Preoperative Anxiety and Preemptive Analgesia on Postoperative Delirium in Adenotonsillectomy Surgery

Zonguldak Bulent Ecevit University

Status: Completed

Conditions: Preoperative Anxiety; Postoperative Delirium

Treatments: Other: The Modified Yale Preoperative Anxiety Scale (m-YPAS) of children

Study type: Observational

Funder types: Other

Identifiers

NCT05802082

2019/10

Details and patient eligibility

About

The effects of preoperative anxiety and preemptive analgesia on PAED in children undergoing adenotonsillectomy surgery.

Full description

It is known that the frequency of postoperative delirium increases in children with preoperative anxiety.

The Modified Yale Preoperative Anxiety Inventory (m-YPAS) was developed as a tool to assess children's preoperative anxiety, and m-YPAS≥30 was considered 'anxious'.

Post-Anesthesia Recovery Agitation (PAED) is a self-limiting condition seen in children upon awakening from anesthesia in the first 15-20 minutes.

There are factors such as inhalation agents, preoperative anxiety and postoperative pain in its etiology.

Enrollment: 64 patients

Sex: All

Ages: 2 to 10 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 2-10 years old,
• ASA I-II risk group
• Those who will be operated under general anesthesia under elective conditions.
• Will undergo surgery for adenoidectomy and/or tonsillectomy
• Patients whose informed consent form was read to their parents and their consent was obtained

Exclusion criteria

• Those whose families do not want to participate in the study,
• ASA III -IV-V patients
• Having a history of drug allergy and drug interaction,
• Having a history of systemic disease such as heart, kidney, liver failure,
• Having a history of bleeding diathesis,
• Difficult intubation expected,
• Obese,
• Emergency patients,
• Mental-motor retarded,
• Having psychiatric and neurological diseases,
• Those with chronic drug use

Trial design

64 participants in 2 patient groups

Group P: n: 32patients

Description:

Group P: Patients administered iv 10mg/kg paracetamol 30 minutes before surgery

Treatment:

Other: The Modified Yale Preoperative Anxiety Scale (m-YPAS) of children

Group K:n:32 patients

Description:

Group K: Patients administered iv 10mg/kg paracetamol 15 minutes before the end of surgery

Treatment:

Other: The Modified Yale Preoperative Anxiety Scale (m-YPAS) of children