Pediatric anesthesia & critical care

The effect on perioperative anxiety and emergence delirium of the child or parent's preference for parental accompaniment during anesthesia induction in children undergoing adenotonsillectomy surgery

Paediatr AnaesthPublished Randomised controlled trial

Authors' conclusion

The incidence or severity of ED did not decrease significantly even though lower anxiety scores were obtained during anesthesia induction in children who were allowed to make the decision of accompanying parent.

Study context

Population
Children aged 5–12 years undergoing day-case adenotonsillectomy
Participants
80 children
Comparison
Group 1 vs Group 2
  • Group 1n = 40
  • Group 2n = 40reference
Primary endpoint
Postoperative delirium scores and incidence (Pediatric Anesthesia Emergence Delirium (PAED) scale)

Primary result

As reported in the abstract

Emergence delirium (PAED)
Group 1 vs Group 2Mean difference (95% CI)
Mean PAED scores similar
−0.1(−2.8 to 0.7)
Group 1 vs Group 2Relative risk (95% CI)
Incidence of ED similar
0.9(0.4–1.8)

Further findings

OutcomeMean difference (95% CI)
Child anxiety during induction (mYPAS)−8.4 (−15.2 to −1.6)
Child anxiety in preoperative waiting area (mYPAS)−1.9 (−7.5 to 3.5)

Parental anxiety (State-Trait Anxiety Inventory (STAI)) · all measurement times

Similar in both groups; higher in mothers than fathers

Original publication

The effect on perioperative anxiety and emergence delirium of the child or parent's preference for parental accompaniment during anesthesia induction in children undergoing adenotonsillectomy surgery. Paediatr Anaesth. Published 26 April 2024. doi:10.1111/pan.14912

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