Crying

Figure 29.1

Diagnostic and treatment algorithm for postoperative crying or tearing.



Management: Postoperative crying has not been associated with adverse outcome or increased perioperative risk. Specifically, it is not known to be associated with either post-surgical depression or stress cardiomyopathy. There is a theoretical risk of increased postoperative bleeding after tonsillectomy in the crying patient, but there is little data to support this concern.


A high degree of clinical suspicion for pain should be held in the perioperative period, and many individuals should receive additional analgesia. In the absence of pain or another treatable underlying cause, management is supportive and entails calm and repeated reassurance, empowerment of the patient as much as possible in their own care, and the presence of a familiar person or family member, if available.






References


1.Package insert, Sevoflurane, Abbot Phamaceuticals, August 2012.

2.L. Lourenco-Matharu, G.J. Roberts. Effectiveness and acceptability of intravenous sedation in child and adolescent dental patients: report of a case series at King’s College Hospital, London. Br Dent J 2011; 210(12):567572.

3.C. Robin, N. Trieger. Paradoxical reactions to benzodiazepines in intravenous sedation: a report of 2 cases and review of the literature. Anesth Prog 2002; 49(4):128132.

Only gold members can continue reading. Log In or Register to continue

Stay updated, free articles. Join our Telegram channel

Jan 21, 2017 | Posted by in ANESTHESIA | Comments Off on Crying

Full access? Get Clinical Tree

Get Clinical Tree app for offline access