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Psychological changes in children after anaesthesia: a comparison between halothane and ketamine
Acta Anaesthesiologica Scandinavica
|January 1, 1977
Summary
This study found that ketamine and halothane anesthesia in children led to similar rates of temporary negative personality changes, most common in younger children. Parental preparation did not impact these psychological reactions.
Area of Science:
- Pediatric Anesthesiology
- Child Psychology
Background:
- Hospitalization and anesthesia can cause psychological distress in children.
- Understanding the impact of different anesthetic agents on children's psychological well-being is crucial.
Purpose of the Study:
- To investigate and compare the psychological reactions of children aged 1-12 years to ketamine versus halothane anesthesia.
- To assess the incidence and duration of personality changes post-operatively.
Main Methods:
- A randomized study involving 107 children undergoing anesthesia.
- Parental questionnaires were administered one month post-operation to assess psychological changes.
- Children received either ketamine or halothane anesthesia.
Main Results:
- No significant difference in the number of personality changes between ketamine and halothane groups.
- Negative personality changes occurred in 13 children (ketamine) and 9 children (halothane), lasting less than one month.
- Younger children exhibited more frequent negative reactions; some children showed positive reactions.
Conclusions:
- Ketamine and halothane appear to have similar psychological side effect profiles in pediatric patients.
- Parental preparation did not influence the observed psychological outcomes.
- A significant percentage of parents felt inadequately informed about the implications of hospitalization for their child.