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Interactive Tablet Compared to Oral Midazolam as Premedication in Preoperative Anxiety in Children

Not Applicable
Completed
Conditions
Anxiety
Interventions
Procedure: elective surgery
Device: Interactive Tablet
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
Inclusion Criteria
  • 3-10 years old children
  • elective surgery
  • ASA PS I/II
Exclusion Criteria
  • Parental refusal
  • Emergency procedure
  • Behavioral or psychiatric disorders
  • allergy or hypersensitivity to midazolam

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Group tabletelective surgerygroup T will receive interactive Tablet containing many cartoon's videos 20 minutes before parental separation until the anesthesia induction
Group tabletInteractive Tabletgroup T will receive interactive Tablet containing many cartoon's videos 20 minutes before parental separation until the anesthesia induction
Group Midazolamelective surgerygroup Midazolam will receive oral midazolam 0.5 mg/kg (max 20 mg) 20 minutes before the parental separation
Group MidazolamMidazolamgroup Midazolam will receive oral midazolam 0.5 mg/kg (max 20 mg) 20 minutes before the parental separation
Primary Outcome Measures
NameTimeMethod
Preoperative anxiety30 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
NameTimeMethod
post operative agitation10 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 mask30 minutes after tablet was given

the acceptance of facial mask by an established score

the parental satisfaction1 hour after the wake up of anesthesia

by an established score

Trial Locations

Locations (1)

Hopital d'Enfants Bechir Hamza

🇹🇳

Tunis, Tunisia

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