Conditions: Care, Postoperative Pain, Postoperative Surgical Procedures, Operative Otorhinolaryngologic Surgical Procedures Tonsillectomy Adenoidectomy
Allocation: RANDOMIZED | Intervention model: FACTORIAL
Enrollment: 241
Healthy volunteers: no

Brief summary:
The primary hypothesis tested in this project is that the preoperative behavioral stress response predicts postoperative behavioral and clinical recovery of children undergoing surgery.

Detailed description:

Arms:
arm 1: None arm 2: None arm 3: None arm 4: None

Interventions: intervention 1: Preoperative Preparation Program (Child Life Specialist) intervention 2: Midazolam intervention 3: Parental Presence during Induction of Anesthesia intervention 4: PPIA preparation program PLUS Midazolam premedication
Intervention descriptions: intervention 1: This group will receive the standard preoperative visit to the hospital with Child Life intervention intervention 2: 0.5 mg/kg oral midazolam intervention 3: One parent will be present during induction of anesthesia of the child. The parent will be accompanied out of the OR by a nurse once the induction is completed. These parents will have completed a parent preparation program. intervention 4: Subjects in this group will receive both interventions 2 and 3.

Protocol document: