Preoperative anxiety in children is a significant problem in pediatric anesthesiology and has a considerable impact on anesthesia management and postoperative outcomes. High anxiety levels may lead to pronounced autonomic reactions, hemodynamic instability, difficult induction, and increased incidence of emergence delirium.The aim of this study was to assess preoperative anxiety levels in children and evaluate their impact on the course of anesthesia. The study included 96 children aged 4–10 years undergoing elective surgical procedures under general anesthesia at the Republican Children’s Surgery Center. Anxiety was assessed using the modified Yale Preoperative Anxiety Scale (mYPAS).High anxiety levels were associated with increased heart rate, elevated blood pressure, higher anesthetic requirements, and prolonged recovery time. These findings highlight the importance of routine anxiety assessment in pediatric patients before surgery.

pediatric anesthesiology, preoperative anxiety, children, general anesthesia, psychological status.

Kain Z.N. Preoperative anxiety in children. Anesthesiology, 2019.

Fortier M.A. Anxiety and perioperative outcomes in children. Paediatric Anaesthesia, 2020.

Davidson A.J. Pediatric anesthesia and stress response. British Journal of Anaesthesia, 2021.

World Health Organization. Pediatric surgical care guidelines, 2022...