The Research Process of Postanesthetic Emergence Delirium in Pediatric Patients under General Anesthesia

2020 ◽  
Vol 10 (03) ◽  
pp. 117-125
Author(s):  
翰轩 常
Keyword(s):  
General Anesthesia ◽  
Pediatric Patients ◽  
Research Process ◽  
Emergence Delirium

scholarly journals Postoperative Maladaptive Behavior, Preoperative Anxiety and Emergence Delirium in Children Undergone General Anesthesia: A Narrative Review

2021 ◽  
Vol 8 ◽  
pp. 2333794X2110079
Author(s):  
Huda Zainal Abidin ◽  
Sanihah Che Omar ◽  
Mohd Zulfakar Mazlan ◽  
Mohd Hasyizan Hassan ◽  
Ruwaida Isa ◽  
...  
Keyword(s):  
General Anesthesia ◽  
Day Care ◽  
Pediatric Patients ◽  
Behavioral Changes ◽  
Preoperative Anxiety ◽  
Maladaptive Behavior ◽  
Multidisciplinary Teams ◽  
Psychological Disturbance ◽  
Emergence Delirium ◽  
Care Surgery

Over the years, the number of pediatric patients undergoing surgeries are increasing steadily. The types of surgery vary between elective to emergency with involvement of multidisciplinary teams. The development of day care surgery unit is expanding where the patients will only come to the hospital on the day of surgery and discharge home after such as satisfactory parameters achieved, minimal to no pain, minimal to no bleeding from surgical site and able to tolerate fluids. Hospitalization and surgery could contribute to significant psychological disturbance to the children. These issues are not being addressed as children have difficulty in conveying their problems and fear. They do however express it through negative behavioral changes.

scholarly journals Incidence of Acute and Chronic Post-Thoracotomy Pain in Pediatric Patients

Children ◽  
2021 ◽  
Vol 8 (8) ◽  
pp. 642
Author(s):  
Giuliano Marchetti ◽  
Alessandro Vittori ◽  
Fabio Ferrari ◽  
Elisa Francia ◽  
Ilaria Mascilini ◽  
...  
Keyword(s):  
General Anesthesia ◽  
Pediatric Patients ◽  
Pain Syndrome ◽  
Intercostal Nerve ◽  
Anesthetic Technique ◽  
Intercostal Nerve Block ◽  
Thoracic Epidural ◽  
Burning Pain ◽  
Significant Difference ◽  
Group B

We studied acute and chronic pain in pediatric patients who underwent thoracotomy for benign disease with a follow-up of at least three months. A telephone interview investigated about the presence of pain and the analgesic therapy in progress. The results were compared with the anesthetic technique, postoperative pain and the adequacy of pain therapy, both during the first week after surgery and at the time of interview. Fifty-six families consented to the study. The mean age of the children at surgery was 2.9 ± 4.5 years, while at the time of the interview was 6.5 ± 4.4 years. We performed different anesthetic strategies: Group A: general anesthesia (36 pts); Group B: general anesthesia and thoracic epidural (10 pts); Group C: general anesthesia and intercostal nerve block (10 pts). During the immediate postoperative period, 21 patients (37.5%) had at least one painful episode. At the time of interview, 3 children (5.3%) had moderate chronic neuropathic (burning) pain on surgical scar. There was no statistically significant difference between the type of anesthesia and the incidence and severity of acute post-operative pain. Despite its limitations, this study confirms the low incidence of chronic post-thoracotomy pain syndrome in children.

A kiskorú páciensek jogainak helyzete az erdélyi egészségügyi ellátásban

2018 ◽  
Vol 159 (11) ◽  
pp. 423-429
Author(s):  
Csanád Albert-Lőrincz
Keyword(s):  
Health Services ◽  
Pediatric Patients ◽  
Research Process ◽  
Fundamental Rights ◽  
Control Group ◽  
Vulnerable Children ◽  
Parents And Children ◽  
Communication Difficulties ◽  
The Right ◽  
Phd Thesis

Abstract: This study summarizes the results of the author’s PhD thesis presenting the research process and the most important findings regarding the situation of Transylvanian healthcare. Our data are based on the knowledge and compliance of pediatric patients’ rights as they are seen by healthcare specialists, parents and children. A number of 751 persons were involved in the research: 200 healthcare specialists, 200 parents, 200 children aged from 7 to 17 years who have been experiencing health services at least three times over the past year and a control group of 151 children who did not have this kind of experience. Based on our data, it was possible to highlight the major problems encountered in children’s healthcare. We found that children are treated by obsolete principles of medical practice despite the fact that the rights of pediatric patients are well known to doctors. Neither the parents nor the children themselves are sufficiently aware of their rights. Healthcare professionals are not prepared to overcome communication difficulties due to the age-specific characteristics of children, so the fundamental rights of children are just partially enforced: children are usually heard, but not properly informed, their medical decisions are usually not taken into account violating the right to self-determination. The chances to access adequate health services are lower for vulnerable children living in poverty. Orv Hetil. 2018; 159(11): 423–429.

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