Anxiety Clinical Trial
Official title:
Preoperative Anxiety in Paediatric Patients; do Cartoons Help?
Preoperative Anxiety is a major problem in anesthesia management. Paediatric patients are a
special group who need special attention. Some studies have shown that cartoons are a very
good tool for distraction in the preoperative period for children.
Our hypothesis is that children watching Cartoons in the preoperative period will have less
anxiety and will be fit with preparation.
After local ethics committee approval 60 patients scheduled for various types of surgery will
be included.
On the operation day patients are going to be evaluated in the preoperative preparation room.
For anxiety evaluation the modified yale preoperative anxiety scale will be used. After this
first evaluation patients are going to be separated randomly into two groups; group R
(routine) and group C (cartoon). All patients are going to be premedicated with midazolam.
The first group will receive their premedication straight after the first evaluation and
their response will be recorded as easy, moderate, difficult, does not accept. Group C will
choose a cartoon movie (5 different movies are recorded and will be shown through a tablet
PC)) and will begin to watch it. After 5 minutes they will receive their premedication and
their response will also be recorded. After 30 minutes a physician will try to insert an IV
line and the response of the child will also be evaluated and recorded as easy, moderate,
difficult and does not allow. Afterwards the patient will be transported into the operation
room. In the operation room anesthesia will be induced via Sevoflurane and the response to
mask anesthesia will be evaluated with the mask score as it is described before in previous
studies. Patients in Group C will continue to watch the cartoon movie until the induction of
anesthesia. And the modified yale score will also be reevaluated and recorded.
The family anxiety will be evaluated with the State Trait Anxiety Inventory Scale.
The family and the child will also be interviewed separately, 4 prepared standard questions
will be asked in order to understand how the family described the operation.
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