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A clinical case study: parent-present induction of anesthesia in children
Insights
Parents can now be present during anesthesia induction for pediatric surgery. This parent-present induction (PPI) program reduces child distress and improves the overall surgical experience for families.
Area of Science:
- Pediatric Surgery
- Anesthesia
- Child Psychology
Background:
- Historically, parents were excluded from the operating room (OR).
- Children experience significant distress when separated from parents during surgery.
- Hospitals nationwide are implementing new protocols to address this issue.
Observation:
- Children's Hospital in Boston established a parent-present induction of anesthesia (PPI) program.
- This program allows parents to be in the OR during anesthesia induction.
- The program involves collaboration between nursing and anesthesia teams.
Findings:
- The PPI program significantly alters the surgical experience for children and families.
- Preparation of both the child and parent is crucial for program success.
- Case studies indicate generally successful outcomes for the PPI program.
Implications:
- Parental presence during anesthesia induction can mitigate surgical distress in children.
- The PPI program demonstrates a successful model for family-centered pediatric surgical care.
- Further research can explore long-term benefits and broader implementation of PPI programs.
Abstract:
Until recently, the doors to the operating room (OR) remained closed to parents. It is well known that children undergoing surgery experience distress when separated from their parents. Like other hospitals throughout the country, Children's Hospital in Boston has responded to this distress by implementing a parent-present induction of anesthesia (PPI) program. This program has changed significantly the surgical experience for many children and families. A composite case study based on several children and parents who have participated in PPI illustrates collaboration between nursing and anesthesia staff, preparation of the parent and child, the parent's OR experience, and the generally successful outcomes of this PPI program.