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study to compare the pre-surgery anxiolytic effect of nebulisation of dexmedetomidine alone and with video distraction in children undergoing surgery under anaesthesia

Not yet recruiting
Conditions
Medical and Surgical,
Registration Number
CTRI/2025/02/081265
Lead Sponsor
maharaja agrasen medical college agroha hisar
Brief Summary

Paediatric medical treatment frequently involves painfulmedical procedures. Paediatric patients might feel severe anxiety and distressfrom such procedures. Procedural pain and anxiety are frequently poorlymanaged, which can lead to agitation in kids.

Trials have been conducted on both pharmaceutical andnon-pharmacological methods to lessen anxiety and pain during procedures. Dexmedetomidineis a selective 2-adrenoceptor agonist with sedative, anxiolytic, sympatholyticand analgesic-sparing effects. Dextmedetomidine is an intriguing substitute formedication in children because of its low effect on breathing and ease ofwaking the patient.

Non-pharmacological option to reduce preoperative anxiety isthe use of video as a form of distraction. Observing video distracts childrenfrom the operating room environment by engaging their minds in a familiarmade-up world. Studies have indicated that the use of screen-based technologiescan lessen the discomfort and anxiety associated with burn dressings andsurgery. Children become engrossed in watching that they become unaware oftheir surroundings and disregard any verbal or tactile stimuli.

Investigating whether the theoretical advantages of activelyengaging therapies on procedural pain and anxiety are supported in the clinicalsetting is therefore necessary. This study aimed to identify the research gapsin the effects of video distraction for pre-operative anxiolysis in pediatricsundergoing surgery under general anesthesia.

Detailed Description

Not available

Recruitment & Eligibility

Status
Not Yet Recruiting
Sex
All
Target Recruitment
90
Inclusion Criteria

Pediatric patients of ASA grade I and II between the age of 3 to 6 years of either sex and posted for surgery under general anesthesia will be included in the study.

Exclusion Criteria

Exclusion criteria included will parental refusal ,children having congenital chronic illness,difficult airway,surgery with more than two hours duration & known allergy to study drug & emergency surgeries.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
anxiety level of child assessed using mYPAS score.Baseline mYPAS score (T0) | will be recorded after entering the holding area along with parents. | mYPAS score (T1) will be recorded on | parental separation at the time of shiting to OR.
Secondary Outcome Measures
NameTimeMethod
1. emergence agitation will be recorded using four point scale.2. Patient co-operation will be recorded using induction compliance checklist.

Trial Locations

Locations (1)

Maharaja agrasen medical college Agroha hisar

🇮🇳

Hisar, HARYANA, India

Maharaja agrasen medical college Agroha hisar
🇮🇳Hisar, HARYANA, India
Dr Prince kumar
Principal investigator
8684853414
princeverma947@gmail.com

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