The Effect of 40 Hz Transcranial Stimulation on the Incidence of Emergence Delirium in Children

Zhengzhou University

Status: Completed

Conditions: Emergence Delirium; Children; Anesthesia

Treatments: Device: 40Hz stimulation

Study type: Interventional

Funder types: Other

Identifiers

NCT06493513

Henan-FSH

Details and patient eligibility

About

Emergence delirium is a complex of perceptual deficits and psychomotor agitation most commonly seen in preschool children in the early post-anesthetic period. It increases the risk of bed falls, accidental catheter removal, surgical wound dehiscence, and delayed discharge in children. Exogenous 40 Hz stimulation can improve cognitive functioning. Therefore, the aim of this study was to explore the effect of 40Hz stimulation on the incidence of emergence delirium in children undergoing vascular malformation surgery under sevoflurane anesthesia.

Enrollment: 90 patients

Sex: All

Ages: 3 to 14 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Age 3-14 years old
2. ASA classification I or II
3. Proposed vascular malformation surgery under sevoflurane general anesthesia
4. Anesthesia duration>1h
5. Obtaining informed consent

Exclusion criteria

1. Emergency surgery
2. Mental retardation
3. Neurological disorders with manic-like symptoms
4. Presence of severe kidney or liver disease, heart or respiratory disease
5. Autoimmune diseases
6. Vascular malformation of the head and face
7. Significant life changes in the 1 month prior to surgery

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

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90 participants in 2 patient groups

40Hz stimulation group

Experimental group

Description:

At the start of anesthesia, the child received 40Hz transcranial stimulation for 1h.

Treatment:

Device: 40Hz stimulation

Control group

No Intervention group

Description:

At the start of anesthesia, the child did not receive any additional treatment.