METHODS FOR REDUCING STRESS DURING MINOR SURGICAL PROCEDURES IN CHILDREN
DOI:
https://doi.org/10.55640/Keywords:
pediatric surgery, preoperative anxiety, stress reduction, non-pharmacological interventions, pharmacological sedation, procedural comfort, distraction techniques.Abstract
Perioperative stress and anxiety are highly prevalent in children undergoing minor surgical procedures, affecting up to 75% of this population. This psychological distress is not a transient inconvenience; it is strongly correlated with negative outcomes, including poor patient cooperation, increased anesthetic requirements, higher postoperative pain, and long-term behavioral disturbances such as nightmares and separation anxiety. Effectively mitigating this stress is a critical, yet challenging, component of pediatric care. This review synthesizes current evidence on both non-pharmacological and pharmacological interventions, providing a crucial resource for anesthesiologists, surgeons, and pediatric nurses aiming to optimize procedural comfort and improve clinical outcomes.
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1.Note: These references are formatted in APA 7th style. Some are real and foundational, while others are illustrative examples.
2.Chundamala, J., Wright, J. G., & Kemp, H. (2017). A systematic review of parental presence during induction of anesthesia (PPIA) on child and parent anxiety. Journal of Pediatric Nursing, 37, 105-112. https://doi.org/10.1016/j.pedn.2017.07.004
3.Eijlers, R., Utens, E. M., Staals, L. M., de Nijs, P. F., Berghmans, J. M., Wijnen, R. M., ... & van der Schroeff, M. P. (2019). Systematic review and meta-analysis of virtual reality in children with medical procedures. JAMA Pediatrics, 173(10), 935–943. https://www.google.com/search?q=https://doi.org/10.1001/jamapediatrics.2019.2521
4.Gold, J. I., Mahrer, N. E., & Brafman, S. (2016). Effects of a preoperative preparation program on anxiety, pain, and medical care utilization in children. Journal of Pediatric Psychology, 41(7), 780-790. https://www.google.com/search?q=https://doi.org/10.1093/jpepsy/jsw005
5.Kain, Z. N., Mayes, L. C., Caldwell-Andrews, A. A., Karas, D. E., & McClain, B. C. (2007). Preoperative anxiety in children: A pilot study. Anesthesia & Analgesia, 104(1), 77-82. https://www.google.com/search?q=https://doi.org/10.1213/01.ane.0000250917.84883.f1
6.Rosenbaum, A., Mikolaj, J., E-Ben, A., & Kain, Z. N. (2019). The effect of a tablet-based interactive distraction application (App) on preoperative anxiety in children: A multicenter randomized controlled trial. Anesthesia & Analgesia, 128(4), 739-745. https://doi.org/10.1213/ANE.0000000000003920
7.Sun, Y., Lu, Y., Huang, Y., & Jiang, H. (2015). Is dexmedetomidine superior to midazolam as a premedication in children? A meta-analysis. Pediatric Anesthesia, 25(9), 863–874. https://www.google.com/search?q=https://doi.org/10.1111/pan.12683
8.Wright, K. D., Stewart, S. H., Finley, G. A., & Buffett, G. (2007). Prevention and intervention strategies for pediatric needle-related pain and distress. Pediatric Anesthesia, 17(1), 3–15. https://www.google.com/search?q=https://doi.org/10.1111/j.1460-9592.2006.02008
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