Anesthesia in pediatric and adolescent orthopedic surgery: medical and psychological aspects

Occupation: chief research officer, laboratory of psychology of subject development in normal and post-traumatic states
Affiliation: Institute of Psychology RAS
Address: Moscow, Russian Federation

N. Yeskin

Occupation: Head of the Department of functional diagnostics
Affiliation: Federal State Budgetary Institution “N.N. Priorov National Medical Research Center of Traumatology and Orthopedics” of the Ministry of Health of the Russian Federation
Address: Moscow, Priorova st., 10

A. Akinshina

Occupation: Traumatologist-orthopedist, Department of Pediatric Bone Pathology and Adolescent Orthopedics (Department 11)
Affiliation: Federal State Budgetary Institution “N.N. Priorov National Medical Research Center of Traumatology and Orthopedics” of the Ministry of Health of the Russian Federation
Address: Moscow, Priorova st., 10

S. Batrakov

Occupation: Orthopedic trauma surgeon, Department of Pediatric Bone Pathology and Adolescent Orthopedics (Department 11)
Affiliation: Federal State Budgetary Institution “N.N. Priorov National Medical Research Center of Traumatology and Orthopedics” of the Ministry of Health of the Russian Federation
Address: Moscow, Priorova st., 10

G. Vilenskaya

Occupation: Senior researcher of the laboratory of psychology of development of the subject in normal and post-traumatic States
Affiliation: FGBUN Institute of Psychology RAS
Address: Russian Federation

I. Dan

Occupation: Orthopedic traumatologist, Department of Pediatric Bone Pathology and Adolescent Orthopedics (Department 11)
Affiliation: Federal State Budgetary Institution “N.N. Priorov National Medical Research Center of Traumatology and Orthopedics” of the Ministry of Health of the Russian Federation
Address: Moscow, Priorova st., 10

Marina Dan

Occupation: Junior Researcher
Affiliation: Laboratory of Psychology of Person Development in Normal and Post-traumatic States, Institute of Psychology Russian Academy of Sciences
Address: Yaroslavskaya st., 13, bldn. 1

N. Matveychuk

Occupation: Anesthesiologist-resuscitator, Department of Anesthesiology and Resuscitation
Affiliation: Federal State Budgetary Institution “N.N. Priorov National Medical Research Center of Traumatology and Orthopedics” of the Ministry of Health of the Russian Federation
Address: Moscow, Priorova st., 10

E. Nikitina

Occupation: Researcher
Affiliation: Laboratory of Psychology of Person Development in Normal and Post-traumatic States, Institute of Psychology Russian Academy of Sciences
Address: Moscow, Yaroslavskaya st., 13, bldn. 1

A. Snetkov

Occupation: Head of the Department of Pediatric Bone Pathology and Adolescent Orthopedics (Department 11)
Affiliation: Federal State Budgetary Institution “N.N. Priorov National Medical Research Center of Traumatology and Orthopedics” of the Ministry of Health of the Russian Federation
Address: Moscow, Priorova st., 10

Journal name

Psikhologicheskii zhurnal

Edition

Volume 42 issue 3

Pages

75-86

Abstract

The current study examined the topic of application and experiencing the anesthesia as an interdisciplinary medical and psychological issue. The connection of deep personal meanings and experiences of both the subject of anesthesia (child) and their parents was noted. Mothers' ideas about anesthesia, in connection with their teenage children’s surgery for a benign tumor of the musculoskeletal system has been scrutinized. The study involved adolescents aged 12−16 (n=44) who underwent surgery under endotracheal general anesthesia (n=27) or regional anesthesia (n=17) and their mothers. We used the Perceived Stress Scale (for adults and for children), the authors’ “Perception of Anesthesia” questionnaire, and the Color attitude test. Mothers whose children got endotracheal general anesthesia had higher scores on Help and Right Choice descriptors than those whose children got the regional anesthesia. Child’s and mother’s anxiety level were related before and after surgery according to the data from the Color test, but their levels of perceived stress correlated only before surgery. Mothers with high level of stress differ from other groups by the “Uncertainty, unknown” factor, but do not differ by the “Acceptance of the situation” factor. The conclusion emphasizes the importance of mutual communication between the doctor, the patient and his or her social environment for maintaining the patient's psychological well-being during treatment and for the success of such treatment.

Keywords

ideas about anesthesia, stress, anxiety, coping, mothers, teenagers, surgery

Acknowledgment

The reported study was funded by RFBR according to the research project № 18-00-00393 К (№ 18-00-00123; № 18-00-00049)

Received

12.06.2021

Publication date

12.06.2021

Number of characters

31989

Cite

GOST	Kharlamenkova N., Yeskin N., Akinshina A., Batrakov S., Vilenskaya G., Dan I., Dan M., Matveychuk N., Nikitina E., Snetkov A. Anesthesia in pediatric and adolescent orthopedic surgery: medical and psychological aspects // Psikhologicheskii zhurnal – 2021. – V. 42. – issue 3 C. 75-86 [Electronic resource]. URL: https://psy.jes.su/S020595920015209-5-1 (circulation date: 12.10.2024). DOI: 10.31857/S020595920015209-5
MLA	Kharlamenkova, Natalia E, Yeskin, N., Akinshina, A., Batrakov, S., Vilenskaya, G., Dan, I., Dan, Marina, Matveychuk, N., Nikitina, E., Snetkov, A. "Anesthesia in pediatric and adolescent orthopedic surgery: medical and psychological aspects." Psikhologicheskii zhurnal 42.3 (2021):75-86. DOI: 10.31857/S020595920015209-5
APA	Kharlamenkova N., Yeskin N., Akinshina A., Batrakov S., Vilenskaya G., Dan I., Dan M., Matveychuk N., Nikitina E., Snetkov A. (2021). Anesthesia in pediatric and adolescent orthopedic surgery: medical and psychological aspects. Psikhologicheskii zhurnal 42(3), pp.75-86 DOI: 10.31857/S020595920015209-5

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1. Ababkov V.A., Baryshnikova K., Vorontsova-Venger O.V., Gorbunov I.A., Kapranova S.V., Pologaeva E.A., Stuklov K.A. Validizacija russkojazychnoj versii oprosnika “Shkala vosprinimaemogo stressa-10”. Vestnik SPbGU. Ser. 16. Psikhologija. Pedagogika. 2016. V. 2. P. 6−15. (In Russian)

2. Bazhin E.F., Etkind A.M. Tsvetovoj test otnoshenij. L.: Leningradskij nauchno-issledovatelskij psikhonevrologicheskij institut im. V.M. Bekhtereva, 1985. (In Russian)

3. Bardin K.V. Porogovaja problema i differencialnaja psikhofizika. Voprosy psikhologii. 1990. №1. P. 131−136. (In Russian)

4. Bunyatyan A.A., Mizikov V.M. Anesteziologija: nacionalnoje rukovodstvo. GEOTAR-Media, 2011. (In Russian)

5. Vojcekhovskij D.V., Aver’janov D.A., Shchegolev A.V., Svistov D.V. Vlijanije glubokoj anestezii na vozniknovenije posleoperacionnoj kognitivnoj disfunktsii. Vestnik anesteziologii i reanimatologii. 2018. V. 15 (1). P. 5−9. (In Russian)

6. Kozovenko M.N. Valentin Feliksovich Voyno-Yasenetskii (arkhiepiskop Luka) – osnovopolzhnik otechestvennoj regionarnoj anestezii (k 100-letiju dissertatsii doktora meditsiny). Klinicheskaja medicina. 2017. V. 95 (4). P. 378−382. (In Russian)

7. Levshankov A.I. Nasledije N.I. Pirogova v anesteziologii. Soobshchenije vtoroje N.I. Pirogov – pervoprokhodets primenenija anestezii na teatre vojny. Vestnik anesteziologii I reanimatologii. 2010. V. 7(5). P. 52−63. (In Russian)

8. Ovezov A.M., Lobov M.A., Panteleeva M.V., Lugovoj A.V., Myatchin P.S., Gus’kov I.E. Korrektsija rannikh kognitivnykh narushenij u detej shkolnogo vozrasta, operirovannykh v uslovijakh totalnoj vnutrivennoj anestezii. Anesteziologija i reanimatologija. 2012. № 3. P. 1−4. (In Russian)

9. Padun M.A. Regulyatsija emotsii i psikhologicheskoje blagopoluchije: individual’nyje, mezhlichnostnyje i sotsiokulturnyje factory. Psikhologicheskii zhurnal. 2019. V. 40(3). P. 31−43. (In Russian)

10. Pshyblo G.D. Obratnyj otschet. Zapiski anesteziologa. Moscow: AST. 2019. (In Russian)

11. Sergijenko E.A. Antitsipatsija v rannem ontogeneze cheloveka. Dissertatsija doktora psikhologicheskikh nauk: 19.00.01. Moscow, 1997. (In Russian)

12. Sobchik L.N. MCV – metod tsvetovykh vyborov. Modifitsirovannyj vos’mitsvetovoj test Lyushera. Prakticheskoje rukovodstvo. St. Petersburg: Rech. 2001. (In Russian)

13. Kharlamenkova N.E., Es'kin N.A., Akin'shina A.D., Dan M.V., Dymova E.N., Matveichuk N.N. Predstavlenie ob anestezii u materej podrostkov s diagnozom dobrokachestvennaya opuxol' oporno-dvigatel'nogo apparata. Bexterev i sovremennaya psixologiya lichnosti: sbornik statej VI Vserossijskoj nauchno-prakticheskoj konferencii. 2–4 October 2020. Kazan: NOU DPO “Centr social'no-gumanitarnogo obrazovaniya”, 2020. P. 100–102. (In Russian)

14. Tsybul’nik U.V., Nikolaeva O.V., Sklyarov E.V. Stanovlenije i razvitije anesteziologii. Vestnik gigijeny i epidemiologii. 2017. V. 21(1). P. 93−97. (In Russian)

15. Andersson L., Karlsson K., Johansson P., Österberg S.A. I’m afraid! Children’s experiences of being anesthetized. Pediatric Anesthesia. 2020. V. 30(9). P. 998−1005.

16. Astuto M., Rosano G., Rizzo G., Disma N., Raciti L., Sciuto O. Preoperative parental information and parents' presence at induction of anaesthesia. Minerva Anestesiologica. 2006. V. 72(6). P. 461–465.

17. Beebe J.J. A dimensional analysis of the adolecent's general anesthesia experience (anesthesia). Dissertation Abstracts International. Thesis (PhD). University of California, San Francisco, 1994. V. 56(01 B). P. 0169.

18. Boka V., Arapostathis K., Kotsanos N., Karagiannis V., van Loveren C., Veerkamp J. Relationship between child and parental dental anxiety with child’s psychological functioning and behavior during the administration of local anesthesia. Journal of Clinical Pediatric Dentistry. 2016. № 40(6). P. 431–437.

19. Cuzzocrea F., Gugliandolo M.C., Larcan R., Romeo C., Turiaco N., Dominici T. A psychological preoperative program: effects on anxiety and cooperative behaviors. Pediatric Anesthesia. 2013. V. 23(2). Р. 139–143.

20. Davis N., Lee M., Lin A.Y., Lynch L., Monteleone M., Falzon L., Ispahany N., Lei S. Postoperative cognitive function following general versus regional anesthesia: A systematic review. Journal of Neurosurgery and Anesthesiology. 2014. V. 26. P. 369–376.

21. Doupnik S.P., Hill D., Palakshappa D., Worsley D., Bae H., Shaik A., Qiu M.K., Marsac M., Feudtner C. Parent Coping Support Interventions During Acute Pediatric Hospitalizations: A Meta-Analysis. Journal of Pediatrics. 2017. № 140(3). P. 41–71.

22. Kain Z.N., Mayes L.C., O'Connor T.Z., Cicchetti D.V. Preoperative anxiety in children. Predictors and outcomes. Archives of Pediatrics and Adolescent Medicine. 1996. V. 150(12). P. 1238–1245.

23. Lööf G., Andersson-Papadogiannakis N., Silén C. Children's own perspectives demonstrate the need to improve paediatric perioperative care. Nursing Open. 2019. V. 6(4). P. 1363−1371.

24. Macheta A., Frączek A. The genesis of anaesthesia in prehistory. Anaesthesiology intensive therapy. 2018. V. 50(5). P. 330–332.

25. O'Leary J.D., Warner D.O. What do recent human studies tell us about the association between anaesthesia in young children and neurodevelopmental outcomes? British Journal of Anaesthesia. 2017. V. 119(3). P. 458–464.

26. Ogle C.M., Rubin D.C., Siegler I.C. Maladaptive trauma appraisals mediate the relation between attachment anxiety and PTSD symptom severity. Psychological trauma: Theory, research, practice, and policy. 2016. V. 8(3). P. 301–309.

27. Sadeghi A., Khaleghnejad Tabari A., Mahdavi, A., Salarian S., Razavi S.S. Impact of parental presence during induction of anesthesia on anxiety level among pediatric patients and their parents: a randomized clinical trial. Neuropsychiatric disease and treatment. 2017. V. 12. P. 3237–3241.

28. Stremler R., Haddad S., Pullenayegum E., Parshuram C. Psychological outcomes in parents of critically ill hospitalized children. Journal of Pediatric Nursing. 2017. № 34. P. 36–43.

29. Tran S.T., Jastrowski Mano K.E., Anderson Khan K., Davies W.H., Hainsworth K.R. Patterns of anxiety symptoms in pediatric chronic pain as reported by youth, mothers, and fathers. Clinical Practice in Pediatric Psychology. 2016. V. 4(1). P. 51–62.

30. White B.P. The Perceived Stress Scale for Children: A Pilot Study in a Sample of 153 Children. International Journal of Pediatrics and Child Health. 2014. V. 2. P. 45–52.