Outpatient Surgery Magazine

Heavy Duty - October 2016 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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O C T O B E R 2 0 1 6 • O U T PA T I E N TS U R G E R Y. N E T • 3 5 Take the Fear Out of Mask Induction for Kids How to help your pediatric patients get over their fear of going under. P ediatric induction can be one of the most stressful moments for a child undergoing surgery. Fifty percent of children expe- rience anxiety at induction of anesthesia, according to one study (osmag.net/wrwnj2). Crying, kicking, hitting, and other forms of physical and verbal resistance to the noxious gases often necessi- tate the need to restrain the child so you can force the mask on his face, euphemistically referred to as brutane (brute force + sevoflu- rane). Predictors for "noncompliant children" include younger age and shy temperament, but any child can throw a tantrum once you place the anesthesia mask. No amount of bubblegum flavoring can disguise the scent of sevoflurane and there aren't enough princess stickers, sing- Anesthesia Alert Diane Manzella Miller, MHS, CRNA • BRUTANE Staff restrain a child so they can force the mask over her face, a distressing practice known as brutane (brute force + sevoflurane). Diane Manzella Miller, MHS, CRNA

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