Emergence Agitation
Conditions
Keywords
Premedication, Pediatric patients, Emergence agitation
Brief summary
Compare the effects of pharmacologic and nonpharmacologic premedications on postoperative emergence delirium and preoperative anxiety, vital parameters, blood pressure, heart rate, SpO2, and pain at PACU 15 minutes after adenotonsillectomy .
Detailed description
Compare the effects of 0.5 mg/kg oral midazolam, watching film Suko is being operated 'animation film (http://www.animaturk.com/animasyon/suko-ameliyat-oluyor.html#.Wd-YhFu0PIU) and playing a game named fishing games on postoperative emergency delirium by PAED (post anestesic emergency delirium) scale at PACU at arrive and every 5 minutes for 15 minutes after adenotonsillectomy. Investigators also evaluated Basic and 20 minutes after pharmacologic and nonpharmacolgic premedications on participitans anxiety by Modified Yale Preoperative Anxiety Scale m-YPAS scores Pain evaluated by FLACC (behoviaral pain assesment scale),at arrive and every 5 minutes for 15 minutes after adenotonsillectomy. Blood pressure(mmHg), heart rate(beat/min) and SpO2(%) measured and recorded at arrive and every 5 minutes for 15 minutes after adenotonsillectomy.
Interventions
OTHEROral midazolam
0.5 mg/kg oral midazolam administered 20 minutes before induction
OTHERFilm http://www.animaturk.com/animasyon/suko-ameliyat-oluyor
patients will be watched a short movie (at URL: http://www.animaturk.com/animasyon/suko-ameliyat-oluyor ) 20 minutes before induction.
OTHERPlay game (PC fishing game)
Patients will be played a simple PC game (a fishing game) 20 minutes before induction
Sponsors
Diskapi Yildirim Beyazit Education and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
OTHER
Masking
SINGLE (Subject)
Intervention model description
Effect of pharmacologic or nonpharmacologic premedication on emergency agitation
Eligibility
Sex/Gender
ALL
Age
2 Years to 5 Years
Healthy volunteers
No
Inclusion criteria
* ASA I-II * Pediatric patients * Elective surgery * Adenotonsillectomi
Exclusion criteria
* Cronicdesease * Mental retarde * Hearing and visual impaired * Prematurite
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Emergence agitation | Postoperative every 5 minutes for 15 minutes | Emergence agitation will be evaluated by PAED (pediatric anesthesia emergence dellirium).The PAED scale consists of five behaviors, each of which is rated on a five-level scale with a score of zero to four. The scores are added to achieve a total scale score (maximum value is 20). The score above 12 is significant for post operative emergence agitation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| preoperative anxiety | 20 minutea after premedications. | Preoperative anxiety will be evaluated by Modified Yale Preoperative Anxiety Scale ( m-YPAS )scores. Range between 23 to 100. m-YPAS score above 30 is significant to patients anxiety. |
| Post operative pain | Postoperative every 5 minutes for 15 minutes | Postoperative pain will be evaluated by behavioral pain scale FLACC(behavioral pain assesment scale). Each of the five categories (F) Face; (L) Legs; (A) Activity; (C) Cry; (C) Consolability is scored from 0-2, which results in a total score between zero and ten. 0 = Relaxed and comfortable. 1 - 3 = mild discomfort 4 - 6 = moderate pain 7 - 10 = Severe discomfort or pain or both |
| Mean arteriel pressure | Postoperative every 5 minutes for15 minutes | Mean arteriel pressure, will be measured. Mean blood pressurre range between 66 to 73 mm Hg is considered normal value. 20% increase in baseline value is considered significant. |
| Heart rate | Postoperative every 5 minutes for15 minutes. | Heart rate range between 80 to 120 beats/minute is considered normal value. %20 percent increase in baseline value is considered significant. |
Countries
Turkey (Türkiye)
Contacts
Primary ContactReyhan Polat
Outcome results
None listed