Cartoon Distraction and Parental Presence on Anxiety in Pediatric Anesthesia

Yeungnam University College of Medicine

Status: Completed

Conditions: Psychomotor Agitation; Anxiety, Separation

Treatments: Behavioral: parental presence; Behavioral: Cartoon

Study type: Interventional

Funder types: Other

Identifiers

NCT02027844

JUNG999ANXIETY

Details and patient eligibility

About

Nearly 50% of young children undergoing surgery exhibit high level of anxiety during induction of anesthesia because of exposure to unfamiliar environment and people and separation from parents. Increased preoperative anxiety may impact postoperative behavior changes such as emergence agitation, separation anxiety and sleep disturbance. Although some pediatric anesthesiologists routinely permit parental presence to reduce the anxiety during induction of anesthesia, previous studies have reported conflicting results. Recently the distraction using video game or animated cartoon has been reported to reduce anxiety of young children during induction of anesthesia. However, it was still undetermined whether distraction has its own ability to reduce children's anxiety separated from parental presence because they evaluated the effect of video method in the parental presence. The investigators design to investigated the efficacy of distraction with watching cartoon, parental presence and combined with watching cartoon and parental presence on reduction of anxiety during inhalational induction of anesthesia using sevoflurane. In addition this study includes long-term effect of each intervention such as postoperative emergence agitation and postoperative behavior change in children.

Full description

This study is different from previous reports as follow. First, investigators separate the effect of cartoon distraction and parental presence on minimizing preoperative anxiety and determine whether an interaction between two different interventions is existent. Second, investigators evaluate the effect of preoperative anxiety on the long-term behavioral change of children. It was not clarified yet in clinical practice. Third, investigators evaluate the effect of each intervention on parental anxiety before and after induction of anesthesia.

Enrollment: 117 patients

Sex: All

Ages: 1 to 7 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. American Society of Anesthesiologists (ASA) physical status 1 and 2
2. 1-7 years old.
3. elective, single minor surgery under general anesthesia

Exclusion criteria

1.Chronic illness, psychological or emotional disorder, abnormal cognitive development 2.Previous anesthetic experience 3.Closure both eyes after surgery 4.Sedative medication or psychoactive drugs medication, 5.History of allergy to the drugs used in our study 6.Expected difficult intubation or respiration such as abnormal airway, reactive airway disease, upper respiratory infection in recent 3 weeks

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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117 participants in 3 patient groups

Cartoon

Experimental group

Description:

cartoon watching by children during inhalational induction of anesthesia in the operating room

Treatment:

Behavioral: Cartoon

Paretnal presence

Active Comparator group

Description:

parental presence with their children during inhalational induction of anesthesia in the operating room

Treatment:

Behavioral: parental presence

Combined

Experimental group

Description:

parental presence and cartoon watching by children during inhalational induction of anesthesia in the operating room

Treatment:

Behavioral: Cartoon

Behavioral: parental presence