Uncooperative children during induction of anesthesia : Theory and practice.
Summary of "Uncooperative children during induction of anesthesia : Theory and practice."
Perioperative anxiety and the resulting lack of cooperation during induction of anesthesia is a common problem in pediatric anesthesia. The extent of anxiety depends on a variety of factors concerning the child, the parents, the anesthesia team and the hospital's friendly atmosphere and infrastructure. Apart from premedication there are a number of non-pharmacological means to improve the child's cooperation and thereby facilitate the induction of anesthesia. If the child is still uncooperative despite an optimal preparation, the anesthetist has to decide whether to postpone the operation or to perform induction of anesthesia under physical restraint in consideration of various criteria.
Affiliation
Abteilung für Pädiatrische Intensivbehandlung (APIB), Universitätsklinik für Kinderheilkunde,Inselspital, 3010, Bern, Schweiz, Andreas.Zutter@insel.ch.
Journal Details
This article was published in the following journal.
Name: Der Anaesthesist
ISSN: 1432-055X
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/21728047
- DOI: http://dx.doi.org/10.1007/s00101-011-1918-8
Medical and Biotech [MESH] Definitions
Propanidid
An intravenous anesthetic that has been used for rapid induction of anesthesia and for maintenance of anesthesia of short duration. (From Martindale, The Extra Pharmacopoeia, 30th ed, p918)
Thiamylal
A barbiturate that is administered intravenously for the production of complete anesthesia of short duration, for the induction of general anesthesia, or for inducing a hypnotic state. (From Martindale, The Extra Pharmacopoeia, 30th ed, p919)
Methohexital
An intravenous anesthetic with a short duration of action that may be used for induction of anesthesia.
Thiopental
A barbiturate that is administered intravenously for the induction of general anesthesia or for the production of complete anesthesia of short duration. It is also used for hypnosis and for the control of convulsive states. It has been used in neurosurgical patients to reduce increased intracranial pressure. It does not produce any excitation but has poor analgesic and muscle relaxant properties. Small doses have been shown to be anti-analgesic and lower the pain threshold. (From Martindale, The Extra Pharmacopoeia, 30th ed, p920)
Information Theory
An interdisciplinary study dealing with the transmission of messages or signals, or the communication of information. Information theory does not directly deal with meaning or content, but with physical representations that have meaning or content. It overlaps considerably with communication theory and CYBERNETICS.
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