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Pre-operative anxiety pediatric

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https://www.readbyqxmd.com/read/28893727/development-of-a-virtual-reality-exposure-tool-as-psychological-preparation-for-elective-pediatric-day-care-surgery-methodological-approach-for-a-randomized-controlled-trial
#1
Robin Eijlers, Jeroen S Legerstee, Bram Dierckx, Lonneke M Staals, Johan Berghmans, Marc P van der Schroeff, Rene Mh Wijnen, Elisabeth Mwj Utens
BACKGROUND: Preoperative anxiety in children is highly prevalent and is associated with adverse outcomes. Existing psychosocial interventions to reduce preoperative anxiety are often aimed at distraction and are of limited efficacy. Gradual exposure is a far more effective way to reduce anxiety. Virtual reality (VR) provides a unique opportunity to gradually expose children to all aspects of the operating theater. OBJECTIVE: The aims of our study are (1) to develop a virtual reality exposure (VRE) tool to prepare children psychologically for surgery; and (2) to examine the efficacy of the VRE tool in a randomized controlled trial (RCT), in which VRE will be compared to care as usual (CAU)...
September 11, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/28879336/the-use-of-general-anesthesia-to-facilitate-dental-treatment-in-adult-patients-with-special-needs
#2
REVIEW
Mathew Albert Wei Ting Lim, Gelsomina Lucia Borromeo
General anesthesia is commonly used to facilitate dental treatment in patients with anxiety or challenging behavior, many of whom are children or patients with special needs. When performing procedures under general anesthesia, dental surgeons must perform a thorough pre-operative assessment, as well as ensure that the patients are aware of the potential risks and that informed consent has been obtained. Such precautions ensure optimal patient management and reduce the frequency of morbidities associated with this form of sedation...
June 2017: Journal of Dental Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/28544343/levels-of-anxiety-in-parents-in-the-24-h-before-and-after-their-child-s-surgery-a-descriptive-study
#3
Laura Pomicino, Elena Maccacari, Sara Buchini
AIMS AND OBJECTIVES: To: a. investigate pre and post-operative anxiety levels in parents of surgical patients; b. identify factors that affect parental anxiety; c. analyze assistance provided and overall parental satisfaction in order to assess if and how this aspect can impact their anxiety level. BACKGROUND: Surgery as an event generates anxiety in children and their parents. Children who are anxious before surgery are likely to develop more postoperative psychological and physiological complications than those who are not...
May 25, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28318419/preparing-youth-with-cancer-for-amputation-a-systematic-review
#4
REVIEW
Caitlyn A Loucas, Sarah R Brand, Sima Zadeh Bedoya, Anna C Muriel, Lori Wiener
Children and adolescents who require limb amputation as part of cancer treatment face many physical and emotional challenges. Preparatory interventions may serve to facilitate positive coping and improve long-term adjustment during pediatric cancer treatment, including decreasing anxiety and postoperative distress. This review aimed to examine and identify the type and degree of psychosocial preparation provided to the child with cancer and family prior to amputation. Electronic databases including Embase, PubMed, and PsycINFO were searched for relevant research articles...
July 2017: Journal of Psychosocial Oncology
https://www.readbyqxmd.com/read/27681601/the-effect-of-an-educational-pre-operative-dvd-on-parents-and-children-s-outcomes-after-a-same-day-surgery-a-randomized-controlled-trial
#5
Julie Chartrand, Jocelyne Tourigny, Johnna MacCormick
AIMS: To examine the effect of a pre-operative DVD on parents' knowledge, participation and anxiety and on children's distress, pain, analgesic requirements and length of recovery after same-day surgery. BACKGROUND: Very few parents are adequately prepared to participate in their child's care during a same-day surgery. An educational DVD was developed to educate parents on how to actively support their child in the recovery room. DESIGN: Single-blind, post-test randomized controlled trial...
March 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/27305731/a-pilot-program-using-text-messaging-to-improve-timely-communication-to-tonsillectomy-patients
#6
Laurie Newton, Cecille Sulman
Approximately 1,500 tonsillectomies are performed annually at a large pediatric academic medical center each year. Families need to be educated on how to care for their child after this surgery. Most tonsillectomy patients are discharged home either the same day as surgery or after one night of observation, resulting in post-operative tonsillectomy recovery and care falling upon the patient's family. Multiple quality improvement efforts to improve family education post tonsillectomy surgery have been performed over the last several years at a large pediatric academic medical center...
2016: ORL-head and Neck Nursing: Official Journal of the Society of Otorhinolaryngology and Head-Neck Nurses
https://www.readbyqxmd.com/read/27212773/comparison-of-intranasal-dexmedetomidine-and-dexmedetomidine-ketamine-for-premedication-in-pediatrics-patients-a-randomized-double-blind-study
#7
Ravi Bhat, M C B Santhosh, Venkatesh M Annigeri, Raghavendra P Rao
BACKGROUND: Goal of premedication in pediatric anesthesia are relieving pre and postoperative anxiety, good parental separation, and smooth induction of anesthesia. Anxiety can produce aggressive reactions, increased distress, increased postoperative pain and postoperative agitation. The benzodiazepine, midazolam, is the most frequently used premedication in pediatric anesthesia. Midazolam has a number of beneficial effects when used as premedication in children: Sedation, fast onset, and limited duration of action...
May 2016: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/26590129/analysis-of-surgically-excised-breast-masses-in-119-pediatric-patients
#8
Jamie Knell, Jeffery L Koning, Julia E Grabowski
PURPOSE: Breast masses in children and adolescents are uncommon and the vast majority are benign. There are currently limited analyses of breast masses in this population and clinical management is highly variable between institutions and providers. The purpose of our study is to analyze the demographics, pathology and management of 119 pediatric patients with breast masses; one of the largest studies to date. METHODS: We performed a retrospective review of patients who underwent excision of a breast mass at a single pediatric center from June 2009 to November 2013...
January 2016: Pediatric Surgery International
https://www.readbyqxmd.com/read/26551374/a-retrospective-study-of-248-pediatric-oral-sedations-utilizing-the-combination-of-meperidine-and-hydroxyzine-for-dental-treatment
#9
M Lenahan, M Wells, M Scarbecz
UNLABELLED: Oral sedation for pre-cooperative and anxious pediatric patients is an important tool for the pediatric dentist. Few studies have examined the sedation regimen of meperidine and hydroxyzine. OBJECTIVES: The primary goal of this study was to evaluate the overall safety and effectiveness of the meperidine/hydroxyzine drug combination. Secondary goals included detecting potential factors that alter sedation effectiveness. STUDY DESIGN: Two hundred and forty eight electronic health records of pediatric patients (131 females, 117 males) who received meperidine/hydroxyzine sedations in a university setting were evaluated...
2015: Journal of Clinical Pediatric Dentistry
https://www.readbyqxmd.com/read/26197625/pain-management-in-the-post-operative-pediatric-urologic-patient
#10
REVIEW
Sandra I Merkel, Judith A Danaher, Jean Williams
Optimizing pain management is a component of enhanced perioperative recovery for children undergoing urologic surgery. Incisional pain and discomfort from bladder spasms are two types of pain associated with bladder surgery. A child's developmental level and verbal skills must be considered when selecting pain assessment tools. Assessing pain location, type, and intensity is essential in developing a multimodal plan of care for post-operative pain. Pharmacological interventions provide effective pain management, which facilitates early ambulation, return to oral intake, and recovery...
March 2015: Urologic Nursing
https://www.readbyqxmd.com/read/26161325/oral-dexmedetomidine-versus-midazolam-as-anesthetic-premedication-in-children-undergoing-congenital-heart-surgery
#11
Seyedeh Zahra Faritus, Mehrdad Khazaee-Koohpar, Mohsen Ziyaeifard, Mohammad Javad Mehrabanian
BACKGROUND: Premedication is required for reducing anxiety and child's struggling against mask acceptance on anesthesia in pediatric surgery for congenital heart disease. Midazolam has been widely used for this purpose, but because of its side effects, finding an effective replacement with less complication is necessary. OBJECTIVES: In the present study, we compared the efficacy of oral midazolam versus dexmedetomidine in terms of anxiolysis and mask acceptance behavior...
June 2015: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/26107360/the-effects-of-pre-op-trainning-on-the-anxiety-levels-of-children-in-corum-turkey
#12
Selen Ozakar Akca, Duygu Gozen, Yeliz Yelen Akpinar
OBJECTIVE: all individuals regardless of their age or level of development require physical, emotional and cognitive preparation before an operation. It is known that the attitudes of pediatric nurses towards pediatric patients are influential on the anxiety levels of children awaiting an operation. This study aims to determine the effect of pre-op trainning on the anxiety levels of pediatric patients hospitalized for hernioplasty surgery. METHODS: this cross sectional and quasi-experimental study included a total of 100 patients aged 7-12 years admitted for inguinal hernia surgery, 50 of which were the control group and 50 the experiment group...
March 2015: Revista da Associação Médica Brasileira
https://www.readbyqxmd.com/read/25437698/-the-incidence-of-emergence-delirium-and-risk-factors-following-sevoflurane-use-in-pediatric-patients-for-day-case-surgery-kingston-jamaica
#13
Rachel Gooden, Ingrid Tennant, Brian James, Richard Augier, Annette Crawford-Sykes, Kelvin Ehikhametalor, Georgiana Gordon-Strachan, Hyacinth Harding-Goldson
BACKGROUND AND OBJECTIVES: Emergence delirium is a distressing complication of the use of sevoflurane for general anesthesia. This study sought to determine the incidence of emergence delirium and risk factors in patients at a specialist pediatric hospital in Kingston, Jamaica. METHODS: This was a cross-sectional, observational study including pediatric patients aged 3-10 years, ASA I and II, undergoing general anesthesia with sevoflurane for elective day-case procedures...
November 2014: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/25059420/psychosocial-status-and-mental-health-in-adolescents-before-and-after-bariatric-surgery-a-systematic-literature-review
#14
REVIEW
Sabine Herget, Almut Rudolph, Anja Hilbert, Susann Blüher
OBJECTIVE: As long-term results of conservative treatment for obesity are discouraging, bariatric surgery is becoming a treatment option for extremely obese adolescents. However, mental and behavioral problems need to be respected when treating this vulnerable target group. METHODS: A detailed systematic literature review on pre- and post-operative depressive, anxiety and eating disorder symptoms of adolescent patients was performed in PsychINFO, PubMed and Medline electronic databases...
2014: Obesity Facts
https://www.readbyqxmd.com/read/24079908/the-effectiveness-of-a-storybook-in-lessening-anxiety-in-children-undergoing-tonsillectomy-and-adenoidectomy-in-northern-ireland
#15
RANDOMIZED CONTROLLED TRIAL
Anne Marie Tunney, Jennifer Boore
AIM: This study aimed to assess the effectiveness of a storybook, entitled, The Tale of Woody's Tonsils, written by Anne Marie Tunney, on reducing the level of anxiety of children aged 5-11 years who were undergoing tonsillectomy and adenoidectomy in one hospital in Northern Ireland. BACKGROUND/LITERATURE REVIEW: Psychological preparation of children for surgery impacts coping. There is evidence, in both adult and pediatric studies, that effective psychological preparation for a surgical procedure has an impact on the individuals' coping ability with reduced levels of anxiety leading to better post-operative outcome, faster recovery and a reduction in long term sequelae associated with admission to hospital...
December 2013: Issues in Comprehensive Pediatric Nursing
https://www.readbyqxmd.com/read/23436668/psychiatric-emergencies-part-i-psychiatric-disorders-causing-organic-symptoms
#16
REVIEW
A Testa, R Giannuzzi, F Sollazzo, L Petrongolo, L Bernardini, S Daini
Psychiatric emergencies are conditions that mostly destabilize the already frenetic activity of the Emergency Department. Sometimes the emergency is clearly referable to primitive psychiatric illness. Other times, psychiatric and organic symptoms can independently coexist (comorbidity), or develop together in different conditions of substance abuse, including alcohol and prescription drugs. Differentiating between substance induced and pre-existing psychiatric disorder (dual diagnosis) may be difficult, other than controversial issue...
February 2013: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/23413521/reducing-paediatric-anxiety-preoperatively-strategies-for-nurses
#17
Angela R St-Onge
he surgical process can cause anxiety in children and this anxiety can be associated with both short and long term negative outcomes. Reduced pre-operative anxiety can improve both the child's and family's surgical experience. This article identifies strategies for nurses to address this issue, including: a child-focused approach, distraction techniques, and informed parental presence.
December 2012: ORNAC Journal
https://www.readbyqxmd.com/read/23289773/a-psychological-preoperative-program-effects-on-anxiety-and-cooperative-behaviors
#18
RANDOMIZED CONTROLLED TRIAL
Francesca Cuzzocrea, Maria C Gugliandolo, Rosalba Larcan, Carmelo Romeo, Nunzio Turiaco, Tiziana Dominici
AIM: To evaluate the effectiveness of a psychological preoperative program in reducing preoperative anxiety and in promoting compliance of pediatric participants with surgical procedures. METHODS: Fifty children and their mothers were subjected to two conditions of treatment to investigate whether psychological preparation activities and psychologist's support during all phases of the operatory iter (group 1) were as efficient in reducing mothers' and child's anxiety and in increasing the child's compliance as distraction activities (group 2)...
February 2013: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/23265634/defining-treatment-response-and-remission-in-child-anxiety-signal-detection-analysis-using-the-pediatric-anxiety-rating-scale
#19
RANDOMIZED CONTROLLED TRIAL
Nicole E Caporino, Douglas M Brodman, Philip C Kendall, Anne Marie Albano, Joel Sherrill, John Piacentini, Dara Sakolsky, Boris Birmaher, Scott N Compton, Golda Ginsburg, Moira Rynn, James McCracken, Elizabeth Gosch, Courtney Keeton, John March, John T Walkup
OBJECTIVE: To determine optimal Pediatric Anxiety Rating Scale (PARS) percent reduction and raw score cut-offs for predicting treatment response and remission among children and adolescents with anxiety disorders. METHOD: Data were from a subset of youth (N = 438; 7-17 years of age) who participated in the Child/Adolescent Anxiety Multimodal Study (CAMS), a multi-site, randomized controlled trial that examined the relative efficacy of cognitive-behavioral therapy (CBT; Coping Cat), medication (sertraline [SRT]), their combination, and pill placebo for the treatment of separation anxiety disorder, generalized anxiety disorder, and social phobia...
January 2013: Journal of the American Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/22854545/-the-effects-of-pre-operative-visual-information-and-parental-presence-intervention-on-anxiety-delirium-and-pain-of-post-operative-pediatric-patients-in-pacu
#20
Je-Bog Yoo, Min-Jung Kim, Soo-Hyun Cho, Yoo-Jung Shin, Nam-Cho Kim
PURPOSE: The purpose of this study was to test whether pre-operative visual information and parental presence had positive effects on anxiety, delirium, and pain in pediatric patients who awoke from general anesthesia in a post-surgical stage. METHODS: This study used a non equivalent control-group post test design (n=76). Independent variables were provision of pre-operative visual information and parental presence for post-surgical pediatric patients in PACU (post anesthesia care unit)...
June 2012: Journal of Korean Academy of Nursing
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