Real-time assessment of perioperative behaviors in children and parents: development and validation of the perioperative adult child behavioral interaction scale.

Background: Behavior in response to distressful events during outpatient pediatric surgery can contribute to postoperative maladaptive behaviors, such as temper tantrums, nightmares, bed-wetting, and attention seeking. Currently available perioperative behavioral assessment tools have limited utility in guiding interventions to ameliorate maladaptive behaviors because they cannot be used in real time, are only intended to be used during 1 phase of the experience (e.g.

Cerebrospinal fluid cutaneous fistula after epidural analgesia in a child.

Background And Objectives: Cerebrospinal fluid cutaneous fistulae are rare complications of neuraxial needle procedures.

Case Report: We present the first reported case of a persistent cerebrospinal fluid cutaneous fistula in a child who underwent epidural analgesia. Careful assessment and circumspect treatment of this cerebrospinal fluid cutaneous fistula led to an excellent outcome in this child.