Browse by author
Lookup NU author(s): Dr Susan Thorpe
Full text for this publication is not currently held within this repository. Alternative links are provided below where available.
Background: Many children experiencing a procedure under general anaesthetic (GA), including those having surgery for cochlear implantation, display behaviours indicative of distress during induction of anaesthesia. It would be useful to ascertain which factors in the pre-operative period are related to the presence of distress at induction in order to target appropriate psychological preparation. Methods: The families of 84 children aged 4–7 years undergoing a procedure under GA (including insertion of a cochlear implant) completed three questionnaires assessing temperament, behavioural difficulties, and pre-operative worries. Demographic variables were also recorded. The outcome measure was the amount of behavioural distress at induction. Results: Statistically significant relationships with the outcome measure of distress at induction were obtained for three factors; an emotional or sociable temperament, and the number of previous procedures. Further, children receiving inhalation inductions displayed greater distress than those receiving intravenous inductions. Conclusion: Undergoing cochlear implantation under GA isa major life event for many recipients. Psychologically preparing children for this has been found to be efficacious, but is not currently available to all children. It is suggested that preparation can be targeted at children, as identified in this study, who have elevated emotionality or sociability scores or who have previous experience of procedures under general anaesthesia. This is of particular current relevance as children are increasingly likely to require re-implantation as they grow older and as unilaterally implanted children are now being offered a sequential bilateral implant, both necessitating further surgery.
Author(s): Cropper J, Edwards L, Hearst D, Durling E, Ward C, Albon H, Roberts C, Thorpe S, Murray J
Publication type: Article
Publication status: Published
Journal: Cochlear Implants International
Year: 2011
Volume: 12
Issue: s2
Pages: s30-s32
Print publication date: 01/08/2011
ISSN (print): 1467-0100
ISSN (electronic): 1556-9152
Publisher: Maney Publishing
URL: http://dx.doi.org/10.1179/146701011X13074645127397
DOI: 10.1179/146701011X13074645127397
Altmetrics provided by Altmetric