Influence of Intraoperative Auditory Intervention on Emergence Delirium in Preschoolers: A Randomised Controlled Clinical Trial

Henan Provincial People's Hospital96 enrolled

Overview

Emergence delirium (ED), characterized by disorientation and altered cognitive behavior, is a common postoperative complication in pediatric surgery. It manifests as lack of eye contact with caregivers or parents, aimless kicking and screaming, and inability to be soothed. Auditory stimulation has been shown to reduce the incidence of ED and postoperative pain during emergence following general anesthesia in children. Therefore, this study aimed to investigate the effects of different types of auditory interventions on the incidence of emergence delirium in children undergoing tonsillectomy and/or adenoidectomy under sevoflurane anesthesia.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

TRIPLE

Enrollment

Conditions

Emergence Delirium, Anesthesia Preschool Age Children Emergence Agitation

Interventions

Classical Music GroupOTHER

Repeatedly played Mozart's Lullaby via Bluetooth headphones at 45-60 at 45-60 dB during surgery

Mother's Heartbeat Recording GroupOTHER

Repeatedly played recorded mother's heartbeat via Bluetooth headphones at 45-60 dB during surgery

Mother's Lullaby Recording GroupOTHER

Repeatedly played recorded mother singing bedtime lullabies via Bluetooth headphones at 45-60 dB during surgery

Eligibility

Sex: ALLMin age: 3 YearsMax age: 7 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age between 3 and 7 years; * American Society of Anesthesiologists (ASA) physical status classification of I or II; * Pediatric patients scheduled for elective tonsillectomy and/or adenoidectomy under sevoflurane general anesthesia. Exclusion Criteria: * Emergency surgery * The child has developmental delays or neurological disorders, deafness, or hearing impairment * The mother is deaf or absent * The patient and family members declined to participate.

Outcomes

Primary Outcomes

The incidence of emergence delirium

According to the Pediatric Anesthesia Emergency Delirium Scale (PAED), the occurrence of ED is defined as a PAED score ≥10 at any time during the PACU period (PAED score range: 0-20).

Time frame: Assess the paediatric anaesthesia emergence delirium (PAED) score at 0, 5, 10, 15, and 30 minutes after the child awakens and the tube is removed.

Secondary Outcomes

The incidence of emergence pain

If the Face, Legs, Activity, Cry and Consolability (FLACC) scale ≥ 4 (0 \[no pain\] \~ 10 \[worst pain\]), the child was considered to be in pain.

Time frame: Assess the paediatric anaesthesia emergence delirium (PAED) score at 0, 5, 10, 15, and 30 minutes after the child awakens and the tube is removed

Incidence of postoperative adverse events

Including postoperative nausea and vomiting, excessive secretions, laryngospasm, respiratory depression, bradycardia, hypotension

Time frame: Perioperative

PACU Stay Duration

Time frame: From PACU admission to PACU discharge