The influence of preoperative emotional and behavioral function of children on postoperative behavior: Child Behavior Checklist ANESthesia Emergence Delirium
- Conditions
- Maladaptive perioperative behavior in childrenSurgery
- Registration Number
- ISRCTN06510793
- Lead Sponsor
- ZNA Middelheim - Queen Paola Children?s Hospital (Belgium)
- Brief Summary
2015 preliminary results in: https://www.ncbi.nlm.nih.gov/pubmed/24861721
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 160
1. Age from 1.5 to 12 years old
2. Intervention: dental surgery anesthesia
3. Information and consent forms of the parents
4. Accompanying parent present at induction
5. Parents who speak and understand Dutch
6. No premedication (the norm in Queen Paola Children?s Hospital)
1. Known mental/cognitive retardation
2. American Society Anesthesiologists ASA physical status I and II (attachment 15)
3. Children with objectified obstructive sleep apnea syndrome
4. Children with BMI > 25
5. Allergic reaction to sevoflurane and/or risk of malign hyperthermia
Secondary exclusion criteria:
1. When parent or child no longer wish to participate
2. When a life-threatening situation occurs during the procedure (e.g., asystole)
Study & Design
- Study Type
- Observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method The scores on the Pediatric Anesthesia Emergence Delirium Scale (PAED) scale during 20 minutes postoperative and parallel to this the item score on the Additional Structured Behavior Observation (ASBO)
- Secondary Outcome Measures
Name Time Method <br> Postoperative pain scores concerning the child:<br> 1. Just after waking up from anesthesia together with emergence delirium observations (four time points during 20 min every 5 min) an additional pain observation is done by using an observational pain measuring tool (FLACCnurse). When leaving the Post Operative Care Unit (PACU) two additional pain measurements are done again using a FLACCnurse scale (T1: 1 hour after leaving the PACU and T2: 2 hours after leaving the PACU).<br> 2. Also at these same time points the parents are asked to assess their child?s pain by using a Visual Analogue Scale (VAS).<br> 3. If the child is older than 6 years of age the child is asked to assess its pain by itself using a Faces Pain Scale ? revised (FPS-R) (same time points as the parental assessment).<br><br> Taking note of:<br> 1. The total intake of analgesics<br> 2. Postoperative nausea and vomiting<br>