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Journal of Cardiothoracic Surgery

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Open Access 01-12-2021 | Research article

Application and effects of an early childhood education machine on analgesia and sedation in children after cardiothoracic surgery

Authors: Li-Li Chen, Yu-Qing Lei, Jian-Feng Liu, Hua Cao, Xian-Rong Yu, Qiang Chen

Published in: Journal of Cardiothoracic Surgery | Issue 1/2021

Abstract

Objective

To study the effect of an early childhood education machine on sedation and analgesia in children after cardiothoracic surgery.

Methods

A prospective randomized controlled study was conducted in a provincial hospital in China. Fifty-two patients (aged from 1 to 5 years) underwent cardiothoracic surgery (including: ventricular septal defect, patent ductus arteriosus, atrial septal defect, pulmonary stenosis, pulmonary sequestration and congenital cystic adenomatoid lung malformation) were divided into the study group (n = 26) and the control group (n = 26). The patients in the study group underwent intervention with an early childhood education machine (uniform type) in addition to routine standard treatment and nursing, while the patients in the control group only received routine standard treatment and nursing. Richmond agitation sedation score (RASS) and face, legs, activity, cry, consolability (FLACC) score of all of the patients were evaluated, and the negative emotions (self-rating anxiety scale (SAS) score and self-rating depression scale (SDS) score) of the parents of the two groups were compared.

Results

There was no significant difference in the general clinical data between the two groups. The RASS and FLACC scores in the study group were significantly lower than those in the control group, and the SAS and SDS scores of the parents in the study group were significantly lower than those in the control group.

Conclusion

The application of an early childhood education machine for children after cardiothoracic surgery can effectively reduce postoperative agitation, improve sedation and analgesia of the patients, and ease the pessimistic mood of the patients’ parents.

Yin S, Zhu D, Lin K, An Q. Perventricular device closure of congenital ventricular septal defects. J Card Surg. 2014;29(3):390–400. https://doi.org/10.1111/jocs.12334.CrossRefPubMed

Barbero C, Marchetto G, Ricci D, Cura Stura E, Clerici A, El Qarra S, et al. Steps forward in minimally invasive cardiac surgery:10-year experience. Ann Thorac Surg. 2019;108(6):1822–9. https://doi.org/10.1016/j.athoracsur.2019.04.109.CrossRefPubMed

Chen Q, Hong ZN, Zhang GC, Chen LW, Zhang QL, Lin ZW, et al. Intraoperative device closure of isolated ventricular septal defects: experience on 1090 cases. Ann Thorac Surg. 2018;105(6):1797–802. https://doi.org/10.1016/j.athoracsur.2018.02.059.CrossRefPubMed

Kanaya A. Emergence agitation in children:risk factors, prevention, and treatment. J Anesth. 2016;30(2):261–7. https://doi.org/10.1007/s00540-015-2098-5.CrossRefPubMed

Li H, Zhang L, Shi M, Yang S, Li S, Gao S. Impact of Dexmedetomidine on pediatric agitation in the post anesthesia care unit. J Perianesth Nurs. 2018;33(1):53–7. https://doi.org/10.1016/j.jopan.2016.03.005.CrossRefPubMed

Kiski D, Malec E, Schmidt C. Use of Dexmedetomidine in pediatric cardiac anesthesia. Curr Opin Anaesthesiol. 2019;32(3):334–42. https://doi.org/10.1097/ACO.0000000000000731.CrossRef

Kihlstrom MJ, Edge AP, Cherry KM, Zarick PJ, Beck SD, Boyd JM. Multi-modal educational curriculum to improve richmond agitation-sedation scale inter-rater reliability in pediatric patients. Pediatr Qual Saf. 2018;3(5):e096.CrossRef

Kerson AG, DeMaria R, Mauer E, Joyce C, Gerber LM, Greenwald BM, et al. Validity of the richmond agitation-sedation scale (rass) in critically ill children. J Intensive Care. 2016;4:65.CrossRef

Shen J, Giles SA, Kurtovic K, Fabia R, Besner GE, Wheeler KK, et al. Evaluation of nurse accuracy in rating procedural pain among pediatric burn patients using the face, legs, activity, cry, Consolability (FLACC) scale. Burns. 2017;43(1):114–20. https://doi.org/10.1016/j.burns.2016.07.009.CrossRefPubMed

10.

Crellin DJ, Harrison D, Santamaria N, Babl FE. Systematic review of the face, legs, activity, cry and consolability scale for assessing pain in infants and chlidren: is it reliable,valid,and feasible for use? Pain. 2015;156(11):2132–51. https://doi.org/10.1097/j.pain.0000000000000305.CrossRefPubMed

11.

Yang J, Tang S, Zhou W. Effect of mindfulness-based stress reduction therapy on work stress and mental health of psychiatric nurses. Psychiatr Danub. 2018;30(2):189–96. https://doi.org/10.24869/spsih.2018.189.CrossRefPubMed

12.

Wang Y, Yu D, Ye J, Wei W. Study on the public psychological states and its related factors during the outbreak of coronavirus disease 2019 (COVID-19) in some regions of China. Psychol Health Med. 2020;30:1–10.

13.

Kamiya H. Minimally Invasive Cardiac Surgery with Thoracoscopy. Kyobu Geka. 2018;71(10):737–41.PubMed

14.

Hua K, Zhao Y, Dong R, Liu T. Minimally invasive cardiac surgery in China: multi-center experience. Med Sci Monit. 2018;24:421–6. https://doi.org/10.12659/MSM.905408.CrossRefPubMedPubMedCentral

15.

Tse MMY, Chan MF, Benzie IFF. The effect of music therapy on postoperative pain, heart rate, systolic blood pressures and analgesic use following nasal surgery. J Pain Palliat Care Pharmacother. 2005;19(3):21–9.CrossRef

16.

Apfelbaum JL, Chen C, Mehta SS, Gan TJ. Postoperative pain experience: results from a national survey suggest postoperative pain continues to be undermanaged. Anesth Analg. 2003;97(2):534–40.CrossRef

17.

da Silva PS, Reis ME, Fonseca TS, Fonseca MC. Opioid and benzodiazepine withdrawal syndrome in PICU patients: which risk factors matter? J Addict Med. 2016;10(2):110–6. https://doi.org/10.1097/ADM.0000000000000197.CrossRefPubMed

18.

Diette GB, Lechtzin N, Haponik E, Devrotes A, Rubin HR. Distraction therapy with nature sights and sounds reduces pain during flexible bronchoscopy: a complementary approach to routine analgesia. Chest. 2003;123:941–8.CrossRef

19.

Suresh BSS, De Oliveira GS Jr, Suresh S. The effect of audio therapy to treat postoperative pain in children undergoing major surgery: a randomized controlled trial. Pediatr Surg Int. 2015;31:197–201.CrossRef

20.

Sheikh AY, Fann JI. Artificial intelligence can information be transformed into intelligence in surgical education? Thorac Surg Clin. 2019;29(3):339–50. https://doi.org/10.1016/j.thorsurg.2019.03.011.CrossRefPubMed

Title: Application and effects of an early childhood education machine on analgesia and sedation in children after cardiothoracic surgery
Authors: Li-Li Chen
Yu-Qing Lei
Jian-Feng Liu
Hua Cao
Xian-Rong Yu
Qiang Chen
Publication date: 01-12-2021
Publisher: BioMed Central
Published in: Journal of Cardiothoracic Surgery / Issue 1/2021
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-021-01490-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Application and effects of an early childhood education machine on analgesia and sedation in children after cardiothoracic surgery

Abstract

Objective

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Results

Conclusion

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