| Communication during induction of paediatric anaesthesia: an observational study. | |
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MedLine Citation:
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PMID: 18361008 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We aimed to identify and categorise advanced communication skills used by experienced consultant paediatric anaesthetists to facilitate the induction of paediatric anaesthesia. The communication techniques were both verbal and non-verbal. Communications with potentially negative effects were also noted. Eighty-three inductions were observed over a three-month period. The 12 anaesthetists observed were all senior consultants at a tertiary referral paediatric centre. The mean age of patients was 6.1 years SD+/-4.8. There were 53 males (63.9%) and 30 females (36.1%). A first anaesthetic was administered to 43 patients (56%) and sedative premedication to six (8%). Inhalational inductions were observed in 59 patients (71%). The remainder received an intravenous induction. Anaesthesia was induced in the operating room on 68 occasions (82%), in the induction room on 11 (13%) and in the radiology department on 4(5%). The most common communication techniques used were: voice change in 60 (72%); distraction in 49 (59%); direct commands in 39 (47%); repetition in 34 (41%); imagery in 21 (25%) and focused attention 21 (25%). Other techniques used were seeding of ideas, utilisation, non-verbal cues, double-binds, story-telling, indirect suggestion, dissociation and reversed effect. Sabotage by parents or staff such as inadvertent negative suggestions, was observed on 14 occasions (17%). Paediatric anaesthetists utilise a wide range of communication techniques in a highly flexible manner when inducing anaesthesia in children. Many of these communications can be characterised as hypnotherapeutic. Our observations suggest that formal structured training in communication skills and further research is warranted. |
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Authors:
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A V Carlyle; P C Ching; A M Cyna |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Anaesthesia and intensive care Volume: 36 ISSN: 0310-057X ISO Abbreviation: Anaesth Intensive Care Publication Date: 2008 Mar |
Date Detail:
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Created Date: 2008-03-25 Completed Date: 2008-05-13 Revised Date: 2009-01-14 |
Medline Journal Info:
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Nlm Unique ID: 0342017 Medline TA: Anaesth Intensive Care Country: Australia |
Other Details:
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Languages: eng Pagination: 180-4 Citation Subset: IM |
Affiliation:
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Department of Paediatric Anaesthesia, Women's and Children's Hospital, Adelaide, South Australia, Australia. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Anesthesia* Anesthesia, Inhalation Anesthesia, Intravenous Child Child, Preschool Communication* Cues Female Humans Infant Male Nonverbal Communication |
| Comments/Corrections | |
Comment In:
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Anaesth Intensive Care. 2008 Sep;36(5):743; author reply 743-4
[PMID:
18853599
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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