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PERIOPERATIVE STUDIES

A Preparation and Information Program for Pediatric Perioperative Anxiety and Pain

The aims of this study are to develop and test a tailored interactive web-based preparation program, which will provide detailed information for parents about surgical procedures and postoperative pain management. It will also develop a personalized plan for alleviating anxiety and pain, taking into account other medical and psychological factors, such as the parents' coping and caring skills.

Healthcare Provider Behavior and Children’s Perioperative Distress (P-TIPS)

The purpose of this study is to establish and test an empirically derived, Provider-Tailored Intervention for Perioperative Stress program, P-TIPS, at four California children’s hospitals. P-TIPS is designed to promote specific behaviors in adults, doctors and parents alike, that will create a calmer surgical environment for youngsters. The four children’s hospitals will be randomized to be either an intervention site or a control site.

Management of Postoperative Pain in Underserved Populations

This study aims to identify demographic, system and biopsychosocial barriers for the management of postoperative pain at home in a population of children of Hispanic origin who are of low socioeconomic status (SES) and are undergoing outpatient elective surgery. Because parents of children of Hispanic origin with low SES are significantly more likely to have misconceptions about pain management and these children are significantly more likely to receive less analgesics after outpatient surgery, there is a critical need to develop an intervention to improve home-based postoperative pain management in this under-served and vulnerable population. By identifying the barriers to postoperative pain management in this population, a targeted intervention can be developed.

Parent/Healthcare Provider Behaviors and Child’s Anxiety

This study aims to analyze the influence of preoperative behavioral interactions between children, parents and health care providers on children’s anxiety before surgery. Results of this study have already shown that certain parent and health care providers behaviors promote child coping in the perioperative environment while other behaviors promote child distress.

Ethnicity and Postoperative Pain in Children

The aim of this study is to understand the role of race and ethnicity on the experience of postoperative pain in children. Because poorly controlled postoperative pain negatively impacts surgical recovery, it is important to identify factors that may impact the pain experience of patients post-surgery.

The Transition from Acute to Chronic Postoperative Pain in the Pediatric Patient

The purpose of this study is to describe the incidence of persistent postsurgical pain in children up to one year following surgery and to identify factors that may be related to the development of persistent postsurgical pain, including age, gender, and type of surgery.

The Relationship Between Culture, Socio-Economic Status, and Preoperative Anxiety in Children

The purpose of this study is to look at the relationship between cultural and socio-economical variables and preoperative anxiety in children before surgery. Other research studies have shown that culture can affect the experience of pain in adults, but we don’t know how culture may affect pain and anxiety in children and their parents. It is important to understand different variables that may increase or decrease children’s anxiety before surgery because anxiety can affect the way a child recovers after surgery.

Continuous Incisional Infusion of Local Anesthetic after Pediatric Urology Surgery: Retrospective Study

The primary purpose of this study is to understand the importance of the continuous incisional of local anesthetic with the ON-Q pain relief system after pediatric urology surgery. This study aims to gather retrospective information on patients who were treated with or without the ON-Q pump system and to measure the amount of pain recorded in the medical record, the amount of analgesic consumption and examine the rate of narcotic side effects.

Continuous Incisional Infusion of Local Anesthetic after Pediatric Urology Surgery: A Randomize Controlled Study

The overall objective of this study is to determine the benefit of continuous incisional anesthetic for the management of postoperative analgesia after pediatric urology surgeries. We hypothesize that this type of infusion of local anesthetic that the ON-Q Pump provides will significantly improve pain control in this population.

Preoperative evaluation of anxiety, culture heterogeneity, and socioeconomic status in adult surgical patients

The purpose of this study is to identify cultural and socioeconomic factors that may affect perioperative anxiety in adult surgical patients. Research has demonstrated that cultural variables affect self-reported pain responses in adults (eg: hiding or minimizing emotions to appear brave as a cultural value). However, little attention has been devoted to the effects of culture, ethnicity and socioeconomic status on perioperative anxiety. If we can identify these factors, we can develop more culturally-appropriate interventions to reduce perioperative anxiety in adult surgical patients.

Effects of stress in anesthesiologist residents during OR simulation procedures

This study aims to measure the stress responses in residents before, during and after participating in an OR simulation procedure. The purpose of the study is to identify what factors contribute to increased stress in this environment. The findings will help us develop an intervention to reduce stress in anesthesiologists, particularly during typically high-stress on-call shifts.

Stress and anxiety in on-call anesthesiologists

The purpose of this study is to measure physiological stress throughout on-call shifts that anesthesiologists undergo at the UC Irvine Medical Center. Anesthesiologists must sustain an intense and prolonged focus on the care of their patients. Our aim is to identify specific factors that may contribute to increased stress during these shifts so that we can develop an empirically driven intervention to effectively reduce stress and anxiety during these shifts.