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Comparison of the effects of the use of tablet computer and midazolam to reduce surgical stress in pediatric patients by an anesthesiologist

Should We Use a Tablet Computer or Midazolam for Premedication in Pediatric Patients?

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12619001701112
Enrollment
120
Registered
2019-12-03
Start date
2019-04-01
Completion date
2019-05-20
Last updated
2019-12-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Anxiety is a typical response expected from a child in an unusual circumstance. Pharmacological methods and non-pharmacological methods have been used to reduce the child’s anxiety. We investigated the effects of the pharmacological method of oral midazolam with the non-pharmacological method of playing games on a tablet computer on children with and without anxiety.

Interventions

In this study, we aimed to compare the effects of oral midazolam and tablet computer for premedication in patients with anxiety and non-anxiety in children planned for operations under general anesthesia with the diagnosis of circumcision desire, inguinal hernia, hydrocele and undescended testes. All these interventions are managed by anesthesiologists. 1- Lego Juniors, Talking Tom Cat, Racing Penguin games were added for ages 4-6 and Subway surfers, Air hockey, Cut the rope games were installe

In this study, we aimed to compare the effects of oral midazolam and tablet computer for premedication in patients with anxiety and non-anxiety in children planned for operations under general anesthesia with the diagnosis of circumcision desire, inguinal hernia, hydrocele and undescended testes. All these interventions are managed by anesthesiologists. 1- Lego Juniors, Talking Tom Cat, Racing Penguin games were added for ages 4-6 and Subway surfers, Air hockey, Cut the rope games were installed on tablet computer for ages 7-10. 2- Participants are given a tablet computer 30 minutes before the operation. When the operation ends and the room is taken back to the tablet computer. Approximately 30 minutes after the administration of the tablet computer, the pediatric patient is evaluated in his / her room. The pediatric patient is evaluated when leaving the family to go to the operating room. When inhalation induction is performed, its response to the anesthesia mask is evaluated. 3- Participants are given a tablet computer 30 minutes before the operation. When the operation ends and the room is taken back to the tablet computer. 4- The status of the children in the waiting room, their status when leaving the family, and the response to the anesthesia mask during induction were evaluated observationally.

Sponsors

Dr Behcet Uz Children's Hospital
Lead SponsorIndividual

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
All
Age
4 Years to 10 Years
Healthy volunteers
No

Inclusion criteria

Age 4-10 years American Society of Anesthesiologists score 1 or 2 children were anesthetized for the first time for surgical procedures due to one of the following conditions: circumcision, inguinal hernia, hydrocele, undescended testis, hypospadias.

Exclusion criteria

patients who had previous surgery, motor and mental retardation, or chronic diseases, had been using psychiatric medication, had been planned to undergo more than one operation in the same session, had emergency surgery, or had an ASA score of 3 or 4 were not included in the study.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026