Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2024.844521
Brazilian Journal of Anesthesiology
Letter to the Editor

Development and evaluation of an educational comic leaflet for pediatric anesthesia care

Fabiano Soares Carneiro, Juliana Lacerda de Oliveira Campos, Stephanie Bruna Camilo Soares de Brito, Flávia Marques de Melo, Eliane Cristina de Souza Soares

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Abstract

Dear Editor,

Preoperative anxiety has been reported in over 60% of children undergoing anesthesia. High levels of preoperative anxiety reduce the ability to cooperate during anesthesia and appear to be associated with an increased incidence of emergence delirium, decreased pain threshold leading to increased postoperative pain, and development of postoperative mal-adaptive behavioral changes such as enuresis, apathy, social isolation, sleep and eating disorders. Preoperative anxiety has therefore been addressed in various ways, including pharmacological and non-pharmacological methods.

References

1. Kain ZN, Caldwell-Andrews AA, Maranets I, et al. Preoperative anxiety and emergence delirium and postoperative maladaptive behaviors. Anesth Analg. 2004;99:1648−54.

2. Kassai B, Rabilloud M, Dantony E, et al. Introduction of a paediatric anaesthesia comic information leaflet reduced preoperative anxiety in children. Br J Anaesth. 2016;117:95−102.

3. Clark EKR, Sanghavi SS, Farrell S, Fritz Z. Development and evaluation of an illustrated paediatric leaflet ’Coming to Hospital: a guide to what goes on’. BMJ Paediatr Open. 2021;5:e000889.

4. Bellew M, Atkinson KR, Dixon G, Yates A. The introduction of a paediatric anaesthesia information leaflet: an audit of its impact on parental anxiety and satisfaction. Paediatr Anaesth. 2002; 12:124−30.

5. Mathew EM, Rajiah K, Sharma KK. Consumer’s Perception on Design and Layout of Consumer Medical Information Leaflets on Obesity and Lipid Lowering Drugs. J Clin Diagn Res. 2013; 7:2800−2.


Submitted date:
11/27/2023

Accepted date:
05/07/2024

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