Related Experiment Video

Updated: Nov 28, 2025

Making MR Imaging Child's Play - Pediatric Neuroimaging Protocol, Guidelines and Procedure
15:18

Making MR Imaging Child's Play - Pediatric Neuroimaging Protocol, Guidelines and Procedure

Published on: July 30, 2009

18.5K

Behavioral and Emotional Disorders in Children and Their Anesthetic Implications

Srijaya K Reddy1, Nina Deutsch2

  • 1Department of Anesthesiology, Division of Pediatric Anesthesiology-Monroe Carell Jr. Children's Hospital, Vanderbilt University Medical Center, 2200 Children's Way Suite 3116, Nashville, TN 37232, USA.

Children (Basel, Switzerland)
|December 1, 2020
PubMed

Insights

Common childhood behavioral and emotional disorders can complicate hospital stays and surgery. This review covers anxiety, ADHD, and autism spectrum disorder, offering management strategies for smoother perioperative care.

Area of Science:

  • Pediatric Anesthesiology
  • Child Psychology
  • Behavioral Medicine

Background:

  • Children frequently experience anxiety in hospital settings, particularly before surgery.
  • Several common behavioral and emotional disorders present unique challenges in the perioperative period.

Purpose of the Study:

  • To provide an overview of common childhood behavioral and emotional disorders.
  • To explore the impact of these disorders on anesthesia and perioperative care.
  • To highlight management techniques for a smoother perioperative course.

Main Methods:

  • Literature review of common childhood behavioral and emotional disorders.
  • Analysis of their impact on perioperative management.
  • Synthesis of evidence-based management strategies.

Main Results:

  • Common disorders include anxiety, depression, ADHD, ODD, conduct disorder, OCD, PTSD, and ASD.
  • These conditions can affect patient cooperation, pain perception, and recovery.
  • Specific anesthetic and non-anesthetic management techniques can mitigate challenges.

Conclusions:

  • Understanding and addressing pediatric behavioral and emotional disorders is crucial for safe and effective perioperative care.
  • Tailored management strategies improve patient outcomes and reduce perioperative stress.
  • Further research into optimized perioperative protocols for these children is warranted.

Keywords:
anesthesiaattention deficit and disruptive behavior disordersautism spectrum disorderchild behavioral disordersemergence deliriumperioperative carepremedication

More Related Videos

Guidelines for Elective Pediatric Fiberoptic Intubation11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

18.1K
Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood08:09

Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood

Published on: February 11, 2017

11.8K

Related Concept Videos

Parenteral Anesthetics: Overview01:24

Parenteral Anesthetics: Overview

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.
432
General Anesthesia: Overview01:24

General Anesthesia: Overview

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...
412
Inhalational Anesthetics: Overview01:20

Inhalational Anesthetics: Overview

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...
712
Stages of General Anesthesia01:22

Stages of General Anesthesia

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...
1.1K
Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

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...
600
Operant Conditioning Intervention01:24

Operant Conditioning Intervention

Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
318