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

Study Overview
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Brief Summary
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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)

Detailed Description
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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.

Official Title
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The Effect of Child Choice With Accompanying Parent on Pediatric Anxiety and Postoperative Delirium During Induction of Anesthesia During Day Case Surgeries.

Conditions
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Anxiety State, Child Behavior, Postoperative Delirium

Intervention / Treatment
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* Procedure: Selection of parent(mother or father) according to children preference
* Procedure: Parent (mother or father) selection according to parents' preference


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 5-12 years aged children ASA physical Status I-II Who underwent day-case surgeries in the Ear Nose and Throat Clinic Exclusion Criteria: Mentally challenged Deaf Child Cerebral Palsy Premedicated Child Language Problem Unco-operative Previous surgery or anesthesia history

Ages Eligible for Study
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Minimum Age: 5 Years
Maximum Age: 12 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Group Child Preference<br>The children will prefer parents (mother or father) who will accompany them in the preoperative holding area and at induction | Procedure: Selection of parent(mother or father) according to children preference<br>* The parent who will accompany the child during the perioperative period will be determined by the child. will be determined by children preference<br>|
| Group Parent's Preference<br>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. | Procedure: Parent (mother or father) selection according to parents' preference<br>* Accompanying parentwho will accompany during the perioperative period will be determined by the parents. to be determined by<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Evaluation with Pediatric Anesthesia Emergence Delirium Scale (PAED) in the postoperative waiting room | Incidence of post-anesthesia and postoperative delirium Discordant behaviors assessed with Pediatric Anesthesia Emergence Delirium Scale (PAED) with five features, each scored using a 5-point Likert scale | Postoperative 1st day | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Modified Yale Preoperative Anxiety Scale (mYPAS) of the children undergoing elective surgery under general anesthesia. | The mYPAS will be used to evaluate the anxiety level of children. The mYPAS is an observational measure of preoperative anxiety consisting of 27 items in 5 domains (activity, emotional expressivity, state of arousal, vocalization, and use of parents). The adjusted mYPAS total score ranges from 22.9 to 100, with higher scores indicating greater anxiety. | Perioperative period | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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day- case surgery, anxiety children, Postoperative Delirium