open access

Vol 44, No 3 (2012 Jul-Sep)
Review articles
Published online: 2012-10-22
Submitted: 2012-10-22
Accepted: 2012-10-22
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Management of perioperative stress in children and parents. Part II — anaesthesia and postoperative period

Jacek Litke, Agnieszka Pikulska, Tomasz Wegner
Anaesthesiol Intensive Ther 2012;44(3):170-174.

open access

Vol 44, No 3 (2012 Jul-Sep)
Review articles
Published online: 2012-10-22
Submitted: 2012-10-22
Accepted: 2012-10-22

Abstract

The majority of children, even those well prepared and with positive attitudes, experiences stress in the operating theatre and during the postoperative period. In some cases, the stress is even stronger for their parents. The role of anaesthetists is to minimize the unpleasant sensations by providing painless vein cannulation, uneventful induction of anaesthesia, suitably planned and timed analgesia, and prevention of postoperative vomiting. The effectiveness of combined analgesics, early administration of saturating doses and analgesia supplemented or based on methods of block anaesthesia – particularly on peripheral and local blocks, less appreciated in children, have been highlighted. Such a stress-reducing strategy should be initiated before hospitalisation and consistently continued to its completion or even longer, the example of which are one-day surgery patients who should receive prescriptions for or suitable drugs (mainly analgesics) on discharge for use in the home setting. Preparation of local programmes for management reducing surgery-associated stress in children is worth recommending.

Abstract

The majority of children, even those well prepared and with positive attitudes, experiences stress in the operating theatre and during the postoperative period. In some cases, the stress is even stronger for their parents. The role of anaesthetists is to minimize the unpleasant sensations by providing painless vein cannulation, uneventful induction of anaesthesia, suitably planned and timed analgesia, and prevention of postoperative vomiting. The effectiveness of combined analgesics, early administration of saturating doses and analgesia supplemented or based on methods of block anaesthesia – particularly on peripheral and local blocks, less appreciated in children, have been highlighted. Such a stress-reducing strategy should be initiated before hospitalisation and consistently continued to its completion or even longer, the example of which are one-day surgery patients who should receive prescriptions for or suitable drugs (mainly analgesics) on discharge for use in the home setting. Preparation of local programmes for management reducing surgery-associated stress in children is worth recommending.

Get Citation

Keywords

perioperative medicine, surgery; surgery, anaesthesia, children; postoperative pain; postoperative nausea and vomiting; anaesthesia, children, anxiety

About this article
Title

Management of perioperative stress in children and parents. Part II — anaesthesia and postoperative period

Journal

Anaesthesiology Intensive Therapy

Issue

Vol 44, No 3 (2012 Jul-Sep)

Pages

170-174

Published online

2012-10-22

Bibliographic record

Anaesthesiol Intensive Ther 2012;44(3):170-174.

Keywords

perioperative medicine
surgery
surgery
anaesthesia
children
postoperative pain
postoperative nausea and vomiting
anaesthesia
children
anxiety

Authors

Jacek Litke
Agnieszka Pikulska
Tomasz Wegner

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