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E u r o S c i C o n C o n f e r e n c e o n
PEDIATRICS
2017
Pediatrics 2017
Volume:3 Issue:4(Suppl)
Journal of Pediatric Care
ISSN 2471-805X
N o v e m b e r 1 3 - 1 4 , 2 0 1 7
L o n d o n , U K
Page 34
Painful procedures are a necessary part of pediatric care.
Anesthesia induction is a stressful event for children and
their parents, andmay have potentially harmful consequences
on the patient’s physiological and mental situa¬tion. Parental
presence at induction of anaesthesia (PPIA) is desirable if
it makes the child happier and more cooperative. Stressful
anesthesia induction has psychological adverse effects that
recur with repeated anesthesia, they can lead to increased
pediatric discomfort during the recovery period, and may
induce reactionary postoperative behavior. Nightmares,
separation anxiety, eating disorders, and bedwetting have
been reported as confirmed outcomes of anxiety among
children. High anxiety levels have a higher risk of expressing
negative behaviors after surgery, and higher parental anxiety
levels are directly associated with children’s preoperative
anxiety levels. Preoperative sedative drugs are routinely
Presence of parents
at induction and
recovery as a
methodology for
reducing anxiety
of parents and
children in pediatric
surgery
Fernanda Barros
Sao Joao Hospital, Portugal
J Pediatr Care 2017, 3:4(Suppl)
DOI: 10.21767/2471-805X-C1-003
recommended to manage anxiety of pediatric patients during
surgeries. Several studies have suggested the use of oral
midazolam. Other studies have reported that PPIA not only
has the same effect, but also has considerably better impact
on pediatric anxiety control compared to oral midazolam. Other
reports have shown that PPIA does not have a positive effect on
anxiety levels of children. The stress this causes to the parents
and whether they are upset by this experience is not well
documented. It is equally important to evaluate their attitude
towards witnessing their child being anesthetized. Because the
level of satisfaction of parents and their child can be a measure
of the health care quality, we designed a study to evaluate if
the previous information, PPIA and recovery had reduced the
anxiety of parents and children in paediatric surgery in our
hospital. We concluded that with previous information, PPIA
and recovery there were lower levels of parental and child’s
anxiety, children were more comfortable, suggesting a good
health care quality.