Related Experiment Video
Updated: Jun 25, 2025
06:38
Use of a Piglet Model for the Study of Anesthetic-induced Developmental Neurotoxicity AIDN: A Translational Neuroscience Approach
Published on: June 11, 2017
11.3K
Innovative change not as yet fully integrated in pediatric anesthesia
Gillian Lauder1, Leora Kuttner2
1BC Children's Hospital, Vancouver, British Columbia, Canada.
Paediatric Anaesthesia
|May 30, 2024
Summary
Pediatric hypnosis effectively reduces procedural pain and anxiety in children. Integrating this technique enhances patient care, potentially lowering costs and reducing reliance on pharmaceutical agents.
Area of Science:
- Medical Hypnosis
- Pediatric Anesthesia
- Pain Management
Background:
- Pediatric hypnosis is an underutilized adjuvant therapy.
- Current methods for managing pediatric procedural pain and anxiety often involve pharmaceuticals with potential side effects.
- There is a need for innovative, non-pharmacological approaches in pediatric care.
Purpose of the Study:
- To explore the potential of integrating pediatric hypnosis into clinical practice.
- To outline useful hypnosis techniques for pediatric procedural settings.
- To discuss training opportunities and future research directions in pediatric anesthesia and hypnosis.
Main Methods:
- This is a perspective piece, summarizing existing knowledge and expert opinion.
- It reviews the rationale for using hypnosis in pediatric anesthesia.
- It discusses practical applications and training.
Main Results:
- Hypnosis has significant potential as an adjuvant therapeutic tool.
- Integration can lead to more confident children undergoing peri-operative care.
- It offers a pathway to reduce pharmaceutical use, associated costs, and environmental impact.
Conclusions:
- Integrating pediatric hypnosis into practice is feasible and beneficial.
- It can improve the patient experience and reduce the need for pharmacological sedation and anxiolysis.
- Further research and training are recommended to optimize its application.
Related Concept Videos
01:24Parenteral Anesthetics: Overview
118
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.
118
01:20Inhalational Anesthetics: Overview
264
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...
264
01:29Local Anesthetics: Clinical Application as Epidural Anesthesia
429
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...
429
01:24General Anesthesia: Overview
212
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...
212
01:22Stages of General Anesthesia
418
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...
418
01:16Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
392
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
One of the advantages of...
392