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PREANESTHETIC SEDATION OF CHILDREN: Analysis of the Effects for Tonsillectomy and Adenoidectomy

PREANESTHETIC SEDATION OF CHILDREN: Analysis of the Effects for Tonsillectomy and Adenoidectomy Abstract THE NECESSITY for preanesthetic sedation before tonsillectomy and adenoidectomy in children is a much debated question. Many otolaryngologists avoid giving sedation because of the danger of depression of the cough reflex and the attendant hazard of aspiration of blood and debris into the lungs. On the other hand, pediatricians and psychiatrists believe that undesirable personality changes may be related to inadequate preoperative preparation and sedation. The anesthesiologist finds himself in a dilemma; he does not wish to add to the risks of operation and anesthesia, yet wants to avoid the unpleasant task of anesthetizing apprehensive, struggling, or crying children. The investigation reported herein was begun in order to obtain answers to such problems. Is the incidence of crying (and presumably the danger of psychic trauma) higher in children given only a belladonna drug before anesthesia? Does the employment of sedatives increase the hazards of anesthesia and operation? METHOD OF STUDY References 1. Hospital of the University of Pennsylvania, Children's Hospital of Philadelphia, and Graduate Hospital of the University of Pennsylvania. 2. Leigh, M.D., and Belton, M. K.: Premedication in Infants and Children , Anesthesiology 7:611-615, 1946.Crossref 3. Levy, D. M.: Psychic Trauma of Operations in Children and Note on Combat Neurosis , Am. J. Dis. Child. 69:7, 1945.Crossref 4. Coleman, L. L.: The Psychological Implications of Tonsillectomy , New York J. Med. 50:1225, 1950. 5. Loeschcke, H. H., and Wendel, H.: Die Wirkung von Morphin, von Scopolamin und ihrer Kombination auf die Lungenbelüftung beim Menschen , Arch. exper. Path. u. Pharmakol. 215:241, 1952. 6. Stephen, C. R.: Operating Room Fatalities in Pediatric Surgery , Anesth. & Analg. 31:36, 1952. 7. Adriani, J., and Bush, O.: Hazards of Ethyl Chloride Anesthesia , New Orleans M. & S. J. 104:427, 1952. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Otolaryngology American Medical Association

PREANESTHETIC SEDATION OF CHILDREN: Analysis of the Effects for Tonsillectomy and Adenoidectomy

A.M.A. Archives of Otolaryngology , Volume 57 (4) – Apr 1, 1953

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Publisher
American Medical Association
Copyright
Copyright © 1953 American Medical Association. All Rights Reserved.
ISSN
0096-6894
DOI
10.1001/archotol.1953.00710030432005
Publisher site
See Article on Publisher Site

Abstract

Abstract THE NECESSITY for preanesthetic sedation before tonsillectomy and adenoidectomy in children is a much debated question. Many otolaryngologists avoid giving sedation because of the danger of depression of the cough reflex and the attendant hazard of aspiration of blood and debris into the lungs. On the other hand, pediatricians and psychiatrists believe that undesirable personality changes may be related to inadequate preoperative preparation and sedation. The anesthesiologist finds himself in a dilemma; he does not wish to add to the risks of operation and anesthesia, yet wants to avoid the unpleasant task of anesthetizing apprehensive, struggling, or crying children. The investigation reported herein was begun in order to obtain answers to such problems. Is the incidence of crying (and presumably the danger of psychic trauma) higher in children given only a belladonna drug before anesthesia? Does the employment of sedatives increase the hazards of anesthesia and operation? METHOD OF STUDY References 1. Hospital of the University of Pennsylvania, Children's Hospital of Philadelphia, and Graduate Hospital of the University of Pennsylvania. 2. Leigh, M.D., and Belton, M. K.: Premedication in Infants and Children , Anesthesiology 7:611-615, 1946.Crossref 3. Levy, D. M.: Psychic Trauma of Operations in Children and Note on Combat Neurosis , Am. J. Dis. Child. 69:7, 1945.Crossref 4. Coleman, L. L.: The Psychological Implications of Tonsillectomy , New York J. Med. 50:1225, 1950. 5. Loeschcke, H. H., and Wendel, H.: Die Wirkung von Morphin, von Scopolamin und ihrer Kombination auf die Lungenbelüftung beim Menschen , Arch. exper. Path. u. Pharmakol. 215:241, 1952. 6. Stephen, C. R.: Operating Room Fatalities in Pediatric Surgery , Anesth. & Analg. 31:36, 1952. 7. Adriani, J., and Bush, O.: Hazards of Ethyl Chloride Anesthesia , New Orleans M. & S. J. 104:427, 1952.

Journal

A.M.A. Archives of OtolaryngologyAmerican Medical Association

Published: Apr 1, 1953

References