scholarly journals Evaluation of the parental satisfaction of developmentally delayed pediatric patients undergoing dental surgery with the ''pediatric anesthesia parent satisfaction (PAPS)'' survey

2020 ◽  
Author(s):  
Mehmet SARGIN ◽  
Hatice TOPRAK ◽  
Jale Bengi ÇELİK
Keyword(s):  
Pediatric Patients ◽  
Pediatric Anesthesia ◽  
Parent Satisfaction ◽  
Parental Satisfaction ◽  
Developmentally Delayed ◽  
Dental Surgery

Optimum End Tidal Sevoflurane Concentration Required for Intravenous Cannulation in Children

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Bassel Mohamed Essam Noureldin ◽  
Eman Mohamed Kamal Abo Seif ◽  
Omar Mohamed Mohamed Eltawansy ◽  
Mohamed Mohamed Abdel Fattah Ghoneim
Keyword(s):  
Clinical Trial ◽  
Pediatric Patients ◽  
Pediatric Anesthesia ◽  
Healthy Children ◽  
Intravenous Access ◽  
Inhalational Induction ◽  
Sevoflurane Concentration ◽  
Untoward Event ◽  
Inhalation Agent ◽  
End Tidal

Abstract Background Inhalation mask induction is a cornerstone of pediatric anesthesia. Because of their natural aversion to needles, healthy children are usually anesthetized by mask prior to intravenous insertion. The early insertion of an intravenous access provides a means for administering fluids and drugs if an untoward event occurs during inhalational induction. Sevoflurane is the inhalation agent most commonly used for mask inductions in pediatric anesthesia, having largely replaced halothane for this purpose. Objectives The aim of the study was to evaluate the optimum end tidal concentration of Sevoflurane at which an intravenous cannulation can be successfully attempted without movement in pediatric patients. Patients and Methods In this clinical trial, pediatric subjects of either sex aged 2-5 years, weighing 10-20 kg were included. Results Showed that an end tidal sevoflurane of 1.46% has 50% probability for successful intravenous cannulation without movement in children. Conclusion We conclude that an end tidal sevoflurane of 1.46% has 50% probability for successful intravenous cannulation in un- premedicated children aged between 2 and 5 years.

scholarly journals Comparison of quadratus lumborum block and caudal block for postoperative analgesia in pediatric patients undergoing inguinal hernia repair and orchiopexy surgeries: a randomized controlled trial

2020 ◽  
Vol 45 (3) ◽  
pp. 187-191 ◽  
Author(s):  
Gözen Öksüz ◽  
Mahmut Arslan ◽  
Aykut Urfalıoğlu ◽  
Ahmet Gökhan Güler ◽  
Şeyma Tekşen ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Postoperative Analgesia ◽  
Pediatric Patients ◽  
Demographic Data ◽  
Parent Satisfaction ◽  
Caudal Block ◽  
Double Blind ◽  
Quadratus Lumborum

Background and objectivesCaudal epidural anesthesia is a widely used popular technique for postoperative analgesia but it has potential side effects and duration of analgesia is short. Quadratus lumborum block (QLB) was found to be an effective method for postoperative analgesia in lower abdominal surgeries. In this double-blind prospective randomized trial, we aimed to compare the postoperative analgesic efficacies of QLB and the caudal block in pediatric patients undergoing inguinal hernia repair and orchiopexy surgeries under general anesthesia.Materials and methodsAfter approval was obtained from the ethics committee, in this prospective randomized double-blind trial, 53 patients under general anesthesia undergoing inguinal hernia repair and orchiopexy surgeries randomly received caudal block or QLB. Demographic data, postoperative analgesic requirement, Face, Legs, Activity, Cry, and Consolability (FLACC) scores at 30 min, 1, 2, 4, 6, 12 and 24 hours, parent satisfaction scores and complications were recorded.ResultsThe study included 52 patients, after excluding one patient because of a failed caudal block. There were no significant differences between the groups based on demographic data (p>0.05). The number of patients who required analgesics in the first 24 hours was significantly lower in QLB group (p=0.001). Postoperative 4, 6, 12 hours FLACC scores were significantly lower in the QLB group (p<0.001, p=0.001 and p<0.001, respectively). Parent satisfaction scores were higher in the QLB group (p=0.014).ConclusionAccording to the results of this study, QLB can provide much more effective analgesia than caudal block without adjuvants in multimodal analgesia management of children undergoing inguinal hernia repair and orchiopexy surgeries.Trial registration numberNCT03294291.

scholarly journals LOW-FLOW ANESTHESIA TECHNIQUE REDUCES EMERGENCE AGITATION IN PEDIATRIC PATIENTS UNDERWENT GENERAL ANESTHESIA

2019 ◽  
pp. 139-141
Author(s):  
CHRISTOPHER RYALINO ◽  
TJOKORDA GDE AGUNG SENAPATHI ◽  
ADINDA PUTRA PRADHANA ◽  
ANDRIAN YADIKUSUMO
Keyword(s):  
Risk Factor ◽  
General Anesthesia ◽  
Gas Flow ◽  
Pediatric Patients ◽  
Pediatric Anesthesia ◽  
Low Flow ◽  
Emergence Agitation ◽  
Main Risk Factor ◽  
Single Risk Factor ◽  
Anesthesia Technique

Objectives: This study was designed to see the risk factors that contribute to emergence agitation (EA) and also to know the effectiveness of low-flow (LF) anesthesia technique in EA in pediatric patients. Methods: A total of 200 pediatric patients aged 6 months–6 years underwent surgery with general anesthesia were divided into two groups. The high-flow (HF) group was maintained with 5 l fresh gas flow (FGF), and the LF group was maintained with 500 ml FGF. The outcome was measured after the surgery was completed on Face, Legs, Activity, Cry, and Consolability and pediatric anesthesia emergence delirium (PAED) scores. Agitation defined in PAED score ≥10, and no agitation defined in PAED score <10. Results: EA incidence in the HF group was higher compared to the LF group (59.5 vs. 4.7%, p<0.001). HF anesthesia technique was a single risk factor for agitation event, whereas LF anesthesia may prevent EA incidence until up to 92.7%. Conclusion: LF anesthesia reduced agitation incidences. The effectiveness of LF was 92.7% in reducing the incidence of agitation. HF anesthesia was the main risk factor for agitation incidences.

scholarly journals Relationship between Social Support and Parents' Satisfaction with Medical Care Provided to their Premature Infants

2021 ◽  
Vol 31 (1) ◽  
pp. 53-60
Author(s):  
Mona Mohtashami ◽  
◽  
Zahra Ahmadi ◽  
Malihe Imeni ◽  
Malihe Amerian ◽  
...  
Keyword(s):  
Social Support ◽  
Medical Care ◽  
Premature Infants ◽  
Neonatal Intensive Care ◽  
Pearson Correlation ◽  
Parent Satisfaction ◽  
Parental Satisfaction ◽  
Chi Square ◽  
Mothers And Fathers ◽  
Chi Square Test

Introduction: Premature birth is highly stressful for parents. Nursing support is crucial for premature infants. Parental satisfaction is a vital indicator of the quality of care provided by nurses. Therefore, determining the factors related to parental satisfaction is important in nursing care. Objective: This study aims to investigate the relationship between social support and parentschr('39') satisfaction with the medical care provided to their premature infants in the Neonatal Intensive Care Units (NICUs). Materials and Methods: This is an analytical/correlational study. Participants were 130 parents of premature infants admitted to the NICUs in three hospitals affiliated to Tehran University of Medical Sciences in Iran. They were selected based on a convenience sampling method. Tarkka’s Social Support Questionnaires and the Neonatal Index of Parent Satisfaction were used for collecting data. Data were analyzed by using descriptive statistics and T-test, Chi-square test, ANOVA and Pearson correlation test. Results: It was reported that 55.38% of the infants were females, with a mean birth weight of 1880.97± 544.85 gr and a mean gestational age of 32.07±2.41 weeks. The mean age of their mothers and fathers was 31.25±5.12 and 35.03±5.66 years, respectively. The highest level of social support in mothers and fathers was related to emotional support (3.65±0.69 in mothers and 3.29±0.57 in fathers), while the lowest level of social support was related to concrete support (3.32±0.80 in mothers and 3.16±0.65 in fathers). Mothers perceived higher social support than fathers. They also had more satisfaction with medical care (3.88±0.81 in mothers and 3.63±0.69 in fathers). There was a significant relationship between social support and parental satisfaction (r=0.791, P<0.05). Conclusion: Parents of premature infants need more social support, especially concrete aid. Therefore, planning to promote social support of parents, especially fathers, by nurses in the NICUs seems necessary.

scholarly journals Emergence delirium and intranasal dexmedetomidine premedication in pediatric anesthesia: a retrospective study in plastic surgery

2019 ◽  
Author(s):  
Alessandra Di Palma ◽  
Federica Maldarelli ◽  
Antonietta Cimino ◽  
Mario Zama ◽  
Sergio Giuseppe Picardo
Keyword(s):  
Retrospective Study ◽  
Plastic Surgery ◽  
Lower Incidence ◽  
Pediatric Patients ◽  
Pediatric Anesthesia ◽  
Control Group ◽  
Emergence Delirium ◽  
Different Ages ◽  
Combined Anesthesia ◽  
And Control

Abstract Background Dexmedetomidine is widely used in the treatment of emergency delirium (ED) in pediatric patients. However, further evidence on its use in pediatric anesthesia on potential differences in the reduction of ED according to patient’s age and type of anesthesia is required. Moreover, whether dexmedetomidine influences time of discharge from the surgical area remains unclear. We evaluated whether intranasal dexmedetomidine is effective in decreasing the incidence of ED in 106 children who had anesthesia for plastic surgery undergoing general or combined anesthesia at different ages. We also assessed if this drug has an impact on time to discharge from the surgical area. Methods In total, 106 children, aged 2–10 years, were enrolled in this retrospective study. Among them, 50 have been premedicated with dexmedetomidine (dexmedetomidine group); the remaining 56 patients served as controls (control group). The incidence of ED was evaluated according to the use of dexmedetomidine premedication, age and type of anesthesia (general vs combined). The length of anesthesia and duration of staying in the surgical area were also analyzed. Results Three patients who received dexmedetomidine premedication showed ED (6%), compared with 43 patients in the control group (77%; p<0.05). This lower incidence of ED was also present when stratifying patients according to the type of anesthesia or age. No difference between the dexmedetomidine group and control group were reported in timing of discharge from surgical area.Conclusions Premedication with dexmedetomidine is associated with decreased incidence of ED without increasing timing of discharge after surgery, regardless of patients’ age or type of anesthesia. In particular, patients subjected to combined anesthesia report benefit from the use of this molecule.

scholarly journals TRACHEOSTOMY AMONG PEDIATRIC PATIENTS: A REVIEW

2018 ◽  
Vol 5 (9) ◽  
pp. 557-561
Author(s):  
Santosh Kumar Swain ◽  
Alok Das ◽  
Ishwar Chandra Behera ◽  
Biplob Bhattacharyya
Keyword(s):  
Surgical Procedure ◽  
Pediatric Patients ◽  
Pediatric Anesthesia ◽  
Haemophilus Influenzae Type ◽  
Research Papers ◽  
Advanced Technique ◽  
Ventilator Support ◽  
Life Saving ◽  
Elective Procedure ◽  
Selection Of

Tracheostomy is a surgical procedure which has been performed since ancient time. Tracheostomy is a life-saving surgical procedure done among critically sick patients. Children with airway compromise often require tracheostomy. The indication of the tracheostomy among children ranges from airway obstruction to prolonged mechanical ventilator support. There are numerous research papers published for adult tracheostomy with its indications, operative technique, and complications, but the literature on pediatric tracheostomy is scarce. Advanced technique of pediatric anesthesia and increased awareness for vaccination for serious diseases such as polio, measles, diphtheria, tetanus, and Haemophilus influenzae type b (Hib) among children increased the changing indication for tracheostomy from emergency to more elective procedure. Standardization of the procedure, timing, and exact indications is helping to reduce the mortality related to the tracheostomy among the pediatric patients. Here, we attempt to discuss the indications, techniques, selection of the tracheostomy tube complications, and outcome of the tracheostomy among pediatric patients.

scholarly journals A Comparative Study of School Parent Satisfaction Predictors using different Classifiers

2021 ◽  
Vol 8 (3) ◽  
Author(s):  
Shawni Dutta ◽  
Shawni Dutta ◽  
Shawni Dutta ◽  
Shawni Dutta
Keyword(s):  
Machine Learning ◽  
Educational Data Mining ◽  
Parent Satisfaction ◽  
Parental Satisfaction ◽  
Educational Institutions ◽  
Support Vector ◽  
Examination Result ◽  
Nearest Neighbours ◽  
Svm Model ◽  
Student Information

Educational data mining (EDM) is applied on voluminous student information for obtaining some useful information. This research focuses on the parents' satisfaction based on their executed study. Instead of focusing only from the educational institutions, it is also required to put concentration to the parents’ side. Depending on the factors such as how the student carries out their study, their examination result and many more, parental satisfaction is predicted. For carrying out the analysis of these parameters, machine learning methods are implemented and applied to the educational dataset. Several machine learning models such as Support Vector Machines (SVM), k-Nearest Neighbours (KNN), Decision Tree classifiers, and Multi-layer Perceptron classifier (MLP) are constructed for predicting parental satisfaction level. Comparative analysis shows the highest accuracy of 92% executed by the SVM model. Executing this predictive modeling will assist the parents to guide and motivate their children towards areas that demand improvement.

scholarly journals Sleep quality and emergence delirium in children undergoing strabismus surgery: a comparison between preschool- and school-age patients

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Wangseok Do ◽  
Hyo-Sung Kim ◽  
Seung Ha Kim ◽  
Hyunjong Kang ◽  
Dowon Lee ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Pediatric Patients ◽  
Group Analysis ◽  
Pediatric Anesthesia ◽  
Strabismus Surgery ◽  
Preschool Age ◽  
Anesthesia Induction ◽  
Emergence Delirium ◽  
Scale Scores ◽  
The Relationship

Abstract Background Emergence delirium (ED) is common in pediatric patients undergoing general anesthesia with sevoflurane. Preoperative sleep quality is associated with the risk factors for ED. However, research on the relationship between sleep quality and ED is limited. We aimed to investigate the relationship between ED and preoperative sleep quality in pediatric patients undergoing strabismus surgery. Methods This clinical trial included pediatric patients aged 4–12 years who underwent elective strabismus surgery. The patients and their parents were questioned about the patients’ preoperative sleep quality using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. For anesthesia induction, thiopental (5 mg/kg) and rocuronium (0.6 mg/kg) were used, and anesthesia was maintained with sevoflurane (minimum alveolar concentration, 1–1.5). After administration of a reversal drug, extubation was performed, and the patients were transferred to a post-anesthesia recovery unit. At 10 min after extubation, the degree of ED was measured using the pediatric anesthesia emergence delirium (PAED) and Watcha scale scores. Results Of the 62 enrolled patients, three pediatric patients were excluded. The overall incidence of ED was 22%. A total of 59 patients were divided into the two groups. The ED group and the non-ED group comprised 13 and 46 patients. Age, height and weight were significantly lower in the ED group than in the non-ED group. Preoperative PSQI and Watcha scale score were significantly higher in the ED group than in the non-ED group. Multivariate analysis showed that age (adjusted OR [95% CI]: 0.490 [0.290–0.828], p = 0.008) and preoperative PSQI score (adjusted OR [95% CI]: 2.149[1.224–3.771], p = 0.008) was associated with ED. In sub-group analysis, PAED scale and Watcha scale scores showed a moderate correlation with preoperative sleep quality in preschool-age patients. Conclusion In conclusion, the incidence of ED tended to be higher in younger age and poorer preoperative sleep quality in pediatric patients. In particular, the poorer sleep quality score was associated with higher incidence of ED in the preschool-age. Large-scale clinical studies and long-term follow-up studies on ED and sleep quality are required. Trial registration This study was registered with Clinicaltrials.gov (NCT03332407) at November 5th 2017.

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