Effect of Parental Presence on Anxiety of Children During Induction of Anesthesia

Induction of pediatric anesthesia represents a highly stressful event for children, often resulting in preoperative anxiety that can impair the child's perioperative experience and result in adverse postoperative outcomes. It has been proposed that parental presence during induction of anesthesia Preoperative anxiety is linked to postoperative maladaptive behaviors, such as pain following surgery, insomnia, conflicts between the child and his parent, separation anxiety, increased urinary frequency during the night, reduced appetite, lack of interest, agitation, and alienation.may be a non-pharmacologic intervention to reduce children's anxiety. In patients with extreme anxiety, unfavorable postoperative behaviors after anesthesia induction are likely to result in long-term issues, which adversely affect the process of recovery, and also develop a feeling of inadequate care. Parental presence at anesthesia induction is the interaction that takes place in the induction room during the course of anesthesia induction between the child, parent, anesthesiologist, and perioperative nurses.

Inclusion criteria

• Pediatric patients
• aged 5-10 years
• minor surgery
• duration <1 hour
• ASA 1 and ASA 2 patients

Exclusion criteria

• Patients and attendant refusal
• Emergency surgeris
• Renal insuffciency
• Age less than 5 and more than 10 years