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Title
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Changes in sensory processing after anesthesia in toddlers
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Author
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Abstract
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| BACKGROUND: Anesthesia and surgery may influence toddlers sensory processing and consequently postoperative adjustment and behavior. This is the first study to: 1. test pre- to postoperative changes in sensory processing after pediatric anesthesia using the validated Infant/Toddler-Sensory Profile for 7-36 months (ITSP7-36); 2. identify putative predictors of these changes. METHODS: This prospective cohort study included 70 healthy boys (ASA I & II), aged 18- 30 months, who underwent circumcision for religious reasons. Exclusion: boys with prior surgery and known developmental delay. Primary outcome: changes in sensory processing from the day of admission to day 14 postoperatively. The accompanying parent completed the ITSP7-36. Putative predictors: 1. childs preoperative emotional/behavioral problems; 2. childs state anxiety at induction; 3. postoperative pain at home. All children received standardized anesthesia and pain management. RESULTS: For 45 boys, assessments were completed at both time points. Significant changes in sensory processing (mean ITSP7-36 scores) were found on: low registration (47.5 to 49.8; p = .015), sensory sensitivity (45.2 to 48.0; p = .011), sensation avoiding (48.2 to 51.3; p = .010), low threshold (93.4 to 99.4; p = .007), auditory processing (39.3 to 43.3; p = .000) and tactile processing (53.9 to 58.4; p = .002). Higher scores on emotional/behavioral problems predicted changes on sensory processing. CONCLUSIONS: Sensory processing of these toddlers had changed after anesthesia. Children with more pre-existent emotional/behavioral problems are more vulnerable to these changes. |
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Language
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English
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Source (journal)
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Minerva anestesiologica. - Torino
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Publication
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Torino
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2018
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ISSN
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0375-9393
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DOI
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10.23736/S0375-9393.18.12132-8
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Volume/pages
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84
:8
(2018)
, p. 919-928
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ISI
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000445282100009
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Pubmed ID
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29405666
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Full text (Publisher's DOI)
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Full text (open access)
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