The Effect of Child Choice With Accompanying Parent on Pediatric Anxiety and Postoperative Delirium During Induction of Anesthesia During Day Case Surgeries.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Anxiety State
- Sponsor
- Karaman Training and Research Hospital
- Enrollment
- 80
- Locations
- 1
- Primary Endpoint
- Evaluation with Pediatric Anesthesia Emergence Delirium Scale (PAED) in the postoperative waiting room
- Status
- Completed
- Last Updated
- 2 years ago
Overview
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.
Investigators
Eligibility Criteria
Inclusion Criteria
- •5-12 years aged children
- •ASA physical Status I-II
- •Who underwent day-case surgeries in the Ear Nose and Throat Clinic
Exclusion Criteria
- •Mentally challenged
- •Cerebral Palsy
- •Premedicated Child
- •Language Problem
- •Unco-operative
- •Previous surgery or anesthesia history
Outcomes
Primary Outcomes
Evaluation with Pediatric Anesthesia Emergence Delirium Scale (PAED) in the postoperative waiting room
Time Frame: 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 Outcomes
- Modified Yale Preoperative Anxiety Scale (mYPAS) of the children undergoing elective surgery under general anesthesia.(Perioperative period)