The Effect of Child Choice With Accompanying Parent on Postoperative Delirium During Induction of Anesthesia

Karaman Training and Research Hospital

Status: Completed

Conditions: Child Behavior; Postoperative Delirium; Anxiety State

Treatments: Procedure: Parent (mother or father) selection according to parents' preference; Procedure: Selection of parent(mother or father) according to children preference

Study type: Observational

Funder types: Other

Identifiers

NCT05931770

06-2023/11

Details and patient eligibility

About

Induction of anesthesia can be distressing both for children and their parents. Nonpharmacological behavioral interventions can reduce the anxiety of children without significant adverse effects as seen with sedative drugs.

The aim of this study will be to evaluate whether the children's or parental preference with attending parent affects on the postoperative delirium of the children or not. The delirium of the children will be assessed by the Pediatric Anesthesia Occurrence Delirium Scale (PAED)

Full description

Anesthetic induction can be one of the most stressful experiences for the child during the perioperative period, with almost 50% of the children showing significant anxiety. . To minimize the effect of anxiety, several methods have been adopted, such as the introduction of day-case surgery, parental presence at the induction of anesthesia, distractions and the use of pharmacological agents like midazolam to reduce anxiety. Although the effect of parental presence on the anxiety of children and parents was studied in various studies. Whether the children's choice of parental selection affects anxiety and postoperative delirium not studied yet. In this study, we will evaluate the anxiety of children by using mYPAS and postoperative delirium by using PAED.

Enrollment: 80 patients

Sex: All

Ages: 5 to 12 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. 5-12 years aged children
2. ASA physical Status I-II
3. Who underwent day-case surgeries in the Ear Nose and Throat Clinic

Exclusion criteria

1. Mentally challenged
2. Deaf Child
3. Cerebral Palsy
4. Premedicated Child
5. Language Problem
6. Unco-operative
7. Previous surgery or anesthesia history

Trial design

80 participants in 2 patient groups

Group Child Preference

Description:

The children will prefer parents (mother or father) who will accompany them in the preoperative holding area and at induction

Treatment:

Procedure: Selection of parent(mother or father) according to children preference

Group Parent's Preference

Description:

Parents will decide among themselves and prefer the parents (mother or father) who will accompany them from the side of the parent, in the pre-operative waiting area and during induction.

Treatment:

Procedure: Parent (mother or father) selection according to parents' preference