Management of Preoperative Anxiety in Children Using a Lollipop Versus Intranasal Midazolam

What this Trial Is About

This research aims to evaluate how well a lollipop works compared to intranasal midazolam in managing anxiety before surgery in children aged 4 to 10 years. The study focuses on preoperative anxiety in pediatric anesthesia and compares two approaches to reduce stress in young patients. It is an interventional trial with random assignment to different treatment groups. Participants are randomly placed in one of two groups: one receives intranasal midazolam at a dose of 0.3 mg/kg, and the other is given a lollipop for distraction. Both treatments are given 15 minutes before entering the operating room. The anesthesia procedure is standardized, including intravenous induction with propofol and fentanyl, airway management with an age-appropriate IGEL mask, and maintenance with sevoflurane. Children's anxiety levels are measured before and 15 minutes after treatment using the modified Yale Preoperative Anxiety Scale. Researchers also assess sedation upon entering the operating room, how well children separate from their parents, how they accept the facemask during induction, and post-surgery agitation using the Pediatric Anesthesia Emergence Delirium Scale. The total participation spans the preoperative period and early recovery, with monitoring before, during, and shortly after anesthesia.

Management of Preoperative Anxiety in Children: Could a Lollipop Be the Solution?