Agitation, Behavior
Conditions
Keywords
Post operative Behavioral Changes, Pediatric, Long term memory, video
Brief summary
The study is designed to test the hypothesis that long term memory created by preoperative video information can reduce the incidence of post operative behavioral changes.
Detailed description
Emergence agitation (EA) and Post operative behavioral change (PHC) are unpleasant experiences occurred in children after general anesthesia (GA). Previous study reported that the patient who had marked EA tended to have new-onset of postoperative maladaptive behavioral changes.Both pharmacologic and non pharmacologic interventions such as preoperative video information, hand held video games were used to reduce preoperative anxiety, EA and Post operative behavioral changes. In term of memory creation, short term memory (STM) was created. Later that the formation of memory trace requires time, and that this trace remains fragile until the long term memory formation process has been completed. In this study, the investigators hypothetize that long term memory created by preoperative video information can reduce the incidence of post operative behavioral changes.
Interventions
OTHERPreoperative video information
Sponsors
Prince of Songkla University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
TRIPLE (Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
3 Years to 14 Years
Healthy volunteers
No
Inclusion criteria
* outpatient elective surgery * aged between 3-14 years * ASA physical status I-II
Exclusion criteria
* mental retardation * patient's telephone contact not available * emergency case * having ICU admission plan postoperative
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidences of post operative behavioral changes | up to3 months post operative period | Use PHBQ (post operative behavioral questionnaire) Postive for postoperative behavioral change: 10% change from baseline sum score |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidences of Emergence agitation | evaluate PAED scale in the first 5 minutes after patient arrive PACU | PAED scale, PAED scale \> 10 will be classified as positive for emergence agitation |
| Parental's anxiety level at induction | Evaluate 15 minutes before start anesthesia induction | STATE trait anxiety test: 10% change from baseline sum score will be classify as significant change |
| Child's anxiety level at induction | mYpas will be evaluated immediately after the patient arrives into the operating room | mYpas scale: 10% change from baseline sum score will be classify as significant change |
Countries
Thailand
Contacts
Primary ContactNgamjit Pattaravit, MD
Backup ContactSasikaan Nimmaanrat, MD
Outcome results
None listed