Premedication in children: what if it fails?

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00843989%3A_____%2F25%3AE0111668" target="_blank" >RIV/00843989:_____/25:E0111668 - isvavai.cz</a>

Výsledek na webu

<a href="https://www.aimjournal.cz/artkey/aim-202501-0009_premedication-in-children-what-if-it-fails.php" target="_blank" >https://www.aimjournal.cz/artkey/aim-202501-0009_premedication-in-children-what-if-it-fails.php</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.36290/aim.2025.003" target="_blank" >10.36290/aim.2025.003</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Premedication in children: what if it fails?

Popis výsledku v původním jazyce

At least 60% to 70% of paediatric patients experience anxiety before surgery. Preoperative anxiety in children is associated with adverse clinical (emergence delirium and increased analgesic requirements) and behavioural outcomes (sleep disturbances and enuresis). In addition, some children remain anxious for up to 14 days after surgery. Maladaptive behavioural changes, such as general anxiety, night crying, apathy, and temper tantrums, may last even longer. Severe preoperative anxiety activates the stress response, resulting in significantly elevated cortisol levels and susceptibility to postoperative infections. The aim of this short communication is to present crisis intervention techniques used by fire service crisis interventionists when working with children at the scene of tragic events. These techniques can also be effective in the operating theatre to calm the paediatric patient and gain cooperation for induction of general anaesthesia. However, the effectiveness of these interventions in anaesthesia has not yet been evaluated in clinical trials, and the information presented here is based solely on the authors’ personal experience.

Název v anglickém jazyce

Premedication in children: what if it fails?

Popis výsledku anglicky

At least 60% to 70% of paediatric patients experience anxiety before surgery. Preoperative anxiety in children is associated with adverse clinical (emergence delirium and increased analgesic requirements) and behavioural outcomes (sleep disturbances and enuresis). In addition, some children remain anxious for up to 14 days after surgery. Maladaptive behavioural changes, such as general anxiety, night crying, apathy, and temper tantrums, may last even longer. Severe preoperative anxiety activates the stress response, resulting in significantly elevated cortisol levels and susceptibility to postoperative infections. The aim of this short communication is to present crisis intervention techniques used by fire service crisis interventionists when working with children at the scene of tragic events. These techniques can also be effective in the operating theatre to calm the paediatric patient and gain cooperation for induction of general anaesthesia. However, the effectiveness of these interventions in anaesthesia has not yet been evaluated in clinical trials, and the information presented here is based solely on the authors’ personal experience.

Druh

J_SC - Článek v periodiku v databázi SCOPUS

CEP obor

—

OECD FORD obor

30223 - Anaesthesiology

Projekt

—

Návaznosti

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Rok uplatnění

2025

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Anesteziologie a intenzivní medicína

ISSN

1214-2158

e-ISSN

1805-4412

Svazek periodika

36

Číslo periodika v rámci svazku

1

Stát vydavatele periodika

CZ - Česká republika

Počet stran výsledku

3

Strana od-do

52-54

Kód UT WoS článku

—

EID výsledku v databázi Scopus

2-s2.0-105007201977