The use of herbs and complementary and alternative medicine in pediatric preoperative patients.
OBJECTIVE
To determine the use of herbs and complementary and alternative medicine among a pediatric preoperative population.


METHODS
Prospective, consecutive clinical study and survey questionnaire.


METHODS
Children's Hospital pediatric preoperative clinic.


RESULTS
A total of 1,100 surveys were distributed to pediatric patients under the age of 18 years during their preoperative visit over an 8-month period. The survey consisted of a questionnaire about the use of herbs and complementary and alternative therapies within 1 year before the anticipated surgery. The patient or legal guardian was asked whether the patient had tried any of the complementary and alternative medical therapies within 1 year before the scheduled surgical procedure. Of 1,021 completed surveys received, 29.5% of these patients indicated they had tried one or more complementary and alternative therapies in the past year before the surgery, and 12.8% of the pediatric patients used herbal remedies before the surgery.


CONCLUSIONS
Herbs and complementary and alternative medical therapies are frequently used in pediatric populations. Anesthesiologists need to be aware the usage of various herbal supplements in pediatric patients. It is important then to determine the potential of drug and anesthetic interactions in the perioperative period.
Department of Anesthesiology, Perioperative and Pain Medicine, Children's Hospital Boston and Harvard Medical School, Boston, MA 02115, USA. yuan-chi.lin@tch.harvard.edu
Yuan-Chi
YC
Lin
Aimee B
AB
Bioteau
Lynne R
LR
Ferrari
Charles B
CB
Berde
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D000529:Complementary Therapies / Q000706:statistics & numerical data*; D003625:Data Collection; D005260:Female; D041743:Herb-Drug Interactions; D006801:Humans; D007223:Infant; D008297:Male; D008517:Phytotherapy / Q000706:statistics & numerical data*; D028321:Plant Preparations; D013514:Surgical Procedures, Operative
D028321:Plant Preparations