Z N Kain

..We found that controlling for confounding variables, anxiety in the preoperative holding area has no predictive value for the occurrence of postoperative nausea and vomiting...

..05). We conclude that the most optimal duration for asynchronous electroacupuncture stimulation is 30 min...

..The primary aim of this study was to examine whether 1 week of continuous auricular acupuncture could reduce low back and posterior pelvic pain associated with pregnancy...

..To evaluate children's sleep patterns before and after ambulatory surgery and to identify predictors of sleep decrements following surgery...

..To determine whether a combination of auricular and body acupuncture is effective as an adjunct for the preprocedural anxiety and pain management in patients undergoing lithotripsy procedures...

..The authors describe the development of such a tool, the modified Yale Preoperative Anxiety Scale...

..IMPLICATIONS: Children are less anxious and show increased compliance during induction when exposed to a single care-provider in a dimmed, quiet operating room with background music...

..The purpose of this study was to examine child-related National Practitioner Data Bank data...

..We conclude that over the past 14 yr, whereas the number of anesthesia malpractice payments has decreased, the median payment of cases has increased...

..To describe sleeping patterns of adults before and after outpatient surgery...

..The aim of this longitudinal cohort study was to expand previous research in this area by using a new objective technology...

..Also, parents' preference for medication or parental presence at the subsequent surgery was influenced by the child's anxiety at the initial surgery...

..Multiple studies document the beneficial effect of midazolam on preoperative anxiety in children. Many clinicians report, however, that some children may in fact not benefit from the administration of this drug...

..IMPLICATIONS: Depending on the music therapist, interactive music therapy may relieve anxiety on separation and entrance to the operating room but appears less effective during the induction of anesthesia...

..To examine the relationship between social adaptability, cognitive abilities, and other personality characteristics to perioperative anxiety...

..IMPLICATIONS: Anesthesiologists experience minor psychologic stress while involved in the anesthetic process...

..IMPLICATIONS: Over the past 7 yr there have been significant increases in the number of anesthesiologists who use preoperative sedative premedication and parental presence for children undergoing surgery...

..These effects were localized to the preoperative period and did not extended to the induction of anesthesia or the postoperative recovery period...

..Although multiple studies document the effect of sedative premedication on preoperative anxiety in children, there is a paucity of data regarding its effect on postoperative behavioral outcomes...

..IMPLICATIONS: Anesthesiologists who care for children who are anxious during the induction of anesthesia should inform parents that these children have an increased likelihood of developing postoperative negative behavioral changes...

..To examine whether the establishment of dedicated pediatric operating rooms (ORs) staffed exclusively by pediatric anesthesiologists has had a significant impact on anesthetic efficiency during surgery...

..Both midazolam and parental presence during induction of anesthesia are routinely used to treat preoperative anxiety in children. The purpose of this investigation was to determine which of these two interventions is more effective...

..The purpose of this investigation was to evaluate the effects of preoperative sedatives on postoperative psychological and clinical recovery...

..g., sedatives and PPIA). The purpose of this investigation was to determine whether this approach has advantages over treating children with sedatives alone...

..To determine whether psychological variables such as preoperative anxiety can serve as predictors for the postoperative pain response...

..This is of particular importance in a busy operating room setting where schedule delays secondary to midazolam administration may not be tolerated...

..Physiological outcomes did not differ, however, between the two study groups. IMPLICATIONS: Patients who listen to music of their choice during the preoperative period report less anxiety...

..We found that mothers were as anxious as patients undergoing major abdominal surgery and more anxious than patients undergoing minor surgery. Predictors of maternal anxiety were child age and maternal monitoring coping...

..In this investigation, we sought to assess the ability of pediatric attending anesthesiologists, resident anesthesiologists, and mothers to predict anxiety during induction of anesthesia in 2 to 16-yr-old children (n = 125)...

..We studied the relationship between children's and parents' sociodemographic and personality characteristics and parents' perceptions of their children's pain...

..To address this issue, the effects of benzodiazepine administration were evaluated in women undergoing abdominal surgery...

..Data on the effect of Hemisync sounds on perioperative analgesic requirements are scant...

..This suggests a possible relationship between the neurobiology of these two systems, which could have important implications for regulation of the neuroendocrine response to surgical stress...

..We do not suggest, however, that parental-global-impression can or should replace child report, but rather suggest that it can be used as an adjunct assessment measure as needed...

..We conclude that acupressure at the Yintang point may be used as a treatment for parental preoperative anxiety. Future studies are needed to quantify the magnitude and duration of the anxiolytic effect...

..When sequential analyses are conducted and target behaviors are identified, empirically based parent preparation programs can be developed...

..More research is needed in this area...

..Studies conducted in adults undergoing surgery reported a beneficial effect of oral melatonin administered before surgery. There is a paucity of such data in children undergoing anesthesia and surgery...

..The purpose of this large-scale prospective cohort study (n = 426) was to identify child and parent characteristics that are associated with low anxiety and good compliance during induction of anesthesia when parents are present...

..These factors should be considered when scheduling a surgical case...

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..We examined whether acupressure in the Extra-1 (Yin-Tang) point would result in decreased preprocedural anxiety and reduced intraprocedural propofol requirements in a group of children undergoing endoscopic procedures...

..To date, no study has evaluated the impact of specific healthcare provider and parent behaviors on children's distress and coping during anesthesia induction...

..In this review, we critically examined peer-reviewed clinical studies evaluating the analgesic properties of acupuncture modalities...

..We hypothesize that these conflicting data are a result of the inhibitory effect of anesthesia on acupuncture-induced central nervous system activity that can be demonstrated using magnetic resonance imaging...

..In this review article we examine current biophysiological and imaging studies that explore the mechanisms of acupuncture analgesia...

..001). In conclusion, we found that hypnosis significantly alleviates preoperative anxiety. Future studies are indicated to examine the effects of preoperative hypnosis on postoperative outcomes...

..The purpose of this study was to examine psychological predictors of postoperative sleep in children undergoing outpatient surgery...

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..To estimate the severity of the low back pain (LBP) during pregnancy, including prevalence, risk factors, impact on daily living, and health provider management...

..The purpose of this study was to determine whether parental auricular acupuncture reduces parental preoperative anxiety and thus allows children to benefit from parental presence during induction of anesthesia...

..IMPLICATIONS: Most surgical patients use some form of complementary-alternative medical therapies (CAM) and are willing to accept CAM therapy as part of their perioperative management...

..We conclude that Hemisync sounds do not reduce the hypnotic component of the anesthetic state of patients undergoing general anesthesia and surgery...

..The authors conducted a randomized controlled trial to determine whether parental presence during induction of anesthesia (PPIA) is associated with parental physiologic and behavioral manifestations of stress...

..We undertook a survey study to assess the prevalence of CAM therapies in a surgical patient population as well as their interests toward CAM therapies during the preoperative period...

..P6 acupuncture in adults is reported to be an effective preventive treatment for postoperative nausea and vomiting (PONV). It is not clear, however, whether this technique is effective as a preventive treatment for PONV in children...

..To identify common treatments used for low-back pain (LBP) during pregnancy...

..To date, no similar investigation has ever been conducted in young children...

..91 versus 2.25 versus 2.19; P = 0.007). We conclude that children who present for surgery while chewing gum have significantly larger GFV and higher pH...

..Psychologic and behavioral interventions and pharmacologic interventions are available to treat preoperative anxiety in children. This article discusses the psychologic preparation of children for surgery...

..49). We conclude that the presence of a calm parent does benefit an anxious child during induction of anesthesia and the presence of an overly anxious parent has no benefit...

..IMPLICATIONS: Ear acupuncture can decrease preoperative anxiety in adults undergoing outpatient surgery...

..We conclude that auricular acupuncture at the "relaxation" point can decrease the anxiety level in a population of healthy volunteers...

..The purpose of this study was to examine parental pharmacological and nonpharmacological pain management practices after extremity fractures...

..007). CONCLUSION: Clinicians should be aware that many mothers who have a high desire to be present in the operating room are very anxious and that their children are likely to exhibit high anxiety levels during induction of anesthesia...

..7%, and logistical 11.5%). For operating room scheduling purposes, we conclude that assigning a constant fixed duration for anesthetic induction is inappropriate and will result in creating erroneous administrative expectations...

..05). We conclude that when controlling for ambient OR noise, intraoperative music decreases propofol requirements of both Lebanese and American patients who undergo urological surgery under spinal anesthesia...

..We conclude that teaching occurs in the majority of cases in the operating room and although it contributes to increased time to incision, this increase is insignificant compared with the time required to complete the surgical procedure...

..82 to r = 0.44; P < or = 0.004). We conclude that knowledge of the presence of specific factors that lead to inaccurate predictions of time required for induction of anesthesia may enhance the accuracy of the operating room schedule...

..CONCLUSIONS: The authors encourage physicians, health care providers, and emergency rescuers to learn this easy, noninvasive, and inexpensive technique for its effects in decreasing anxiety and pain during emergency transportation...

..No differences were found in the other variables assessed. CONCLUSION: It was concluded that auricular acupressure is an effective treatment for anxiety in prehospital emergency settings...

..The aim of this research was to illustrate the course of pain scores and methods of therapeutic intervention during hospitalization...

..CONCLUSIONS: These results suggest that intradermal sufentanil alone has no analgesic effect. Further, in combination with lidocaine, sufentanil does neither potentiate nor prolong the analgesic effect of lidocaine...