Anaesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Children scheduled for elective day case orthopedic surgeries will be selected with the following inclusion criteria: age :3-8 years old, American Society of Anesthesiologists (ASA) grade I-II.
Exclusion criteria
Exclusion criteria: Exclusion criteria were mental retardation , epilepsy , visual impairment, history of previous surgery and or hospitalization, chronic illness, (ASA) physical status at least III and need for pre-operative anxiolytic medication.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| •The primary outcome is child anxiety during induction of anesthesia assessed with the modified Yale Preoperative Anxiety Scale (mYPAS).(4) The mYPAS is considered the gold standard in observational instruments to assess pre-operative anxiety in children and will be completed at three timepoints: baseline upon hospital admission, in holding area before induction of anesthesia, and during induction of anesthesia). The mYPAS consists of 27 items divided into five domains: activity, emotional expressivity, state of arousal, vocalization and use of parents. Scores range from 23.33 to 100, with higher scores indicating higher levels of anxiety. •Children will indicate their own anxiety level on a six- facial visual facial anxiety scale (VFAS) (5) and will be completed at three time points: baseline upon hospital admission, in holding area before induction of anesthesia, and after surgery. | — |
Secondary
| Measure | Time frame |
|---|---|
| • Child pain and emergence delirium: postoperative pain will be reported by two informants; children will report their pain intensity with the six-faces revised Faces Pain Scale (FPS-r): range 0 to 10. A blinded recovery nurse will assess pain intensity with the Face, Legs, Activity, Cry and Consolability (FLACC) scale: range 0 to 10. Emergence delirium will be assessed with the Pediatric Anesthesia Emergency Delirium (PAED) scale by a blinded recovery nurse: range 0 to 20. | — |
Countries
Egypt
Contacts
Secretary of Research and opinion in Anesthesia and intensive care Journal