Anxiety reduction in children and parents is a key concern during medical procedures.
Purpose of the Study:
- To systematically review and assess the effectiveness of parental presence for children undergoing surgical or diagnostic procedures under general anesthesia.
- To synthesize evidence from randomized and quasi-randomized trials on parental presence during anesthesia induction.
Main Methods:
- Systematic literature search of electronic databases and reference lists.
- Inclusion of randomized and quasi-randomized trials involving healthy children (0-16 years) undergoing elective procedures under general anesthesia.
- Risk of bias assessment using the Cochrane collaboration's tool and data synthesis using Review Manager software, including random-effect meta-analysis.
Main Results:
- Nine trials involving 1021 children were eligible, with four included in the meta-analysis.
- No statistically significant difference in anxiety levels was found between children with parental presence and control groups (no presence, premedication, or parental presence plus premedication).
- Anxiety levels at separation and induction were comparable across groups.
Conclusions:
- Parental presence during anesthesia induction does not appear to significantly impact anxiety levels in children or their parents.
- The issue remains debated, highlighting the need for future trials employing reliable and validated outcome assessment tools.
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