Preoperative Anxiety and Preemptive Analgesia on Postoperative Delirium in Adenotonsillectomy Surgery

The Effects of Preoperative Anxiety and Preemptive Analgesia on Postoperative Delirium in Adenotonsillectomy Surgery

The effects of preoperative anxiety and preemptive analgesia on PAED in children undergoing adenotonsillectomy surgery.

It is known that the frequency of postoperative delirium increases in children with preoperative anxiety.

The Modified Yale Preoperative Anxiety Inventory (m-YPAS) was developed as a tool to assess children's preoperative anxiety, and m-YPAS≥30 was considered 'anxious'.

Post-Anesthesia Recovery Agitation (PAED) is a self-limiting condition seen in children upon awakening from anesthesia in the first 15-20 minutes.

There are factors such as inhalation agents, preoperative anxiety and postoperative pain in its etiology.

Inclusion Criteria:

• 2-10 years old,
• ASA I-II risk group
• Those who will be operated under general anesthesia under elective conditions.
• Will undergo surgery for adenoidectomy and/or tonsillectomy
• Patients whose informed consent form was read to their parents and their consent was obtained

Exclusion Criteria:

• Those whose families do not want to participate in the study,
• ASA III -IV-V patients
• Having a history of drug allergy and drug interaction,
• Having a history of systemic disease such as heart, kidney, liver failure,
• Having a history of bleeding diathesis,
• Difficult intubation expected,
• Obese,
• Emergency patients,
• Mental-motor retarded,
• Having psychiatric and neurological diseases,
• Those with chronic drug use