Application and effects of an early childhood education machine on analgesia and sedation in children after cardiothoracic surgery

Li-Li Chen,Jian-Feng Liu,Hua Cao,Yu-Qing Lei,Qiang Chen,Xian-Rong Yu

doi:10.1186/s13019-021-01490-2

Abstract

ObjectiveTo study the effect of an early childhood education machine on sedation and analgesia in children after cardiothoracic surgery.MethodsA prospective randomized controlled study was conducted in a provincial hospital in China. Fifty-two patients (aged from 1 to 5 years) underwent cardiothoracic surgery (including: ventricular septal defect, patent ductus arteriosus, atrial septal defect, pulmonary stenosis, pulmonary sequestration and congenital cystic adenomatoid lung malformation) were divided into the study group (n = 26) and the control group (n = 26). The patients in the study group underwent intervention with an early childhood education machine (uniform type) in addition to routine standard treatment and nursing, while the patients in the control group only received routine standard treatment and nursing. Richmond agitation sedation score (RASS) and face, legs, activity, cry, consolability (FLACC) score of all of the patients were evaluated, and the negative emotions (self-rating anxiety scale (SAS) score and self-rating depression scale (SDS) score) of the parents of the two groups were compared.ResultsThere was no significant difference in the general clinical data between the two groups. The RASS and FLACC scores in the study group were significantly lower than those in the control group, and the SAS and SDS scores of the parents in the study group were significantly lower than those in the control group.ConclusionThe application of an early childhood education machine for children after cardiothoracic surgery can effectively reduce postoperative agitation, improve sedation and analgesia of the patients, and ease the pessimistic mood of the patients’ parents.

Highlights

Congenital heart disease and congenital diseases of the esophagus and lungs are the most common congenital diseases in children
This study summarized our experience of using early childhood education machines to relieve the restlessness, anxiety, and pain of children after cardiothoracic surgery in our hospital
The Self-rating anxiety scale (SAS) score and Self-rating depression scale (SDS) score of the study group were significantly lower than those of the control group, and there was a statistically significant difference (SAS score: p = 0.028, SDS score: p = 0.031). (Table 3) There was no significant difference in heart rate and mean arterial pressure between the two groups before the intervention

Summary

Introduction

Congenital heart disease and congenital diseases of the esophagus and lungs are the most common congenital diseases in children. It is essential to reduce the pain, restlessness, and anxiety of children after cardiothoracic surgery. Childhood education machines are prevalent in China With their unique working model, they can partially replace busy parents and become critical growth partners for children. They can be placed on the patient’s bed, and distract the children’s attention and play a sedative and analgesic role through music and videos from the machine. This study summarized our experience of using early childhood education machines to relieve the restlessness, anxiety, and pain of children after cardiothoracic surgery in our hospital

Methods

Results

Discussion

Conclusion