Braude N, Ridley S A, Sumner E
Department of Anaesthesia, Hospital for Sick Children, London.
Ann R Coll Surg Engl. 1990 Jan;72(1):41-4.
Parental presence at induction of anaesthesia is controversial and of disputed value. Ninety out of 117 parents replied to a preoperative questionnaire designed to identify their preference and motivation with regard to accompanying their children to the anaesthetic room. Half the parents wished to be present at induction, irrespective of the child's age or previous surgical experience and the most commonly cited reasons for this were the child's anxiety or the parents' sense of duty; 32% of these parents changed their preference if their child were to be adequately sedated preoperatively. In addition, 18% of all parents felt that they would prefer not to be present at induction. The results suggest that in circumstances where parents are to be excluded from induction, adequate preoperative explanation and sedative premedication would contribute to allaying parental anxiety, but that a flexible policy may be most appropriate.
麻醉诱导时家长在场存在争议，其价值也备受质疑。117位家长中有90位回复了一份术前问卷，该问卷旨在确定他们陪伴孩子进入麻醉室的偏好和动机。一半的家长希望在麻醉诱导时在场，无论孩子的年龄或既往手术经历如何，最常提及的原因是孩子的焦虑或家长的责任感；如果孩子术前得到充分镇静，这些家长中有32%会改变他们的偏好。此外，所有家长中有18%认为他们宁愿不在麻醉诱导时在场。结果表明，在家长被排除在麻醉诱导之外的情况下，充分的术前解释和镇静前用药有助于减轻家长的焦虑，但灵活的政策可能最为合适。
