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Informed consent in pediatric anesthesiology.

Katherine R Gentry1,2, Katherine Lepere2, Douglas J Opel2,3

  • 1Department of Anesthesiology and Pain Medicine, University of Washington School of Medicine, Seattle, WA, USA.

Paediatric Anaesthesia
|October 28, 2017
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Summary
This summary is machine-generated.

Pediatric anesthesia consent discussions often include the plan, risks, and benefits. Including these elements improves parental recall, but not necessarily their understanding of the information provided.

Keywords:
anesthesiacommunicationgeneral surgeryparent satisfactionparental consentrisk

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Area of Science:

  • Anesthesiology
  • Pediatric Medicine
  • Informed Consent

Background:

  • Pediatric anesthesia informed consent is unique, involving parents as surrogates after surgical authorization.
  • Limited data exists on the conduct and impact of these preanesthesia consent discussions.
  • This study aimed to characterize content and assess parental recall and understanding.

Purpose of the Study:

  • To analyze the components of informed consent discussions in pediatric anesthesia.
  • To evaluate the association between discussion content and parental recall and understanding.

Main Methods:

  • A cross-sectional observational study recorded and transcribed 97 preanesthesia consent discussions.
  • Content analysis identified 7 key informed consent elements.
  • Multivariable logistic regression examined the link between 3 core elements (plan, risks, benefits) and parental outcomes.

Main Results:

  • The plan description was universally included; decision solicitation was least common (18%).
  • 70% of discussions covered the plan, risks, and benefits.
  • Parental recall of these 3 elements was significantly higher when they were included in discussions (75% vs. 34%).

Conclusions:

  • Most pediatric preanesthesia discussions incorporate key elements, including the plan, risks, and benefits.
  • The inclusion of these elements enhances parental recall of the information.
  • However, inclusion of these elements did not significantly improve parental understanding.