Pediatric anesthesia & critical care
Analysis of perioperative autonomic nervous system activity to visualize stress in pediatric patients undergoing alveolar bone graft surgery
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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