Which is good for pre-operative anxiety? Midazolam, video games or teaching with cartoons
| Autor: | Bahar Sakızcı Uyar, Aslı Dönmez, Merve Bolat, Reyhan Polat |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Midazolam Anxiety law.invention 03 medical and health sciences Emergence Delirium 0302 clinical medicine Randomized controlled trial 030202 anesthesiology law Clinical endpoint Humans Medicine Prospective Studies Elective surgery Child Prospective cohort study business.industry 030208 emergency & critical care medicine medicine.disease Anesthesiology and Pain Medicine Video Games Emergence delirium Physical therapy Premedication medicine.symptom business medicine.drug |
| Zdroj: | European Journal of Anaesthesiology. 38:744-750 |
| ISSN: | 1365-2346 0265-0215 |
| DOI: | 10.1097/eja.0000000000001384 |
| Popis: | BACKGROUND Pre-operative anxiety in children has been associated with adverse clinical outcomes such as difficulty in anaesthesia induction, emergence delirium and negative postoperative behavioural changes. Therefore, pre-operative anxiety should be alleviated in both children and clinicians. OBJECTIVE We investigated the effect on pre-operative anxiety of premedication with midazolam, playing video games or watching a cartoon about anaesthesia. DESIGN A prospective randomised trial. SETTING Single-centre study performed between August 2018 and June 2019. PATIENTS We enrolled 138 patients aged 5 to 8 years undergoing elective surgery. INTERVENTIONS After evaluating baseline (T0) anxiety levels using the modified Yale Pre-operative Anxiety Scale (mYPAS) in the pre-operative holding area, 0.5 mg kg-1 oral midazolam was given to Group M, a tablet with videogame applications was given to Group T, and Group S watched the cartoon 'Suko Is Being Operated'. mYPAS values were recorded a further three times: 20 min after the intervention (T1), while entering the operating room (T2), and during mask induction of anaesthesia (T3). MAIN OUTCOME MEASURES The primary endpoint was the change in children's anxiety levels from baseline. The secondary endpoint was cooperation during mask induction. RESULTS The baseline mYPAS scores were comparable (40.7, 42.6 and 40.7 in groups M, S and T respectively). The mean mYPAS scores at T1 were 32.6, 34.7, 26.8 and at T2 were 38.6, 42.7, 35 in groups M, S and T, respectively. There were significant differences between groups S and T at T1 and T2 (P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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