RT Book, Section
A1 Patel, Ronak
A1 Reddy, Srijaya K.
A2 Freeman, Brian S.
A2 Berger, Jeffrey S.
SR Print(0)
ID 1135741970
T1 Pediatric Premedication
T2 Anesthesiology Core Review: Part Two Advanced Exam
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 9781259641770
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1135741970
RD 2024/10/07
AB Pediatric  patients  presenting  for  surgery  are  unique  not  only  in  their  physiology  but  also  in  their  emotional  maturity  compared  to  adults.  The  pediatric  anesthesiologist  must  be  able  to  effectively  manage  the  spectrum  of  emotional  responses  that  children  of  varying  ages  may  have  during  the  perioperative  period.  A  careful  preoperative  evaluation  of  the  patient  may  help  in  developing  a  rapport  with  both  the  parents  and  the  child  and  may  diminish  the  anxiety  associated  with  surgery.  This  anxiety  often  stems  from  the  patient’s  fear  of  needles,  parental  separation,  surgical  pain,  and  thoughts  of  disfigurement  after  surgery.  Preoperative  anxiety  is  not  only  an  unpleasant  emotional  experience  for  the  patient  but  can  have  physiologic  implications  that  may  complicate  induction  and  recovery  from  anesthesia.  Although  further  research  is  still  warranted,  it  has  been  suggested  that  higher  preoperative  anxiety  levels  may  increase  heart  rate,  blood  pressure,  and  incidences  of  laryngospasm,  pain,  and  emergence  delirium.  Premedication  has  been  shown  to  reduce  psychological  trauma  and  anesthetic  risk  by  inducing  anxiolysis,  increasing  patient  cooperation,  and  decreasing  cardiovascular  lability.