The importance of preoperative preparation of pediatric patients

Preoperative preparation is a complex series of steps aimed at establishing the conditions for selecting an individualized perioperative plan, bringing the child to the best possible state of health state, stabilizing higher-risk patients and reducing them to a lower-risk stage, informing parents a...

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Main Authors: Dušica Simić, Duygu Kara, Katarina Stančev, Ivana Budić, Ivana Petrov
Format: Article
Language:English
Published: Aydın Pediatric Society 2025-06-01
Series:Trends in Pediatrics
Subjects:
Online Access:https://trendspediatrics.com/article/view/213
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author Dušica Simić
Duygu Kara
Katarina Stančev
Ivana Budić
Ivana Petrov
author_facet Dušica Simić
Duygu Kara
Katarina Stančev
Ivana Budić
Ivana Petrov
author_sort Dušica Simić
collection DOAJ
description Preoperative preparation is a complex series of steps aimed at establishing the conditions for selecting an individualized perioperative plan, bringing the child to the best possible state of health state, stabilizing higher-risk patients and reducing them to a lower-risk stage, informing parents about the type of anesthesia planned and the potential risks and complications, and minimizing parental anxiety. However, anticipation and the route to surgery create preoperative anxiety in children and their parents. Under conditions of increased stress, the child’s cooperativeness decreases, the requisite dosages of medications for premedication and induction increase, delirium may occur, and wound healing and recovery as a whole are prolonged. Sensitivity to pain also increases, leading to longer hospital stays and less satisfaction among patients and parents. Premedication is tailored to each patient based on age, body weight, health status, psychological profile, and the extent of the intervention. A thorough discussion with the anesthesiologist, a detailed examination, and an individualized anesthetic plan can minimize these effects. This paper describes pharmacological methods of preoperative preparation, provides recommended dosages, and draws attention to the potential side effects of the medications.
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spelling doaj-art-01546d0b10c047f7a6c17ceb68ea2a422025-08-20T03:28:21ZengAydın Pediatric SocietyTrends in Pediatrics2792-04292025-06-016210.59213/TP.2025.213The importance of preoperative preparation of pediatric patientsDušica Simić0https://orcid.org/0000-0001-8424-4704Duygu Kara1https://orcid.org/0000-0003-3325-2565Katarina Stančev2https://orcid.org/0009-0007-5717-0480Ivana Budić3https://orcid.org/0000-0001-5364-924XIvana Petrov4https://orcid.org/0009-0002-2694-8126University Children’s Hospital, Faculty of Medicine, University of Belgrade, Belgrade, SerbiaDepartment of Anesthesiology and Reanimation, Faculty of Medicine, Aydın Adnan Menderes University, Aydın, TürkiyeUniversity Children’s Hospital, Belgrade, SerbiaDepartment of Surgery and Anesthesiology, Faculty of Medicine, University of Niš, Niš, Serbia; Clinic for Anesthesiology and Intensive Therapy, University Clinical Center Niš, Niš, SerbiaUniversity Children’s Hospital, Faculty of Medicine, University of Belgrade, Belgrade, Serbia Preoperative preparation is a complex series of steps aimed at establishing the conditions for selecting an individualized perioperative plan, bringing the child to the best possible state of health state, stabilizing higher-risk patients and reducing them to a lower-risk stage, informing parents about the type of anesthesia planned and the potential risks and complications, and minimizing parental anxiety. However, anticipation and the route to surgery create preoperative anxiety in children and their parents. Under conditions of increased stress, the child’s cooperativeness decreases, the requisite dosages of medications for premedication and induction increase, delirium may occur, and wound healing and recovery as a whole are prolonged. Sensitivity to pain also increases, leading to longer hospital stays and less satisfaction among patients and parents. Premedication is tailored to each patient based on age, body weight, health status, psychological profile, and the extent of the intervention. A thorough discussion with the anesthesiologist, a detailed examination, and an individualized anesthetic plan can minimize these effects. This paper describes pharmacological methods of preoperative preparation, provides recommended dosages, and draws attention to the potential side effects of the medications. https://trendspediatrics.com/article/view/213preoperative preparationanxietypremedicationsedation
spellingShingle Dušica Simić
Duygu Kara
Katarina Stančev
Ivana Budić
Ivana Petrov
The importance of preoperative preparation of pediatric patients
Trends in Pediatrics
preoperative preparation
anxiety
premedication
sedation
title The importance of preoperative preparation of pediatric patients
title_full The importance of preoperative preparation of pediatric patients
title_fullStr The importance of preoperative preparation of pediatric patients
title_full_unstemmed The importance of preoperative preparation of pediatric patients
title_short The importance of preoperative preparation of pediatric patients
title_sort importance of preoperative preparation of pediatric patients
topic preoperative preparation
anxiety
premedication
sedation
url https://trendspediatrics.com/article/view/213
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