Emergence Delirium, Perioperative Anxiety
Conditions
Keywords
Anxiety State, Familiar Toy, Child Behavior
Brief summary
This study will evaluate the effect of presence of favorite toy and parent during perioperative period on pediatric anxiety and emergence delirium. Half of the patients patients will be accompanied with their ownselected parent and the other half will be accompanied with their favorite toy in addition to their own selected parent.
Detailed description
To reduce the incidence of preoperative anxiety in children, anesthesiologists have used a number of prevention strategies, including sedative premedication, parental presence during anesthetic induction, behavioral preparation programs, music therapy, hypnosis, and acupuncture.One of these distraction tool is familiar toy, children may also be comforted by familiar toys. Therefore, parent presence during perioperative period or playing with a favorite toy seems likely to alleviate preoperative anxiety in children. Until now, combination of these two method to reduce anxiety is not observed in literature. Then, the aim of this observational study is to evaluate the effect of both presence of favorite toy and parental presence compare to only parental presence during perioperative period on anxiety and emergence delirium in patients undergoing ambulatory surgery in our hospital's otorhinolaryngology department.
Interventions
BEHAVIORALSelection of the parent according to children preference
The children will select the parent who will accompany them during the anesthesia induction
BEHAVIORALBringing the favorite toy of the children that will accompany the child during their perioperative period
The children will bring tiheir favorite toy that will accompany them during their perioperative period
Sponsors
Karaman Training and Research Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
5 Years to 12 Years
Inclusion criteria
Patients with ASA 1 and 2, Those who have the ability to speak and obey commands will be included.
Exclusion criteria
Mentally challenged Deaf Child Cerebral Palsy Premedicated Child Language Problem Unco-operative Previous surgery or anesthesia history
Design outcomes
Primary
| 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. |
Secondary
| 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 |
Countries
Turkey (Türkiye)
Outcome results
None listed