Management of Preoperative Anxiety in Children: Could a Lollipop Be the Solution?
Overview
- Phase
- Not Applicable
- Intervention
- Lollipop
- Conditions
- Anxiety, Preoperative
- Sponsor
- Tunis University
- Enrollment
- 63
- Locations
- 1
- Primary Endpoint
- anxiety
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
The aim of the study is to evaluate the effectiveness of distraction using a lollipop versus premedication with intranasal midazolam to manage preoperative anxiety in pediatric anesthesia.
Detailed Description
Participants were randomized into two groups to receive either intranasal midazolam at 0.3 mg/kg (group M) or distraction using a lollipop (group L) 15 minutes before entering the operating room. The anesthetic technique was standardized: a peripheral intravenous line, intravenous induction (propofol and fentanyl), airway management with an age-appropriate IGEL mask, and maintenance with sevoflurane. Anxiety was assessed using the modified Yale Preoperative Anxiety Scale (mYPAS) before and after premedication. The investigators also evaluate the level of sedation upon entering the operating room, the quality of parent separation, acceptance of the facemask during induction, and emergence of agitation using the Pediatric Anesthesia Emergence Delirium Scale (PAEDS).
Investigators
Mehdi Trifa
Head of the anesthésia and intensive care department
Tunis University
Eligibility Criteria
Inclusion Criteria
- •Age \> 4 ans , ASA 1 ou 2
Exclusion Criteria
- •Children who rejected premedication - The occurrence of perioperative complications
Arms & Interventions
Lollipop arm
Distraction using a lollipop (group L) 15 minutes before entering the operating room
Intervention: Lollipop
Midazolam arm
Intranasal midazolam at 0.3 mg/kg 15 minutes before anesthesia
Intervention: distraction using intranasal Midazolam
Outcomes
Primary Outcomes
anxiety
Time Frame: immediatly before premedication and 15 minutes after premedication
Anxiety was assessed using the modified Yale Preoperative Anxiety Scale (mYPAS) before and after premedication. The myPAS score includes 5 items, with a minimum value of 4 and a maximum value of 22; a higher score indicates a major anxiety.
Secondary Outcomes
- agitation(10 minutes after extubation)
- parent separation(15 minutes after premedication)