This project will investigate whether reduction in ambient light and elimination of noise on induction of anesthesia alters anxiety (modified Yale Preoperative Anxiety Scale or mYPAS) or compliance (induction compliance checklist or ICC scoring), alters recovery following emergence using pain scores, analgesic requirements, and emergence delirium (post anesthesia emergence delirium or PAED), or post-discharge behavior at 1, 7 and 14 days (modified post hospitalization behaviour questionnaire or PHBQ) in patients who receive anxiolytic premedication. In addition, the investigators will assess the cumulative level of nose exposure that patients experience during the perioperative period.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
64
All activity will cease when the patient enters the operating room and nonessential personnel will be removed. Ambient lighting will be reduced and communication devices muted.
Nationwide Children's Hospital
Columbus, Ohio, United States
Anxiety during induction
A blinded observer will assess behavior prior to and during induction/placement of face mask or insertion of an intravenous line using the mYPAS scale.
Time frame: First 5 minutes of surgical procedure
Compliance during induction
A blinded observer will assess behavior prior to and during induction/placement of face mask or insertion of an intravenous line using the ICC scale.
Time frame: First 5 minutes of surgical procedure
Presence of post anesthesia emergence delirium
Following transfer to the post anesthesia care unit (PACU) from the OR, the PAED scale will be measured every 10 minutes from arrival until discharge from PACU.
Time frame: Average of 30 mins - 1 hr
Post-discharge behavior disturbances
Parents will be contacted by phone and asked a series of 11 questions (PHBQ) to assess participants behavior following surgery.
Time frame: Post-op day 1
Post-discharge behavior disturbances
Parents will be contacted by phone and asked a series of 11 questions (PHBQ) to assess participants behavior following surgery.
Time frame: Post-op day 2
Post-discharge behavior disturbances
Parents will be contacted by phone and asked a series of 11 questions (PHBQ) to assess participants behavior following surgery.
Time frame: Post-op day 7
Noise exposure
Assess the peak and cumulative level of noise exposure to the patient during the entire surgery.
Time frame: Average of 30 mins - 3 hrs
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