Quality of anesthesia is found to be better when parents are present during the induction of their child's anesthesia, found in a new research.
![Quality of Child Anesthesia Improved in Parents` Presence Quality of Child Anesthesia Improved in Parents` Presence](https://images.medindia.net/health-images/1200_1000/surgery3.jpg)
Nowadays, common practice in most hospitals consists of children being separated from their parents at the entrance on the operating room," says Dr Sánchez. "However some hospitals allow one of the parents to stay with their child after surgery, in the post-anaesthetic care unit."
Local ethics committee approval was granted, and the researchers then obtained written informed consent from the parents of 60 child patients scheduled for tonsillectomy. Those who had previously had surgery were excluded. Patients were randomly allocated to two groups: one with the presence of a children's parent during induction of anaesthesia (P) or children who were separated from their parents at the entrance to the operating room (the usual practice) and thus the control group (C). 30 children were allocated to each group.
Analysis of parental anxiety was carried out using the State Trait Anxiety Inventory (STAI), a parental self-report measuring state of mind and trait anxiety. The form was filled in the waiting area (baseline and moment 1); after separation (C group) (moment 2) or just before entering the operating room (P group) (moment 2); during induction of anaesthesia (moment 3); and in thepostanesthetic care unit (moment 4).
Another anaesthetist used the Modified Yale Preoperative Anxiety Scale (mYPAS) to measure children's anxiety at the same moments. mYPAS scores>40 were classified as anxious.
The Induction Compliance Checklist (ICC) represents the negative behaviours present during induction, with an ICC score of 4 or more considered poor behavioural compliance. This was completed by an anaesthetist; thus two anaesthetists were present during the study, one to conduct the anaesthesia and one to complete the paperwork and ensure the correct procedures were being followed for the trial. Finally, when leaving the post-anaesthetic care unit all parents answered a questionnaire about their experience and evaluated the experience in a scale from 0 to 10.
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Dr Sánchez concludes: "Parental presence during anaesthesia induction improves quality of anaesthesia both for parents and children."
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Source-Eurekalert