Verdecchia Nicole, Nelson Ryan, White Shante, Cladis Franklyn
Department of Anesthesiology, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, PA 15224, USA.
Children (Basel). 2024 Feb 20;11(3):264. doi: 10.3390/children11030264.
Controlling preoperative anxiety is necessary in pediatric patients to avoid adverse effects such as emergence delirium, behavioral problems, post-traumatic stress disorder, anxiety prior to future procedures, and increased analgesic doses in the recovery room. Some patients, especially ones with behavioral issues, have a difficult time arriving at the hospital. Medications given at home can be helpful. We describe a case series of six patients who received pre-admission oral clonidine prior to arrival to the hospital. The patients were all able to enter the hospital without difficulty and the families reported less anxiety and more cooperation subjectively compared with previous experiences. Transient intraoperative hypotension was a side effect of oral clonidine, with no long-term sequelae.
控制小儿患者的术前焦虑对于避免诸如苏醒期谵妄、行为问题、创伤后应激障碍、未来手术前的焦虑以及恢复室中镇痛剂量增加等不良影响是必要的。一些患者，尤其是有行为问题的患者，很难到达医院。在家服用药物可能会有帮助。我们描述了一组六例患者的病例系列，这些患者在入院前到达医院之前接受了口服可乐定。所有患者都能够顺利进入医院，并且家属主观报告与以往经历相比焦虑减轻，配合度更高。口服可乐定的副作用是术中短暂性低血压，无长期后遗症。
