Intra-operative awareness in children and post-traumatic stress disorder

Anaesthesia
U LopezI A Iselin-Chaves

Abstract

Adults who experience intra-operative awareness can develop disturbing long-lasting after-effects, such as daytime anxiety, sleep disturbances, nightmares, flashbacks and, in the worst case, a post-traumatic stress disorder (PTSD). It is unknown whether intra-operative awareness has a similar psychological impact in children. We designed the present study in order to evaluate the incidence of psychological symptoms in children who had either confirmed or possible intra-operative awareness. Attempts were made to locate 11 children who had been identified in a previous study, approximately 1 year following their experience. A PTSD questionnaire was administered to the children and their parents in order to detect any long-term or short-term psychological symptoms (the 1-month postoperative data were evaluated retrospectively). Factors believed to be associated with PTSD, such as intra-operative perceptions, the children's temperament and cognitive strategies, and the parents' coping strategies, were also analysed. Seven children were successfully located and interviewed and no short or long-term psychological symptoms were identified. None of them offered negative appraisals of the traumatic event and none had displayed dysfuncti...Continue Reading

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Citations

Apr 23, 2011·Journal of Clinical Psychology in Medical Settings·Robin R BruchasKaren B Domino
Aug 29, 2009·Anesthesia and Analgesia·Shobha MalviyaTerri Voepel-Lewis
Oct 29, 2009·Anesthesia and Analgesia·Kate LeslieTimothy J McCulloch
Feb 27, 2010·Anesthesia and Analgesia·Mohamed Ghoneim
Oct 3, 2009·Paediatric Anaesthesia·Lauren PhelanAndrew J Davidson
Feb 15, 2021·General Hospital Psychiatry·Samuel CyrJudith Brouillette
Mar 13, 2021·Paediatric Anaesthesia·Angela C LeeEugenie Heitmiller

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