Behavioral changes after pediatric anesthesia in ambulatory surgery: an observational prospective study
DOI:
https://doi.org/10.25751/rspa.25763Keywords:
pós-operatório, comportamental, anestesia, cirurgia de ambulatório, pediatriaAbstract
Introduction: Behavioral changes after pediatric anesthesia are frequent (15-40% two weeks after surgery). The Post-Hospitalization Behavior Questionnaire is an instrument that enables this assessment, with a version adapted for ambulatory surgery. The main objective of this study was to evaluate these changes after Ambulatory Surgery.
Methods: A prospective, observational study including children aged 6 months to 18 years, ASA 1 or 2, undergoing ambulatory surgery, from February to March 2020, is described. After one week, the questionnaire was applied to parents by phone.
Results: There were included 87 children, of which 48.3% presented at least one negative behavioral change and 25.3% more than one, one week after the surgery. The most common changes were “difficulty falling asleep” and “loss of appetite” (about 20% of patients). Of the variables analyzed, there was a statistically significant relationship with pain level one week after surgery, maximum pain and presence of nausea during the week and need for analgesia at post anesthetic care unit and overnight stay (p<0.05).
Discussion: There was a high incidence of at least one negative behavioral change, one week after the anesthetic-surgical ambulatory The intensity of pain during the week, the need for analgesia in the post-anesthetic care unit, nausea and the need for overnight stay were related to these changes, which reveals the importance of analgesic optimization and nausea and vomiting prophylaxis in pediatric population.
Conclusion: The incidence of at least one negative behavioral change on children after ambulatory surgery is high and could be decreased by analgesic optimization and nausea and vomiting prophylaxis.
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