Preoperative Anxiolysis In Children-A Comparative Study Of Effect Of Midazolam Versus Smartphone Application

SurgeryAnd Anesthesia Can Trigger A Great Emotional Stress In Both Parents AndChildren. Change Of Environment (Operating Room), Parting From Parents,Anesthesia Induction Creates Extreme Anxiety In Children.This AnxietyMay Cause Considerable Adverse Outcome Such As Augmented PostoperativeAnalgesic Requirements, Postoperative Delirium, Maladaptive Behavior In TheImmediate Postoperative Period And May Persist As Post-Traumatic StressDisorder.Thus, Strategies To Prevent Or Reduce Anxiety Is Of AtMost Importance For Minimizing Adverse Impact In The Immediate PostoperativePeriod And Also Of The Psychological Milieu Of The Child In Future. Numerous StrategiesHave Been Analyzed Which Includes Pharmacological Methods, NonpharmacologicalMethods And Psychological Training.

PharmacologicalAgents Like Midazolam, Clonidine, Ketamine, Fentanyl And Other Agents Have BeenUsed But They May Be Associated With Undesirable Side Effects Such AsParadoxical Reactions, Prolonged Sedation And Adverse Behavioral Changes. However, Midazolam Is Established As The GoldStandard Method Of Preoperative Anxiolysis Against Which Other PremedicationStrategies Are Compared. Nonetheless Midazolam Has Potential For Prolonged EffectAnd Paradoxical Reactions Like A Restless And Agitated Child.NonpharmacologicalTechniques Include Parental Presence And Distraction Technique. Distraction IsA Nonpharmacological And Effective Technique That Directs Children’s AttentionAway From Anxiogenic Stimuli. There Is A Multitude Of Techniques AndTechnologies Associated With Distraction. Behavioral Interventions Like Use OfVideo Games And Comprehensive Family Centered Preoperative BehaviouralPreparation Program Significantly Benefitted Children In Terms Of ReducedAnxiety, Increased Compliance, Reduced Emergence Delirium And Reduced AnalgesicRequirements.Hence, We Have Designed The Current Study To CompareThe Impact Of Oral Midazolam And Smartphone Application On Preoperative AnxietyAnd Postoperative Emergence Delirium In Children.