Interactive Tablet Compared to Oral Midazolam as Premedication in Preoperative Anxiety in Children
- Conditions
- Anxiety
- Interventions
- Registration Number
- NCT04049201
- Lead Sponsor
- Hôpital d'enfants Béchir-Hamza
- Brief Summary
preoperative anxiety is an undesirable outcome in pediatric surgical patients.It can lead to behavioral trouble such as enuresis, apathy and sleep disorders.
to prevent this anxiety,many tools can be used for premedication like pharmacological:Midazolam, clonidine, hydroxysine or non pharmacological tools such as parental presence,hypnosis and interactive tablet.
the purpose of the study is to compare the effect of interactive tablet to oral midazolam.on preoperative anxiety in children prior to elective surgery
- Detailed Description
this study is a prospective,randomized, active treatment controlled trial.It enrolls 100 children .
after written and informed consent,the study participants were randomly assigned using a computer generated table to one of two treatment groups prior to elective surgery.
Group T: will receive an interactive tablet containing many cartoon's videos 20 minutes before the parental separation and until the anesthesia induction Group MD:will receive oral midazolam 20 minutes before parental separation with 0.5 mg/kg (max 20mg) Anxiety assessement was done using the Modified Yale Perioperative Anxiety Scale( MYPAS) at the separation of parents,the admission in the operating room and the anesthesia induction.
Facial mask acceptance,post operative agitation (PAEDS score: Pediatric Anesthesia Emergence of Delirium) and parental satisfaction were also assessed.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 112
- 3-10 years old children
- elective surgery
- ASA PS I/II
- Parental refusal
- Emergency procedure
- Behavioral or psychiatric disorders
- allergy or hypersensitivity to midazolam
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Group tablet elective surgery group T will receive interactive Tablet containing many cartoon's videos 20 minutes before parental separation until the anesthesia induction Group tablet Interactive Tablet group T will receive interactive Tablet containing many cartoon's videos 20 minutes before parental separation until the anesthesia induction Group Midazolam elective surgery group Midazolam will receive oral midazolam 0.5 mg/kg (max 20 mg) 20 minutes before the parental separation Group Midazolam Midazolam group Midazolam will receive oral midazolam 0.5 mg/kg (max 20 mg) 20 minutes before the parental separation
- Primary Outcome Measures
Name Time Method Preoperative anxiety 30 minutes after tablet was given preoperative anxiety will be measured by the modified Yale Perioperative Anxiety Scale(MYPAS)at different time prior to elective surgery.the averaged score range from 24.9 no anxiety to 100 very anxious
- Secondary Outcome Measures
Name Time Method post operative agitation 10 to 15 minutes after wakeup of anesthesia post operative agitation was assessed using PAEDS which was calculated 10 to 15 minutes after the anesthetic wake up.
the acceptance of Facial mask 30 minutes after tablet was given the acceptance of facial mask by an established score
the parental satisfaction 1 hour after the wake up of anesthesia by an established score
Trial Locations
- Locations (1)
Hopital d'Enfants Bechir Hamza
🇹🇳Tunis, Tunisia