Anxiety State, Child Behavior, Postoperative Delirium
Conditions
Keywords
day- case surgery, anxiety children, Postoperative Delirium
Brief summary
Induction of anesthesia can be distressing both for children and their parents. Nonpharmacological behavioral interventions can reduce the anxiety of children without significant adverse effects as seen with sedative drugs. The aim of this study will be to evaluate whether the children's or parental preference with attending parent affects on the postoperative delirium of the children or not. The delirium of the children will be assessed by the Pediatric Anesthesia Occurrence Delirium Scale (PAED)
Detailed description
Anesthetic induction can be one of the most stressful experiences for the child during the perioperative period, with almost 50% of the children showing significant anxiety. . To minimize the effect of anxiety, several methods have been adopted, such as the introduction of day-case surgery, parental presence at the induction of anesthesia, distractions and the use of pharmacological agents like midazolam to reduce anxiety. Although the effect of parental presence on the anxiety of children and parents was studied in various studies. Whether the children's choice of parental selection affects anxiety and postoperative delirium not studied yet. In this study, we will evaluate the anxiety of children by using mYPAS and postoperative delirium by using PAED.
Interventions
The parent who will accompany the child during the perioperative period will be determined by the child. will be determined by children preference
PROCEDUREParent (mother or father) selection according to parents' preference
Accompanying parentwho will accompany during the perioperative period will be determined by the parents. to be determined by
Sponsors
Karaman Training and Research Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
5 Years to 12 Years
Healthy volunteers
Yes
Inclusion criteria
1. 5-12 years aged children 2. ASA physical Status I-II 3. Who underwent day-case surgeries in the Ear Nose and Throat Clinic
Exclusion criteria
1. Mentally challenged 2. Deaf Child 3. Cerebral Palsy 4. Premedicated Child 5. Language Problem 6. Unco-operative 7. Previous surgery or anesthesia history
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation with Pediatric Anesthesia Emergence Delirium Scale (PAED) in the postoperative waiting room | Postoperative 1st day | Incidence of post-anesthesia and postoperative delirium Discordant behaviors assessed with Pediatric Anesthesia Emergence Delirium Scale (PAED) with five features, each scored using a 5-point Likert scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Modified Yale Preoperative Anxiety Scale (mYPAS) of the children undergoing elective surgery under general anesthesia. | Perioperative period | The mYPAS will be used to evaluate the anxiety level of children. The mYPAS is an observational measure of preoperative anxiety consisting of 27 items in 5 domains (activity, emotional expressivity, state of arousal, vocalization, and use of parents). The adjusted mYPAS total score ranges from 22.9 to 100, with higher scores indicating greater anxiety. |
Countries
Turkey (Türkiye)
Outcome results
None listed