Exploration of the Safe Nursing Cooperation of Pediatric Patients after General Anesthesia in Anesthesia Recovery Room

2021 ◽  
Keyword(s):  
General Anesthesia ◽  
Recovery Room ◽  
Pediatric Patients

TRANSIENT BACTEREMIA DURING DENTAL MANIPULATION IN CHILDREN

PEDIATRICS ◽  
1973 ◽  
Vol 51 (3) ◽  
pp. 476-479
Author(s):  
Frederic A. Berry ◽  
Sandra Yarbrough ◽  
Nelson Yarbrough ◽  
Catherine M. Russell ◽  
Martha A. Carpenter ◽  
...  
Keyword(s):  
Heart Disease ◽  
General Anesthesia ◽  
Postoperative Period ◽  
Recovery Room ◽  
Pediatric Patients ◽  
Nasotracheal Intubation ◽  
Blood Cultures ◽  
Dental Abnormalities ◽  
Dental Procedures ◽  
Carious Teeth

Pediatric patients with moderate to severe dental abnormalities were screened for bacteremia during restoration and/or extraction of carious teeth under general anesthesia. Blood cultures were obtained before nasotracheal intubation, after intubation, after restoration of carious teeth but before extraction, following extraction of teeth, and in the immediate postoperative period. All cultures before intubation were negative in the 34 children studied. Twelve percent were positive after nasotracheal intubation (p < .05), 16% were positive after restoration of carious teeth (p < 0.025), 65% were positive after extraction of carious teeth (p < .0005), and 14% were positive in the recovery room (p < .025). Although the incidence of bacteremia in these pediatric patients was lower than the incidence reported in adults following dental procedures, the need for the prophylactic administration of antibiotics in children with heart disease who are to undergo dental manipulations is clear.

scholarly journals Incidence of Acute and Chronic Post-Thoracotomy Pain in Pediatric Patients

Children ◽  
2021 ◽  
Vol 8 (8) ◽  
pp. 642
Author(s):  
Giuliano Marchetti ◽  
Alessandro Vittori ◽  
Fabio Ferrari ◽  
Elisa Francia ◽  
Ilaria Mascilini ◽  
...  
Keyword(s):  
General Anesthesia ◽  
Pediatric Patients ◽  
Pain Syndrome ◽  
Intercostal Nerve ◽  
Anesthetic Technique ◽  
Intercostal Nerve Block ◽  
Thoracic Epidural ◽  
Burning Pain ◽  
Significant Difference ◽  
Group B

We studied acute and chronic pain in pediatric patients who underwent thoracotomy for benign disease with a follow-up of at least three months. A telephone interview investigated about the presence of pain and the analgesic therapy in progress. The results were compared with the anesthetic technique, postoperative pain and the adequacy of pain therapy, both during the first week after surgery and at the time of interview. Fifty-six families consented to the study. The mean age of the children at surgery was 2.9 ± 4.5 years, while at the time of the interview was 6.5 ± 4.4 years. We performed different anesthetic strategies: Group A: general anesthesia (36 pts); Group B: general anesthesia and thoracic epidural (10 pts); Group C: general anesthesia and intercostal nerve block (10 pts). During the immediate postoperative period, 21 patients (37.5%) had at least one painful episode. At the time of interview, 3 children (5.3%) had moderate chronic neuropathic (burning) pain on surgical scar. There was no statistically significant difference between the type of anesthesia and the incidence and severity of acute post-operative pain. Despite its limitations, this study confirms the low incidence of chronic post-thoracotomy pain syndrome in children.

scholarly journals Efektivitas Analgesik Pascaoperasi pada Pasien Pediatrik di Ruang Pemulihan Rumah Sakit Dr. Hasan Sadikin Bandung Periode Juni–November 2018

2019 ◽  
Vol 7 (1) ◽  
pp. 68-84
Author(s):  
Bernadeth Bernadeth ◽  
Ezra Oktaliansah ◽  
Indriasari Indriasari
Keyword(s):  
General Hospital ◽  
Recovery Room ◽  
Pediatric Patients ◽  
Emotional Experience ◽  
Moderate Pain ◽  
Research Subjects ◽  
Analgesic Drug ◽  
Free Set ◽  
Observational Descriptive Study ◽  
Experience Pain

Nyeri merupakan pengalaman sensorik dan emosional yang tidak menyenangkan. Penyebab utama nyeri akut pada anak adalah prosedur pembedahan, trauma, dan penyakit akut. Penilaian nyeri merupakan bagian penting dari manajemen nyeri. Penelitian ini bertujuan mengetahui efektivitas analgesik pascaoperasi pada pasien pediatrik  di ruang pemulihan RSUP Dr. Hasan Sadikin Bandung periode Juni-November 2018. Penelitian menggunakan metode deskriptif observasional prospektif terhadap 471 pasien pediatrik pascaoperasi di ruang pemulihan. Subjek penelitian dikelompokkan berdasar atas jenis operasi yang menyebabkan nyeri ringan, sedang, dan berat. Jenis analgesik pascaoperasi yang diberikan dan penilaian nyeri selama di ruang pemulihan dicatat untuk melihat efektivitas analgesik pascaoperasi tersebut. Dari hasil penelitian efektivitas analgesik pascaoperasi pada jenis operasi nyeri ringan sebanyak 181 pasien (99,5%), jenis operasi nyeri sedang sebanyak 231 pasien (98,7%), dan pada jenis operasi nyeri berat sebanyak 53 pasien (96,4%). Simpulan penelitian ini adalah efektivitas analgesik pascaoperasi pada pasien pediatrik di RSUP Dr. Hasan Sadikin Bandung masih kurang efektif karena belum memenuhi target rumah sakit 100% bebas nyeri dan pemberian analgesik juga belum efisien karena masih banyak terdapat ketidaksesuaian antara pilihan analgesik dan derajat nyeri.Effectiveness of Post-Operative Analgesia on Pediatric Patients in the recovery room of Dr. Hasan Sadikin General Hospital Bandung from June to November 2018Pain is an unpleasant sensory and emotional experience. Pain assessment is an important part of pain management. The main causes of acute pain in children are surgical procedures, trauma, and acute diseases. This study aimed to study the effectuIveness of postoperative analgesics in pediatric patients in the recovery room of Dr. Hasan Sadikin General Hospital Bandung from June to November 2018. This was a prospective observational descriptive study on 471 postoperative pediatric patients in recovery rooms. The research subjects were grouped based on the type of surgery pain, i.e. mild, moderate, and severe. The type of postoperative analgesics given and assessment of pain during the stay in the recovery room were recorded to see the effectiveness of the postoperative analgesic drug. From the results of the study it was identified that the of postoperative analgesics was effective for 181 patients (99.5%) in the mild pain surgery group, for 231 patients (98.7%) in the moderate pain surgery, and for 53 patients (96.4%)  in severe pain surgery. It is concluded that the postoperative analgesics provided to pediatric patients at Dr. Hasan Sadikin General Hospital Bandung is still less effective because it has not met the target of 100% pain free set by the hospital and that analgesic administration is also not efficient because there are still many discrepancies in analgesic choices and the degree of pain.  

scholarly journals The Effect of Subtenons Lidocaine on Emergence Agitation after General Anesthesia in Pediatric Strabismus Surgery

2016 ◽  
Vol 12 (6) ◽  
pp. 48
Author(s):  
Agolli. L ◽  
Shuteriqi. B
Keyword(s):  
General Anesthesia ◽  
Normal Saline ◽  
Recovery Room ◽  
Eye Contact ◽  
Saline Group ◽  
Strabismus Surgery ◽  
Emergence Agitation ◽  
Surrounding Environment ◽  
Lidocaine Injection ◽  
In The Beginning

Objectives: To study the effect of subtenon lidocaine injection at the end of intervention on the post-operative emergence agitation in pediatric strabismus surgery under general anesthesia with sevofluran. Material: We studied 191 children patients undergoing muscle surgery for strabismus from 2-6 years old. Children were (prospectively) randomized to one of the four groups. These groups include: A –Group Sevofluran fentanyl; B –Group sevoflurane fentanyl, Subtenon lidocaine injection; C – Group Propofol, fentanyl, sevofluran; and D – Group Propofol, fentanyl, Sevoflurane, Subtenon lidocaine injection. In the beginning of the induction of anesthesia, children received dexametasone and metoclopropamide. At the end of the surgery, children received either lidocaine (2%) or normal saline (1ml) into the subtenons space. This was conducted on the recovery room using five scoring scale. These scale include: 1- the child makes eye contact, 2- Purposeful response after repeated stimuli, 3 – the child is aware of the surrounding environment, 4- severe restlessness, and 5 – The child is inconsolable. The degree of emergence agitation was observed. Furthermore, the score 4 and 5 was considered as an emergence agitation. Results: There are no differences regarding age and weight. The incidence of emergence agitation was significantly lower in the groups which were receiving subtenon lidocaine compared with saline group injections (p< 0.05). Conclusions: A lidocaine injection into subtenon space reduces the emergence agitation after general anesthesia in pediatric strabismus surgery.

Initial Experience with the Use of Remote Control Monitoring and General Anesthesia during Radiosurgery for Pediatric Patients

2011 ◽  
Vol 47 (2) ◽  
pp. 158-166 ◽  
Author(s):  
Kotoe Kamata ◽  
Motohiro Hayashi ◽  
Osamu Nagata ◽  
Yoshihiro Muragaki ◽  
Hiroshi Iseki ◽  
...  
Keyword(s):  
Remote Control ◽  
General Anesthesia ◽  
Pediatric Patients ◽  
Initial Experience

scholarly journals LOW-FLOW ANESTHESIA TECHNIQUE REDUCES EMERGENCE AGITATION IN PEDIATRIC PATIENTS UNDERWENT GENERAL ANESTHESIA

2019 ◽  
pp. 139-141
Author(s):  
CHRISTOPHER RYALINO ◽  
TJOKORDA GDE AGUNG SENAPATHI ◽  
ADINDA PUTRA PRADHANA ◽  
ANDRIAN YADIKUSUMO
Keyword(s):  
Risk Factor ◽  
General Anesthesia ◽  
Gas Flow ◽  
Pediatric Patients ◽  
Pediatric Anesthesia ◽  
Low Flow ◽  
Emergence Agitation ◽  
Main Risk Factor ◽  
Single Risk Factor ◽  
Anesthesia Technique

Objectives: This study was designed to see the risk factors that contribute to emergence agitation (EA) and also to know the effectiveness of low-flow (LF) anesthesia technique in EA in pediatric patients. Methods: A total of 200 pediatric patients aged 6 months–6 years underwent surgery with general anesthesia were divided into two groups. The high-flow (HF) group was maintained with 5 l fresh gas flow (FGF), and the LF group was maintained with 500 ml FGF. The outcome was measured after the surgery was completed on Face, Legs, Activity, Cry, and Consolability and pediatric anesthesia emergence delirium (PAED) scores. Agitation defined in PAED score ≥10, and no agitation defined in PAED score <10. Results: EA incidence in the HF group was higher compared to the LF group (59.5 vs. 4.7%, p<0.001). HF anesthesia technique was a single risk factor for agitation event, whereas LF anesthesia may prevent EA incidence until up to 92.7%. Conclusion: LF anesthesia reduced agitation incidences. The effectiveness of LF was 92.7% in reducing the incidence of agitation. HF anesthesia was the main risk factor for agitation incidences.

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