Year-end Sale % OFF 
Abstract
Background: Taking heed of patient preferences is central to the concept of “patient-centered anesthetic practice’. Anesthesia in children is usually induced by the inhaled or intravenous routes. We hypothesized that children may have preferences for their route of induction of anesthesia, and for preoperative sedation. Accordingly, we audited the preferences and compliance of children for inhalational or intravenous induction of anesthesia and for premedication. Methods: With institutional approval and guardian consent, one hundred and seventeen children and their guardians were visited pre-operatively. The opinions of the child (primarily) and guardian (secondarily) were canvassed, in standard fashion, regarding choice of route for anaesthetic induction and request for premedication. Results: Eight children 5 years and older were able to communicate, as were 1 of 6 two year olds, 1of 6 three year olds and 5 of 6 four year olds. Parental recommendations occurred in 14(12%) of children. Fifty eight (50%) children had histories of previous anesthesia, induced by needle in 23 (20%), mask in 32(57%) and by undetermined route in 14 (24%). Intravenous and inhaled inductions were chosen by 23(20%) and 62 (53%) of children (p 5 years can be expected to have an opinion regarding their route for induction of anaesthesia, and that approximately 50% of children accept an offer of premedication.
Highlights
A fundamental facet of the pre-operative visit in pediatric anesthesia is the establishment of trust and confidence between the anesthesiologist, the child and the child’s parent or guardian in order to facilitate decision making regarding the child’s anesthetic care
A prospective audit [2] was undertaken on children presenting to the authors to examine, primarily, the preferences of children for intravenous versus inhaled induction of anesthesia and, secondarily, both the incidence of request for premedication by pediatric patients and the incidence of parental input with respect to these choices
Fifty eight (50%) children had undergone anesthesia previously, which had been induced by injection in 12(21%), inhalation in 32(57%) and by unknown route in 14 (24%) children (p
Summary
A fundamental facet of the pre-operative visit in pediatric anesthesia is the establishment of trust and confidence between the anesthesiologist, the child and the child’s parent or guardian in order to facilitate decision making regarding the child’s anesthetic care During this visit, consideration is given to the need for premedication, parent-child separation, route for induction of anesthesia and aspects of post-operative care. Consideration is given to the need for premedication, parent-child separation, route for induction of anesthesia and aspects of post-operative care It has long been the practice of the authors to discuss the nuances of inhalational versus intravenous induction of anesthesia with the child (and their guardian) in an attempt to solicit the child’s preference of route for induction of anesthesia in order to promote the child’s cooperation during induction of anesthesia. A prospective audit [2] was undertaken on children presenting to the authors to examine, primarily, the preferences of children for intravenous versus inhaled induction of anesthesia (and the demography and outcomes associated with such choice) and, secondarily, both the incidence of request for premedication by pediatric patients and the incidence of parental input with respect to these choices
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
