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Z Hatipoglu, E Gulec, D Lafli, D Ozcengiz
Background: : Preoperative anxiety is a critical issue in children, and associated with postoperative behavioral changes. Aims: : The purpose of the current study is to evaluate how audiovisual and auditory presentations about the perioperative period impact preoperative anxiety and postoperative behavioral disturbances of children undergoing elective ambulatory surgery. Materials and Methods: : A total of 99 patients between the ages of 5-12, scheduled to undergo outpatient surgery, participated in this study...
June 2018: Nigerian Journal of Clinical Practice
Yi Cai, Lindsay Lopata, Sonam Dodhia, Matthew Monteleone, Joseph Haddad, Lena S Sun
INTRODUCTION: Behavioral difficulties associated with sleep-disordered breathing (SDB) improve after tonsillectomy, but surgery may lead to the development of short-term postoperative maladaptive behavioral changes (PMBCs). These PMBCs have not been compared between total and partial tonsillectomy patients. METHODS: SDB patients aged 1-6 years undergoing tonsillectomy were recruited. Parent phone surveys were conducted at 48-72 hours and 1-2 weeks postoperatively...
March 2018: International Journal of Pediatric Otorhinolaryngology
P K Buehler, N Spielmann, S Buehrer, A R Schmidt, M Weiss, A Schmitz
BACKGROUND: Hospitalization, surgery and anaesthesia may lead to new-onset maladaptive behaviour, emotional distress and trauma. This pilot study aims to investigate the influence of intraoperatively applied music on post-operative behaviour in children and adolescents. METHODS: Children with an ASA physical state classification of I or II, aged from 4 to 16 years and scheduled for elective circumcision or inguinal hernia repair under combined general and caudal anaesthesia were included...
September 2017: Acta Anaesthesiologica Scandinavica
Yi Cai, Lindsay Lopata, Arthur Roh, Mary Huang, Matthew A Monteleone, Shuang Wang, Lena S Sun
STUDY OBJECTIVE: To identify demographic, intraoperative, and parental factors that influence the postoperative pain experience in ambulatory surgery pediatric patients. We also monitored postoperative maladaptive behavior changes (PMBCs) to investigate the relationship between pain and PMBCs. DESIGN: Prospective cohort study. SETTING: Discharge period after ambulatory surgery. PATIENTS: 204 patients ages 1-6years undergoing ambulatory orthopedic, urology, general surgery, and otolaryngology surgical procedures who were American Society of Anesthesiologists (ASA) physical status I or II...
June 2017: Journal of Clinical Anesthesia
Julie Hilly, Anne-Laure Hörlin, Joelle Kinderf, Cecile Ghez, Sabrina Menrath, Honorine Delivet, Christopher Brasher, Yves Nivoche, Souhayl Dahmani
INTRODUCTION: Postoperative maladaptive behaviors (POMBs) are common following pediatric anesthesia, and preoperative anxiety is associated with POMBs. A family-centered preoperative preparation workshop was instituted with the aim of reducing the incidence of POMB and preoperative anxiety, and the study was constructed to evaluate its effectiveness. MATERIAL AND METHODS: A prospective cohort study was constructed, comparing patients who attended the workshop (workshop group) with patients who did not attend and who were matched for age and type of surgery (comparison group)...
October 2015: Paediatric Anaesthesia
Brooke N Jenkins, Zeev N Kain, Sherrie H Kaplan, Robert S Stevenson, Linda C Mayes, Josue Guadarrama, Michelle A Fortier
BACKGROUND: The Post Hospitalization Behavior Questionnaire (PHBQ) was designed for assessing children's posthospitalization and postoperative new-onset behavioral changes. However, the psychometric properties of the scale have not been re-evaluated in the past five decades despite substantial changes in the practice of surgery and anesthesia. In this investigation, we examined the psychometric properties of the PHBQ to potentially increase the efficacy and relevance of the instrument in current perioperative settings...
July 2015: Paediatric Anaesthesia
V V Milenin, I F Ostreĭkov, Ia I Vasil'ev
The article deals with results of comparative evaluation of system of assessment of children's fear and anxiety in dentistry (SDS test) and other objective and subjective methods for assessing anxiety in pediatric patients. We studied 381 pediatric patients aged from 3 to 7 years. The aim of the study was to prove validity mathematical derived FCD test as a technique of anxiety detection in dentistry. During the study following subjective test were used: MAS, DAS, mYPAS, VAS, STAI, STAIC, EASI, PHBQ, and some history data and stress factors were also considered...
September 2014: Anesteziologiia i Reanimatologiia
S Buehrer, R Klaghofer, M Weiss, A Schmitz
BACKGROUND: Negative behavioral changes after anesthesia in children are common. The Post Hospitalization Behavior Questionnaire (PHBQ) was particularly developed and has been widely used in English-speaking countries to investigate such behavioral changes. The PHBQ consists of 27 questions related to behavioral features observed by parents after anesthesia or hospitalization, each involving comparison with their baseline status. AIM: A comparable diagnostic tool in German should be established...
February 2015: Der Anaesthesist
Sanda Stojanovic Stipic, Mladen Carev, Goran Kardum, Zeljka Roje, Damira Milanovic Litre, Neven Elezovic
BACKGROUND: Negative postoperative behavioural changes (NPOBCs) are very frequent in children after surgery and general anaesthesia. If they persist, emotional and cognitive development may be affected significantly. OBJECTIVE: To assess whether the choice of different anaesthetic techniques for adenotonsillectomy may impact upon the incidence of NPOBC in repeated measurements. DESIGN: A randomised, controlled, parallel-group trial. SETTING: University Hospital Split, Croatia...
May 2015: European Journal of Anaesthesiology
Rune Risgaard, Martin Jensen, Morten Jørgensen, Benny Bang-Andersen, Claus T Christoffersen, Klaus G Jensen, Jesper L Kristensen, Ask Püschl
The synthesis of a novel series of dopamine receptor agonists are described as well as their in vitro potency and efficacy on dopamine D₁ and D₂ receptors. This series was designed from pergolide and (4aR,10aR)-1-propyl-1,2,3,4,4a,5,10,10a-octahydro-benzo[g]quinolin-6-ol (PHBQ) and resulted in the synthesis of (2R,4aR,10aR)-2-methylsulfanylmethyl-4-propyl-3,4,4a,5,10,10a-hexahydro-2H-naphtho[2,3-b][1,4]oxazin-9-ol (compound 27), which has a D₁ and D₂ receptor profile similar to that of the most recently approved drug for Parkinson's disease, rotigotine...
January 1, 2014: Bioorganic & Medicinal Chemistry
Richard M Beringer, Rosemary Greenwood, Nicky Kilpatrick
BACKGROUND: Measuring perioperative behavior changes requires validated objective rating scales. We developed a simple score for children's behavior during induction of anesthesia (Pediatric Anesthesia Behavior score) and assessed its reliability, concurrent validity, and predictive validity. METHODS: Data were collected as part of a wider observational study of perioperative behavior changes in children undergoing general anesthesia for elective dental extractions...
February 2014: Paediatric Anaesthesia
Michelle A Fortier, Edwin T Tan, Linda C Mayes, Aditi Wahi, Abraham Rosenbaum, Suzanne Strom, Ricci Santistevan, Zeev N Kain
OBJECTIVES: To examine the role of ethnicity and language in parent report of children's postoperative behavioral recovery. AIM: To compare incidence of new onset negative behavior change in English- and Spanish-speaking White and Hispanic children following outpatient surgery. BACKGROUND: Postoperative behavioral change in children is common; however, it is unknown whether cultural variables including ethnicity and language may influence parent report of children's behavioral recovery...
May 2013: Paediatric Anaesthesia
V V Milenin, K R Tolasov
The literature contains numerous publications on the issue of Postoperative Behavior. The purpose of this study was to obtain installment of the objective data on the occurrence of Postoperative Behavior in dental profile patients depending on various factors. Age of the children who underwent the study ranged from 3 to 5 years. The study group included 531 patients, while the control group contained 103 children who were treated independently. During the hospital admission patient's parents were asked to fill in the appropriate grading systems, such as MAS, DAS, STAI, mYPAS and PHBQ, the general information table was filled in as well, which, in addition to general demographic characteristics, considered factors such as: age, number of unsuccessful attempts to sanate the oral cavity, the number of caries, etc...
January 2011: Anesteziologiia i Reanimatologiia
Kelly Howard, Eric Lo, Suzette Sheppard, Robyn Stargatt, Andrew Davidson
BACKGROUND: Past research examining the psychosocial impact of general anesthesia and day case surgery on children has been hampered by a lack of valid and reliable assessment tools. AIM: The purpose of the current study was to assess the feasibility of using a well-validated scale (i.e. the Pediatric Quality of Life Inventory Generic Core Scales Version 4.0, PedsQL) in the perioperative setting and to establish changes seen in a sample of children having day case surgery when using this scale...
October 2010: Paediatric Anaesthesia
D Cohen-Salmon
The relevant literature since the 1940s has been collected from the Medline database, using the keywords: child, operation, anxiety, distress, postoperative complications, preparation, premedication, parental presence, prevention. Preoperative anxiety, emergence delirium, and postoperative behavior changes are all manifestations of psychological distress in children undergoing surgery. Preoperative anxiety is most prominent during anaesthesia induction. Emergence delirium is frequent and somewhat independent of pain levels...
April 2010: Annales Françaises D'anesthèsie et de Rèanimation
Victoria Meisel, Karin Chellew, Esperança Ponsell, Ana Ferreira, Leonor Bordas, Gloria García-Banda
The presence of clowns in health care settings is a program used in many countries to reduce distress in children who are undergoing surgery. The aim of the present study is to determine the effect of the presence of clowns on children's distress and maladaptive behaviours while in hospital for minor surgery. The sample consisted of 61 pediatric patients (aged 3-12 years) undergoing general anesthesia for minor surgery. Participants were assigned to two groups: experimental and control group. The child's distress was assessed using FAS (Facial Affective Scale)...
November 2009: Psicothema
Alisa McQueen, Robert O Wright, Maya M Kido, Erica Kaye, Baruch Krauss
STUDY OBJECTIVE: Although the safety and efficacy of procedural sedation and analgesia in the pediatric emergency department (ED) has been established, the prevalence of adverse events after discharge has not been well studied. We compare the postdischarge incidence of adverse behavioral events and vomiting and hypothesize that ketamine would be associated with increased adverse behaviors. METHODS: We conducted a prospective observational study of postdischarge behavioral changes and vomiting after sedation with ketamine, ketamine/midazolam, or fentanyl/midazolam...
August 2009: Annals of Emergency Medicine
S Banu Akinci, E Arzu Köse, Turgay Ocal, Ulkü Aypar
This study aimed to evaluate whether maternal presence during induction has additional beneficial effects on a mother's anxiety or changes in the child's behavior when an information booklet was given to all mothers and premedication was given to all patients. One hundred children, aged 2-10 years, scheduled for ambulatory surgery were randomly assigned to a mother-present (Group M) or mother-absent group (Group C) after premedication with intranasal midazolam. All mothers were informed about general anesthesia with a detailed information booklet...
November 2008: Turkish Journal of Pediatrics
R Amouroux, D Cohen-Salmon, R Gooze, C Rousseau-Salvador, D Annequin
OBJECTIVES: The purpose of this study was to evaluate postoperative pain in the hospital and at home as well as behavioural changes at home following outpatient adenoidectomy (VG) and ear tube (ATT) surgery. STUDY DESIGN: Prospective cohort study. PATIENTS AND METHODS: Sixty-four children (mean age 4.3+/-2.4 years): 28 VG, 16 (ATT), 20 dual surgeries (VG-ATT). Postoperative pain was evaluated (arrival in recovery room, departure from wake-up room, departure from hospital) using the Objective Pain Scale (OPS)...
January 2009: Annales Françaises D'anesthèsie et de Rèanimation
M Karling, H Stenlund, B Hägglöf
AIM: To identify hospital care factors which are associated with problematic behaviours in children after hospitalization. METHOD: A cohort of 340 children ages 2-13 was studied in connection with elective procedures which included anaesthesia. DATA COLLECTED: sociodemographic, type of procedure, anaesthesia induction technique and premedication. Staff and parents assessed child anxiety at induction of anaesthesia, pain, anxiety and nausea in recovery room and hospital ward...
May 2007: Acta Paediatrica
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