• Hatice K Ozdogan, Sibel Cetinalp, Gokhan Kuran, Onder Tugal, Murat Tahiroglu, Ummuhan E Herdem, and Suheyl Haytoglu.
• Department of Anesthesiology and Reanimation, Adana Numune Training and Research Hospital, Adana, Turkey. Electronic address: hat_ka33@hotmail.com.
• J Clin Anesth. 2017 Jun 1; 39: 64-66.

ObjectiveAlthough parental presence during anesthesia induction is suggested to diminish operative stress level in children, there have been conflicting results about this strategy. The aim of this study was to evaluate the effects of maternal presence during induction on operative stress level in children who had tonsillectomy and/or adenoidectomy by determining the salivary cortisol levels.DesignNon-randomized clinical study.SettingPreoperative and postoperative recovery rooms, operating room.PatientsThe study included 48 children between the ages of 5-12years who underwent tonsillectomy and/or adenoidectomy.InterventionsThe patients were divided into 2 groups. The children in group 1 were separated from their mothers at the preparation room. The children in group 2 stayed together with their mothers till the anesthesia induction.MeasurementsState Trait Anxiety Inventory (STAI) was performed to the mothers and children preoperatively. Salivary cortisol levels were evaluated in 4 different time frames: 1) in preparation room, 2) after anesthesia induction, 3) at the 30th minute of operation, and 4) in postoperative recovery room.Main ResultsThere were no statistically significant differences between groups regarding demographic features, and operation or anesthesia times. The child's or mothers' preoperative anxiety scores were not different between the groups. Salivary cortisol levels in group 1 were significantly increased after induction and in recovery room compared to those in group 2 (p: 0.001, and p: 0.02, respectively).ConclusionsWe have determined decreased salivary cortisol levels during anesthesia induction and recovery in the maternal presence revealing diminished stress in these periods. Further studies are warranted to determine the effects of parental presence during anesthesia induction especially on surgical outcomes.Copyright © 2017 Elsevier Inc. All rights reserved.

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