Preoperative Anxiety in Children Undergoing Urethral Dilatation Procedure in King Chulalongkorn Memorial Hospital
Keywords:
pediatric anesthesia; preoperative anxiety; behavioral compliance; urethral dilatationAbstract
Background: Preoperative anxiety is common problem in pediatric patients undergoing multiple anesthesia which is associated with both psychologically and physiologically adverse outcomes. Objectives of Study: To study the correlations of previous anesthetic anxiety and factors related to previous anesthesia to the present preoperative anxiety in children undergoing urethral dilation procedure. In addition, the effect of preoperative anxiety to behavioral compliance during inhalational induction of anesthesia was analyzed. Material and Method: A cross-sectional descriptive study was conducted in children aged 1-7 years presenting for elective urethral dilatation procedure in King Chulalongkorn Memorial Hospital. Previous anesthetic anxiety, previous anesthetic induction technique and the present preoperative anxiety (Modified Yale Preoperative Anxiety Scale; m-YPAS) were evaluated at preoperative holding area. Behavioral compliance was evaluated during inhalational induction of anesthesia (Induction Compliance Checklist; ICC). The correlations of previous anesthetic anxiety including factors related to previous anesthesia to present preoperative anxiety were analyzed. The association between preoperative anxiety and compliance during anesthetic induction was also assessed. Results: A hundred boys were enrolled in this study. The history of previous anesthetic anxiety and age of child were significantly related to the present preoperative anxiety (p<0.05). However, there was no association between preoperative anxiety and behavioral compliance during inhalational induction. Conclusion: Previous anesthetic anxiety, number of anesthetic experiences and age of child were associated with the present preoperative anxiety. Measures for reducing anxiety to the child at risk should be provided.
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