Jul 18, 2008

Factors predictive of poor behavioral compliance during inhaled induction in children

Anesthesia and Analgesia
Anna M VarugheseCharles Dean Kurth


Preoperative identification of children at risk of emotional distress and poor behavioral compliance during inhaled induction of anesthesia allows targeted interventions to reduce distress, thereby enhancing the quality of the anesthetic experience. We sought to identify patient, procedural, and health care system factors predictive of poor behavioral compliance during induction. We studied 861 developmentally appropriate children ages 1-13 yr, The American Society of Anesthesiologists physical status I to III, presenting for inhaled induction of anesthesia. All inductions were performed in an induction room with parent(s) present. Behavioral compliance was assessed using the Induction Compliance Checklist (ICC), an observational scale consisting of 10 behaviors scored as the number of behaviors observed during induction; ICC > or =4 was considered poor behavioral compliance. A multivariable ordinal logistic regression model for behavioral compliance was generated and the performance of the multivariable model was evaluated by the c statistic. Twenty-one percent of children exhibited poor behavioral compliance on induction. Factors increasing the odds of poor behavioral compliance were younger age (< 4 yr, P < 0.0001), shorter ...Continue Reading

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Mentioned in this Paper

Patient Non-Compliance
Fetal Distress
Surgery, Day
Child Behavior
Insufflation Anesthesia
Absence of Sensation
Observation - Diagnostic Procedure
Inspiration Function
Disease Predictive Factor

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