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Clinical practice guidelines on parental accompaniment in the operating theatre during anaesthetic induction in
M López Segura1, P Sanabria Carretero2, D Gil Mayo3
1Hospital Universitari i Politècnic La Fe, Valencia, Spain.
Insights
This guideline provides evidence-based recommendations for parental accompaniment during pediatric anesthesia induction. It aims to reduce anxiety and improve the perioperative experience for children and families.
Area of Science:
- Pediatric Anesthesiology
- Healthcare Humanization
- Clinical Practice Guidelines
Background:
- Parental accompaniment during anesthesia induction is a key strategy for humanizing pediatric surgical care.
- Studies show benefits in reducing anxiety for both children and parents, improving cooperation, and enhancing the perioperative experience.
- A need exists for a clinical practice guideline to ensure safe and consistent application of this intervention by anesthesiology professionals.
Purpose of the Study:
- To develop a clinical practice guideline for parental accompaniment during pediatric anesthesia induction.
- To establish evidence-based recommendations and expert consensus for implementation in the operating room.
Main Methods:
- Systematic review of national and international scientific literature.
- Multidisciplinary consensus process utilizing GRADE methodology and the Delphi technique.
- Conducted by the Humanization Working Group of the Pediatric Section of the Spanish Society of Anesthesia and Resuscitation (SEDAR).
Main Results:
- The guideline details inclusion/exclusion criteria for patients and companions.
- It proposes a structured action protocol, safety measures, staff training, and communication strategies.
- Specific recommendations are provided for various hospital contexts and clinical situations.
Conclusions:
- This guideline is a practical tool for implementing parental accompaniment in pediatric operating rooms, aligning with humanization and quality of care policies.
- Adoption of the guideline can improve the pediatric perioperative experience.
- It aims to strengthen the trust relationship between healthcare professionals and families.
Introduction:
Parental accompaniment during anesthesia induction in pediatric patients has become a key strategy in the humanization of surgical care. Various studies have demonstrated its benefits in reducing anxiety in both the pediatric patient and their parents, promoting cooperation and enhancing the perioperative experience. Consequently, there is a need for a clinical practice guideline to guide anesthesiology professionals in the safe and consistent application of this intervention.
Objective:
To develop a clinical practice guideline that establishes evidence-based recommendations, based on expert consensus, for implementing parental accompaniment during anesthesia induction in the pediatric operating room.
Methods:
The Humanization Working Group of the Pediatric Section of the Spanish Society of Anesthesia and Resuscitation (SEDAR) conducted a systematic review of national and international scientific literature, complemented by a multidisciplinary consensus process using the GRADE methodology and the Delphi technique.
Results:
The guideline defines inclusion and exclusion criteria for patients and companions, proposes a structured action protocol, details safety measures, staff training, and communication strategies with families. Additionally, it offers specific recommendations for different hospital contexts and clinical situations.
Conclusions:
This guideline serves as a practical tool to facilitate the implementation of parental accompaniment in pediatric operating rooms, in line with policies of humanization and quality of care. Its adoption will help improve the pediatric perioperative experience and strengthen the trust relationship between healthcare professionals and families.
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