Zeev N. Kain

Zeev N. KainZeev N. Kain, MD, MBA, Professor & Chair, Associate Dean for Clinical Research, Dept. of Anesthesiology & Perioperative Care, UC Irvine

BIO: Dr. Kain received his medical education at the Ben-Gurion School of Medicine, Beer-Sheba, Israel followed by an MBA at Columbia University, New York, NY. He held Clinical and Research Fellowships at The Children’s Hospital, Boston, Massachusetts Pediatric Anesthesia and Yale University, New Haven, Connecticut. In 1993 he joined the faculty at Yale University and the Yale-New Haven Children’s Hospital where he became Professor, Anesthesiology & Pediatrics & Child Psychiatry and Executive Vice-Chair, Department of Anesthesiology. He is currently Professor & Chair, Associate Dean for Clinical Research, Dept. of Anesthesiology & Perioperative Care, UC Irvine. Dr. Kain is recognized as an international expert in the clinical management of perioperative fear and anxiety, and management of children undergoing invasive medical procedures. His research addresses major dilemmas encountered in the management of affected children and has revolutionized the care of children in preoperative settings. By promoting the conceptual importance of this field and continuing to develop associated empirical findings, Dr. Kain intends to markedly improve the quality of evidence available to anesthesiologists, pediatricians and surgeons making clinical decisions regarding management of children’s distress and pain during the perioperative period.

PRESENTATION TITLE AND DESCRIPTION:

Preoperative Anxiety, Postoperative Pain, and Behavioral Recovery in Young Children Undergoing Surgery

More than 5 million children undergo surgery in the United States every year, and it is reported that up to 65% of these children develop significant behavioral stress and anxiety before their surgery.  Preoperative anxiety in young children undergoing surgery is associated with a more painful postoperative recovery and can lead to significant psychological and clinical adverse affects.  This presentation examines biopsychosocial perioperative interventions for young children including behavioral, physiological and psychoneuroimmunological outcomes and interventions and outcomes for perioperative pain.

At the completion of this presentation, the participant will:

  1. Identify the risk factors that affect a young child’s perioperative experience and behavioral and physiological measures of distress.
  2. Determine what periopreative interventions are useful, measurable and clinically important to postoperative outcomes.
  3. Recognize barriers to the identification of pain in young children and to adequate analgesic medication.