I'm afraid! Children's experiences of being anesthetized
Lisbet Andersson1, Katarina Karlsson2, Pauline Johansson1
1Faculty of Health and Caring Science, Linnaeus University, Växjö, Sweden.
Paediatric Anaesthesia
|May 29, 2020
Summary
Children feel powerless and anxious during anesthesia due to a lack of control. Providing a safe, supportive environment and tailored information is crucial for managing their stress during medical procedures.
Area of Science:
- Pediatric Anesthesiology
- Child Psychology
- Qualitative Research
Background:
- Anesthetization is a stressful experience for children.
- Limited research exists on children's subjective experiences of anesthesia.
- Preoperative anxiety reduction measures are widely studied, but children's perspectives are often overlooked.
Purpose of the Study:
- To explore and understand the meaning of being anesthetized from the child's perspective.
- To gain insight into children's lived experiences during anesthesia.
- To identify key themes in children's experiences of anesthesia.
Main Methods:
- Qualitative lifeworld hermeneutic approach.
- Data collection via nonparticipant video observations, field notes, and interviews.
- Study involved 28 children aged 4-13 undergoing elective minor surgery.
Main Results:
- Identified four key themes: Being powerless, Striving for control, Experiencing ambiguous comprehensibility, and Seeking security.
- Children experienced anxiety due to perceived inability to protect themselves.
- Children's need for appropriate information in a calm, supportive, and protective environment was highlighted.
Conclusions:
- Children's anxiety during anesthesia is multifaceted.
- Emphasizes the importance of acknowledging each child's voice.
- Advocates for individually adapted, safe, and protective care environments.
Related Concept Videos
Stages of General Anesthesia
1.3K
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
1.3K
General Anesthesia: Overview
487
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
487
Parenteral Anesthetics: Overview
499
Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
499
Inhalational Anesthetics: Overview
845
Inhalation anesthetics are drugs that induce general anesthesia upon inhalation. They work by increasing the sensitivity of GABAA receptors or inhibiting NMDA receptors, leading to a decrease in central nervous system activity. The depth of anesthesia can be rapidly adjusted by changing the concentration of the inhaled gas. Some common examples of inhalational anesthetics include volatile liquids like isoflurane, desflurane, sevoflurane and gases like xenon and nitrous oxide. Isoflurane, a...
845
Local Anesthetics: Clinical Application as Epidural Anesthesia
631
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
631
Local Anesthetics: Adverse Effects
692
While local anesthetics are generally safe and well-tolerated, they can occasionally cause adverse effects that vary in severity. Local anesthetics can induce toxicity at two distinct levels. They can either produce local effects through direct contact with the neural elements or be absorbed into the bloodstream from the injection site, leading to systemic effects.
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
692


