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2020, Number 1

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Rev Mex Anest 2020; 43 (1)

Preoperative anxiolysis practices in pediatric patients: prevalence, limitations and other related factors

Ruiz-Villa JO, Rincón-Valenzuela DA

Language: Spanish
References: 29
Page: 34-40
PDF size: 268.27 Kb.


ABSTRACT

Introduction: Perioperative anxiety in children is associated with postoperative outcomes such as, nightmares, sleep-walking, new onset enuresis, night terrors, separation anxiety disorder and tantrums. Perioperative anxiolysis allows to diminish the presentation of these outcomes, however, it’s prevalence its unknown in Colombia. Aim: To describe the practice of perioperative anxiolysis in pediatric populations, carried out by Colombian anesthesiologists. Material and methods: A descriptive study was carried out, self-completed electronic surveys explored demographic variables, knowledge, attitudes and practices about management and prevention of perioperative anxiety in children. Incomplete records were excluded for analysis. A sensitivity analysis was done to determine the impact of the exclusion of incomplete records. Colombian Anesthesiology Society was in charge of sending the surveys. Results: Two-hundred and twenty (220) complete records were obtained, mostly from Bogotá, Valle del Cauca and Antioquia. The prevalence of perioperative anxiolysis was 86.8%, its practice was not related with any subspecialty. Barriers such as «Lack of institutional promotion» (p = 0.000 OR = 1.69), «Unavailability of ideal anxiolytic medicines» (p = 0.000 OR = 3.52) and «Fear of drug-related adverse reactions» (p = 0.013 OR = 5.47) were identified in multivariate analysis. Conclusion: Different factors limit the execution of perioperative anxiolysis in children, all of them potentially modifiable with national, institutional and professional policies.


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