The study is designed to test the hypothesis that long term memory created by preoperative video information can reduce the incidence of post operative behavioral changes.
Emergence agitation (EA) and Post operative behavioral change (PHC) are unpleasant experiences occurred in children after general anesthesia (GA). Previous study reported that the patient who had marked EA tended to have new-onset of postoperative maladaptive behavioral changes.Both pharmacologic and non pharmacologic interventions such as preoperative video information, hand held video games were used to reduce preoperative anxiety, EA and Post operative behavioral changes. In term of memory creation, short term memory (STM) was created. Later that the formation of memory trace requires time, and that this trace remains fragile until the long term memory formation process has been completed. In this study, the investigators hypothetize that long term memory created by preoperative video information can reduce the incidence of post operative behavioral changes.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Enrollment
192
Faculty of Medicine, Prince of Songkla University
Hat Yai, Changwat Songkhla, Thailand
RECRUITINGIncidences of post operative behavioral changes
Use PHBQ (post operative behavioral questionnaire) Postive for postoperative behavioral change: 10% change from baseline sum score
Time frame: up to3 months post operative period
Incidences of Emergence agitation
PAED scale, PAED scale \> 10 will be classified as positive for emergence agitation
Time frame: evaluate PAED scale in the first 5 minutes after patient arrive PACU
Parental's anxiety level at induction
STATE trait anxiety test: 10% change from baseline sum score will be classify as significant change
Time frame: Evaluate 15 minutes before start anesthesia induction
Child's anxiety level at induction
mYpas scale: 10% change from baseline sum score will be classify as significant change
Time frame: mYpas will be evaluated immediately after the patient arrives into the operating room
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