Premedication of the pediatric patient – anesthesia for the uncooperative child

@article{Bozkurt2007PremedicationOT,
  title={Premedication of the pediatric patient – anesthesia for the uncooperative child},
  author={Pervin Sutaş Bozkurt},
  journal={Current Opinion in Anaesthesiology},
  year={2007},
  volume={20},
  pages={211–215}
}
  • P. Bozkurt
  • Published 1 June 2007
  • Medicine
  • Current Opinion in Anaesthesiology
Purpose of review Inadequate handling of an uncooperative child preoperatively results in postoperative behavior problems. Premedication enables a calm induction and helps to decrease postoperative problems. Several premedicants will be covered in this review. Recent findings Questions raised about the effects of oral midazolam use in children for premedication are now finding answers. New agents (dexmedetomidine and atypical antipsychotic agents) can be alternatives in premedication… 
View on Wolters Kluwer
ncbi.nlm.nih.gov
74 Citations
Highly Influential Citations
2
Background Citations
16
Results Citations
1

74 Citations

Citation Type

Citation Type

Efficacy of anesthetic premedication in pediatric patients using oral midazolam and acetaminophen. Observational study
TLDR
Premedication with a compounded preparation with a mix of midazolam plus acetaminophen does reduce anxiety at the time of separating the child from its parents, and allows a good acceptance of the inhaled anesthetic induction.
Preoperative assessment and premedication in paediatrics.
  • J. Lerman
  • Medicine
    European journal of anaesthesiology
  • 2013
TLDR
A thorough review of the child's medical history, previous anaesthetics, medications, allergies and family history is essential to design the optimal anaesthetic for the child and his/her surgery.
Analysis of the effect of oral midazolam and triazolam premedication before general anesthesia in patients with disabilities with difficulty in cooperation
TLDR
With administration of oral midazolam or triazol am, general anesthesia induction without any physical restraint was possible in approximately 50% of patients, with no difference between the drugs.
Premedication and Induction of Anaesthesia in paediatric patients
  • N. Dave
  • Medicine
    Indian journal of anaesthesia
  • 2019
TLDR
The pharmacological and nonpharmacological methods to minimise preoperative anxiety and the techniques of anaesthetic induction in infants and children undergoing surgery are described and the benefits and limitations of inhalational and intravenous induction are discussed.
Anaesthesia for the uncooperative child
TLDR
Anaesthetists are frequently required to deal with a child who is uncooperative at induction of anaesthesia, which can be distressing for the patient, parents, and health-care workers.
Efficacy of anesthetic premedication in pediatric patients using oral midazolam and acetaminophen. Observational study☆ Eficacia de la premedicación anestésica en el paciente pediátrico con midazolam oral y acetaminofén. Estudio observacional
&NA; Anesthetic premedication with midazolam helps reduce anxiety in the children and the parents, the need for analgesic use, and the development of negative psychological events during the…
Repetitive Anesthesia Concerns in Early-Onset Scoliosis
TLDR
Perioperative stress has been shown to cause both short- and long-term behavioral changes in children as well as increased post-procedural pain and increased risk of infection.
Effectiveness of premedication agents administered prior to nitrous oxide/oxygen
TLDR
Evaluated oral premedication with different agents on children scheduled for dental treatment under nitrous oxide/oxygen (N2O/O2) sedation revealed that the most effective medication was 0.7 mg kg−1 midazolam, and the evaluation of the findings revealed that treatment procedures were completed without any serious complications.
Oral clonidine and midazolam as premedication in pediatric anesthesia- Efficacy and outcome in comparison with oral promethagine
TLDR
It can be concluded that oral midazolam premedication is effective as far as sedation is concern but considering multifarious anesthetic function oral clonidine is much superior premedicant.
Vexing Pediatric Anesthesia Issues for the Generalist Anesthesiologist
©International Anesthesia Research Society. Unauthorized Use Prohibited. Learning Objectives: I. Are parents useful (in the operating room)? a. To discuss the developmental differences in child…
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 48 REFERENCES
Induction of anesthesia in a combative child; management and issues
A developmentally delayed, 13‐year old autistic boy required management of multifocal cerebral and pulmonary tumors, involving several anesthetics over a 4‐month period. At each anesthetic he refused…
Midazolam as premedication: Is the emperor naked or just half‐dressed?
TLDR
The aim of the present editorial is to put a number of the proposed benefits of this drug into a more balanced perspective.
Nitrous oxide-oxygen inhalation for outpatient otologic examination and minor procedures performed on the uncooperative child.
TLDR
This pilot study shows the potential usefulness of nitrous oxide-oxygen inhalation administered by an otolaryngologist in the outpatient clinic andleviation of pain and anxiety and avoiding the need for physical restraint is an important goal that can be achieved with this form of sedation.
Children's preoperative anxiety and postoperative behaviour
TLDR
The issues are comprehensively reviewed, from factors affecting child anxiety to interventions directed at relieving it, and the validity and reliability of anxiety and behaviour measures are analysed, which is vital to evaluate studies in this field.
Prospective evaluation of dexmedetomidine for noninvasive procedural sedation in children*
  • J. Berkenbosch, P. Wankum, J. Tobias
  • Medicine
    Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
  • 2005
Objective: Children often require sedation for lengthy noninvasive procedures. Conventional agents such as chloral hydrate, benzodiazepines, or barbiturates have been associated with sedation…
Effects of different doses of oral ketamine for premedication of children
TLDR
Oral ketamine 8 mg kg−1 is an effective oral premedication in inpatient children undergoing elective surgery and anaesthesia induction was more comfortable than those of the other groups, and recovery from anaesthesia was longer in the group receiving ketamine.
Single-Dose Dexmedetomidine Reduces Agitation After Sevoflurane Anesthesia in Children
TLDR
It is concluded that a dose of dexmedetomidine 0.3 &mgr;g/kg administered after induction of anesthesia reduces the postsevoflurane agitation in children and with no adverse effects.
Ketamine and kids: an update
TLDR
This review will discuss the recent literature on ketamine’s use for three pediatric indications: anesthesia, sedation, and analgesia, and demonstrate that there may be growing opportunities for improving patient care by using ketamine in children.
A Comparison of Oral Clonidine and Oral Midazolam as Preanesthetic Medications in the Pediatric Tonsillectomy Patient
TLDR
Oral midazolam is superior to oral clonidine as a preanesthetic medication in this patient population during tonsillectomy and the percentage of parents who were completely satisfied with the child’s preoperative experience was significantly higher in the midrazolam group.
High levels of impulsivity may contraindicate midazolam premedication in children
TLDR
Baseline level of impulsivity was positively associated with adverse reactions to anesthesia induction in the drug group, but not in the placebo group, suggesting that high levels of trait impulsivity may contraindicate the use of midazolam as a preoperative medication.
...
1
2
3
4
5
...