﻿393
KORESPONDENCE3880200011157117176233283337399461523578639697752
/4657200011132
CORRESPONDENCE4715200011155117176237294344398460522585639701758813
Premedication41513200974369109177218264284320360386405450495
in46633200971964
children:47443200973680100119165191232277294
what505532009759104143170
if52423200971843
it53013200971946
fails?5364320097246383102134164
|5584190011126
53565419001114390
/24378040010732
Anest25148040010752100145178207
intenziv274180400107196794136184221240282
Med.30428040010770115165181
2025;36(1):52-543242804001074487129173186230273297337354369413455481523568
/38558040010731
ANESTEZIOLOGIE39528040010753112155200245290342362425467527586607650
A46248040010753
INTENZIVNÍ4698804001071978123168227276296345405426
MEDICÍNA51468040010770113173194247268327381
www.aimjournal.cz4258040010765133201214257275349367415463490539579598614654693
Preoperative217591001074571114163213258284326353372413456
preparation265191001075077119169211237279306325373421
and309291001074189138
education325091001074494141182223250269317366
of363591001074872
the372791001072876120
child1970105001074088107125175
(and2164105001072463111160
parents)2344105001074991117160209235270291
according2655105001074181120167194242261308358
to3033105001072774
the3127105001072876120
possibilities3267105001074999132165184233252271289317336380414
of3700105001074872
the3792105001072876120
department1972119001074993143184211242316360408435
(visit242611900107246383116134162
to2608119001072774
the2702119001072876120
operating2842119001074898143169211238257304354
theatre,3216119001072776120160187214257271
games,3507119001074990163207241257
distraction3784119001074967100197613300107285596137167186234283
techniques,2278133001072871112160208226275323367401417
educational2714133001074494141182223251269317366407426
websites31591330010765109158192210238281314
and3493133001074189138
mobile36511330010774122172192210254
applications)2713147001074190140160178219260287306354403436457
calm1190322001074082101174
and1384322001074088138
cooperative1542322001074086135185230257298325344385429
child1327336001074088107125175
with1521336001076585113161
low1702336001071967132
preoperative1209350001075077120169219264290332359378419462
anxiety1691350001074089128147191219261
THE16983940010742100142
CHILD18593940010752108127167225
HAS21043940010757109152
CALMED16844080010751105146216258316
DOWN20204080010758119193251
pharmacological3380387001075098139165240281321368387436486504545586605
deepening4005387001074993138187232280299347396
of3424401001074872
the3516401001072776120
sedation3656401001073377127168195214262311
and3986401001074189139
of4144401001074872
the4236401001072876120
anxiolysis3721415001074189128148196215255289307340
child3956322001074088107125175
uncooperative,4150322001074896137183232282327354395423441482526540
severe3966336001073478118162188231
preoperative4217336001074976119168218263290331359377418462
anxiety4192350001074189128148191219262
Crisis409545700107517797129148180
intervention429545700107196794136163207250298325344392440
techniques4215471001072870112160208226275323367400
Induction1199457001071967116164204235254302350
of1569457001074872
general1661457001074893141185211253272
anaesthesia1356471001074189130174207236285329363381421
Consider4012560001075198147180198247291318
rescheduling4349560001072770103144192236286334353371419468
the4168574001072876120
operation4308574001074898143169211238257305354
Interventions391250800107196794136163207250298325344392440473
have4405508001074889129172
no4082522001074897
effect419852200107446895139180210
Sedative3912197001074286136177204223264307
premedication4239197001074976119193237287306346388415434482530
Fig.42560001255687137164
1.60560001255478
Algorithm72861001074867112157183201227273344
for10896100107226793
management1198610010772117163208253292363401448473
of168761001074568
preoperative177161001074571108154199238264307332350388425
anxiety221361001074591128146184211250
in247961001071965
children256061001073783101119165190227273
Assessment2160236001075388121165199232306350398425
of2605236001074771
the2696236001072876120
degree2836236001074993143170212257
of3113236001074872
anxiety3205236001074088128147191219261
before3486236001075095118166193236
the3742236001072776120
operation2246250001074898143169211238257305354
(either261925000107246584112160205231
clinically287025000107405977125144184225244263303
or3193250001074774
by3287250001075089
means33962500010774118158206239
of2599264001074872
scoring2691264001073374120147167215264
systems)2975264001073374108137180253286308
PPIA1393197001074589107159
of425608001074771
physical512608001074998136169187227267286
inactivity814608001071966106146176194235254282324
and1154608001074088136
unresponsiveness1306608001074895121164197245294342374392433475523567600633
to1955608001072773
external2044608001074483113155181229269288
stimuli.234860800107336280153200218236252
From2616608001074165112185
an2817608001074088
evolutionary425622001074484132151199227246294342383410453
perspective,895622001075094121155204249291321340381424438
TI1351622001074262
is1430622001071952
an1499622001074189
adaptive1605622001074190131181208227268311
response1934622001072669103152201250283327
that2278622001072876117144
increases2439622001071967108134177217250295328
the2785622001072776120
chance425636001074088129177217260
of710636001074872
survival.806636001073481107151171212253272288
In1119636001071967
humans,1211636001074895169210258291307
TI1542636001074262
usually1629636001074881128169188206246
occurs1900636001074889128176202236
as2161636001074174
a22606360010741
result2325636001072770104151170197
of2547636001074872
intense264463600107196793136184217261
life-threatening42565000107193862106135163211238281321349392440459507556
events.1008650001074485128177204239255
It1290650001071947
is1363650001071952
often1442650001074872104146195
described1663650001074994128169195215264310360
in2049650001071967
rape2143650001072668118163
victims2333650001074160101131150224257
as2617650001074174
“rape271865000107265193142188
paralysis”425664001075194121164183225260279312340
[7].7926640010926741028936640010716
It936664001072048
can1012664001074183133
also117266400107426195145
occur1344664001074991131180208
in1579664001071968
children1675664001074190109129179207251300
in2003664001071968
the2098664001072978124
operating22496640010749100147174217245264314364
theatre2641664001072878123164192220264
under425678001074794143186212
conditions653678001073985133181199227245292340372
of1041678001074771
overwhelming1128678001074786129155221269312331403421468517
stress.166167800107336187129162195211
From1888678001074165111184
the2088678001072775118
perspective2222678001074993119152200244285314333373415
of2653678001074871
crisis274067800107396584116134166
intervention,42569200107196794136163206250298325344392440456
it903692001071947
is973692001071851
important1047692001071892141190217248290338365
to1434692001072875
note1531692001074897124167
that1720692001072876117144
children1886692001074189107126175201244292
in2201692001071967
the2290692001072876120
state2433692001073362104131173
of2629692001074872
tonic2723692001072875123142182
immobility425706001071991164212261280298316344386
have827706001074888127169
a10137060010740
significant1069706001073351100147165189208248289336362
reduction1447706001072769118165205235253301349
in1812706001071966
neocortex1894706001074891140180226253283325364
activity,2274706001074181111129169188216258269
hindering2559706001074866114162206232251298346
their425720001072876120139165
possible610720001075099132166184233253297
cooperation.927720001074086135185230257298326344392441457
Preoperative4257440015371133194260330391451515566606668727
crisis11757440015357118160214255310
intervention15077440015339114165226286352411485536576641714
Our5657620010760109135
intervention72276200107196693136162206249298324343391440
aims1183762001074160133166
to1370762001072875
reconnect1466762001072770111158206254298340370
the1857762001072876121
neocortex,1999762001074892141182229256287330369386
which,24077620010764113132172220235
in2664762001071967
children2752762001074088107125425776001074974117164
aged605776001074190133182
2–3804776001074386126
years,946776001073982121147181197
consists1159776001073985133166184216244279
of1454776001074771
establishing1541776001074376105146195214232264311329377425
communication1982776001074086159232279326344384425452470517565
by2564776001074988
describing26687760010748921251651912103047608001074967114162
what32246080010764112151177
is3417608001071850
happening3483608001074787135184227274292339387
to3885608001072873
them3973608001072875118190
in4178608001071965
the4259608001072774117
operating4392608001074795139165205231249296344
theatre.4752608001072774117156182208250264
The5031608001074190133
anaesthetist5179608001074187127170202230277320304762200107284779108
describes3181622001074993127167194213263307341
the3548622001072876120
different369462200107496791119162189232280307
parts4026622001075091118149184
of4235622001074872
the4333622001072876120
child’s4479622001074088106125174191222
body,4727622001074999149189201
giving4953622001074968109128176226
a52046220010741
precise5271622001074976119161179212256
description3047636001074993127167194213263290309357406
of3474636001074872
what35676360010765114155182
they3770636001072876120160
are3952636001074067110
doing:4083636001074997116164214229
“Your4333636001072674117165191
little45466360010719376596115159
eyes4726636001074484127161
are4908636001074167110
crying,5040636001074066109129177226242
telling530363600107287190108127175224
me30476500010774118
you3187650001074087135
don’t3344650001074997146161190
want35566500010765106154181
to3759650001072874
be3855650001075095
here.3972650001074892119162177
Your4170650001074689137163
little43556500010719386696115159
legs4536650001071963113146
want47046500010765106154181
to4907650001072875
run5004650001072675123
away,51496500010740105146185197
they5368650001072776120160
are3047664001074066108
clever,3171664001074058101141183209221
and3407664001074188136
they3559664001072875118157
want37326640010764105152178
to3926664001072873
run4015664001072774121
away41526640010740104144182
to4350664001072873
a44396640010741
better4495664001075094121151192218
place.4729664001074968108148189204
I49496640010718
think498366400107287593140177
they5176664001072775118157
want53496640010764105152178
to3047678001072874
play3139678001075069110149
or3305678001074875
kick339867800107385899136
a35526780010741
ball…”3611678001074991110128215236
It3864678001071947
is3929678001071851
very3998678001074084110153
important4169678001071992142191218249290338365
to4552678001072774
work46446780010765112139178
with4839678001076585113161
the5018678001072776120
intonation515567800107196794141189230257276324372
of3047692001074872
the3139692001072776120
voice3279692001074088107147189
to3488692001072875
engage3582692001074492141182232276
the3877692001072876121
child.4017692001074088107126175191
Establishing3187706001074174102141189207224255301318364412
cooperation3613706001074084131180223248288313330377423
with4050706001076582109155
older4219706001074866113155180
children4413706001074086103120168193234280
is4707706001071950
usually4771706001074778123162180197235
easy.5020706001074382113153163
It5197706001071945
is5256706001071950
useful5320706001074779121143190208
to3047720001072874
play3140720001075069108146
various3306720001074081107125172219251
games3577720001074989161205238
before3834720001075094117163189232
the4085720001072875119
induction4223720001071966114161201230248295343
to4585720001072874
general4679720001074992139182208249267
anaesthesia.4965720001074188128171204232279323356373412428
We54127200010774115
try304773400107285496
to3164734001072874
engage3259734001074491140179228271
preschoolers3551734001075076118151191238285333352395421454
with4027734001076583110157
a42067340010741
game4268734001074989162205
of4494734001074871
Indians4587734001071966114132172219251
where48597340010765113156182224
they5104734001072875119158
imitate5283734001071991109136177203244
the3047748001072874117
Indian3178748001071966114131170216
shout3409748001073379126173200
loudly3623748001071965112160178216
while38537480010765112129147189
tapping4056748001072868116164182229277
their4347748001072774117134159
chest.4521748001073986129161188204
Asking4739748001075286122141187235
the4988748001072875117
child5120748001074086103121168
to5303748001072772
roar5390748001072672112137
like304776200107193773116
a31787620010741
tiger323476200107284694137163
makes34137620010773113150192225
it3654762001071846
easier3715762001074483115133176201
to3932762001072773
insert402176200107186597141166196
a42337620010741
venous4289762001074183130178225257
catheter4562762001074080107154197224266291
with4869762001076583110158
the5042762001072875119
possibility5176762001075098131163180229247265283310351
of3047776001074871
further313677600107237297127174218243
pharmacological3397776001075098137163236276316362380428477495534575593
sedation4007776001073477127166193210258305
or4330776001074874
induction4422776001071966114161201230248295343
of4783776001074771
anaesthesia.4871776001074188128171204232280323356373412428