Child's Post-Anesthesia Crying Unaffected by Parent Presence

However, children whose parents were not present were more likely to have negative behaviors later
By Jeff Muise
HealthDay Reporter

WEDNESDAY, April 7 (HealthDay News) -- Young children coming out of anesthesia postoperatively in a post-anesthesia care unit (PACU) may cry whether or not their parents are present, though parental presence is associated with decreased negative behavior change two weeks later, according to a study in the April issue of Anesthesia & Analgesia.

David R. Lardner, of the University of Calgary in Canada, and colleagues randomized 300 children ages 2 to 8 years 11 months scheduled for elective outpatient surgery, with an anticipated stay in the PACU of more than 10 minutes, to either have, or not have, a parent present when they awoke from anesthesia. They scored crying behaviors in the PACU on a five-point scale and determined behavior changes two weeks after discharge with a follow-up questionnaire.

The researchers found no differences in crying behavior in the PACU related to parental presence. However, negative behavior two weeks later was more frequent among children whose parent was absent from the PACU (45.8 percent) than among those whose parent was present (29.3 percent). The predictors of a larger proportion of time spent crying in the PACU included age younger than 5 years and higher pain score at 15 minutes after arrival for surgery. The absence of the parent in the PACU and being younger than 5 were predictors of negative behavior two weeks later.

"Future studies of behavior change postoperatively should consider parental presence in the PACU a factor and determine whether the effect persists with other interventions," the authors write.

Full Text (subscription or payment may be required)

Copyright © 2010 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Blunt Chest Trauma
Journal of Trauma Nursing, November/December 2014
Expires: 12/31/2016 CE:2 $21.95

The School Age Child with Congenital Heart Disease
MCN, The American Journal of Maternal/Child Nursing, January/February 2015
Expires: 2/28/2017 CE:2.5 $24.95

Understanding multiple myeloma
Nursing Made Incredibly Easy!, January/February 2015
Expires: 2/28/2017 CE:2 $21.95

More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles

Comprehensive Care: Looking Beyond the Presenting Problem
Journal of Christian Nursing, January/March 2015
Free access will expire on March 2, 2015.

Pain and Alzheimer dementia: A largely unrecognized problem
Nursing Made Incredibly Easy!, January/February 2015
Free access will expire on February 16, 2015.

Glycemic control in hospitalized patients
Nursing2015 Critical Care, January 2015
Free access will expire on February 16, 2015.

More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events