Preoperative Anxiety and Preemptive Analgesia on Postoperative Delirium in Adenotonsillectomy Surgery

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

Detailed Description
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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.

Official Title
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The Effects of Preoperative Anxiety and Preemptive Analgesia on Postoperative Delirium in Adenotonsillectomy Surgery

Conditions
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Preoperative Anxiety, Postoperative Delirium

Intervention / Treatment
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* Other: The Modified Yale Preoperative Anxiety Scale (m-YPAS) of children


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 2 Years
Maximum Age: 10 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Group P: n: 32patients<br>Group P: Patients administered iv 10mg/kg paracetamol 30 minutes before surgery | Other: The Modified Yale Preoperative Anxiety Scale (m-YPAS) of children<br>* Postoperative 0,5,10,15,30,45,60.and 120 minutes , PAED and WBYAS values<br>* Other names: The Wong Baker Facial Pain Scale (WBYAS) is used to evaluate postoperative pain in children.;|
| Group K:n:32 patients<br>Group K: Patients administered iv 10mg/kg paracetamol 15 minutes before the end of surgery | Other: The Modified Yale Preoperative Anxiety Scale (m-YPAS) of children<br>* Postoperative 0,5,10,15,30,45,60.and 120 minutes , PAED and WBYAS values<br>* Other names: The Wong Baker Facial Pain Scale (WBYAS) is used to evaluate postoperative pain in children.;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Preoperative Anxiety on Postoperative Delirium in Adenotonsillectomy Surgery | The relationship between the mYPAS values of the groups and the PAED scores and Wong Baker Facial Pain Scale values | During the first 2 hours postoperatively | 
| Preemptive analgesia on Postoperative Delirium in Adenotonsillectomy Surgery | The relationship between the mYPAS values of the groups and the PAED scores and Wong Baker Facial Pain Scale values | During the first 2 hours postoperatively |