Pediatric anesthesia & critical care

Analysis of perioperative autonomic nervous system activity to visualize stress in pediatric patients undergoing alveolar bone graft surgery

J Clin Monit ComputPublished Prospective observational study

Authors' conclusion

Circulatory dynamics and psychological status recovered by the day before discharge; however, ANS activity did not.

Study context

Population
Pediatric patients aged 8–12 years undergoing alveolar bone grafting under GA31 analysed
Participants
40 patients
Exposure
Postoperative vs preoperative values
Outcome
Autonomic nervous system (ANS) activity by heart rate variability (LF/HF sympathetic, HF parasympathetic)
Follow-up
Day before surgery, during GA, 2 h and 24 h postoperatively, day before discharge

Main finding

As reported in the abstract

ANS activity (LF/HF, HF) vs preoperative values
LF/HF significantly increased after surgery
P < 0.01
HF significantly decreased at 2 h postoperatively
P < 0.05
HF significantly decreased at 24 h postoperatively and before discharge
P < 0.01
Before discharge, LF/HF remained significantly higher and HF significantly lower than preoperative values
P < 0.01

Observational data: associations, not effects.

Further findings

HR, systolic blood pressure (SBP) and face scale (FS) score vs preoperative values

HR, SBP and FS score significantly increased after surgery
P < 0.01
SBP recovered to preoperative values 24 h postoperatively
HR and FS score recovered to preoperative values before discharge

Original publication

Analysis of perioperative autonomic nervous system activity to visualize stress in pediatric patients undergoing alveolar bone graft surgery. J Clin Monit Comput. Published 22 August 2024. doi:10.1007/s10877-024-01210-w

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