Communication during induction of paediatric anaesthesia: an observational study.

摘要: We aimed to identify and categorise advanced communication skills used by experienced consultant paediatric anaesthetists facilitate the induction of anaesthesia. The techniques were both verbal non-verbal. Communications with potentially negative effects also noted. Eighty-three inductions observed over a three-month period. 12 all senior consultants at tertiary referral centre. mean age patients was 6.1 years SD+/-4.8. There 53 males (63.9%) 30 females (36.1%). A first anaesthetic administered 43 (56%) sedative premedication six (8%). Inhalational in 59 (71%). remainder received an intravenous induction. Anaesthesia induced operating room on 68 occasions (82%), 11 (13%) radiology department 4(5%). most common were: voice change 60 (72%); distraction 49 (59%); direct commands 39 (47%); repetition 34 (41%); imagery 21 (25%) focused attention (25%). Other seeding ideas, utilisation, non-verbal cues, double-binds, story-telling, indirect suggestion, dissociation reversed effect. Sabotage parents or staff such as inadvertent suggestions, 14 (17%). Paediatric utilise wide range highly flexible manner when inducing anaesthesia children. Many these communications can be characterised hypnotherapeutic. Our observations suggest that formal structured training further research is warranted.