Anxiety is when children feel scared, worried, or nervous before or during anesthesia induction. This can happen because they don't know what's happening, are scared of the hospital or medical equipment, or are worried about being separated from their parents.

When parents are present, they can:

• Provide emotional support and reassurance
• Distract the child from scary things
• Help the child feel more calm and safe This can help reduce the child's anxiety levels.

When parents are not present, children may feel:

• More scared and anxious
• Alone and unsupported
• More worried about what's happening This can increase the child's anxiety levels. we can prepare children and parents beforehand about what will happen
• Allow parents to be present during anesthesia induction
• Use distraction techniques like toys or videos
• Use gentle and calm anesthesia induction techniques By doing these things, we can help reduce anxiety in children and make the experience less scary for them.

Induction of pediatric anesthesia represents a highly stressful event for children, often resulting in preoperative anxiety that can impair the child's perioperative experience and result in adverse postoperative outcomes. It has been proposed that parental presence during induction of anesthesia Preoperative anxiety is linked to postoperative maladaptive behaviors, such as pain following surgery, insomnia, conflicts between the child and his parent, separation anxiety, increased urinary frequency during the night, reduced appetite, lack of interest, agitation, and alienation.may be a non-pharmacologic intervention to reduce children's anxiety. In patients with extreme anxiety, unfavorable postoperative behaviors after anesthesia induction are likely to result in long-term issues, which adversely affect the process of recovery, and also develop a feeling of inadequate care. Parental presence at anesthesia induction is the interaction that takes place in the induction room during the course of anesthesia induction between the child, parent, anesthesiologist, and perioperative nurses.

Inclusion Criteria:

• Pediatric patients
• aged 5-10 years
• minor surgery
• duration <1 hour
• ASA 1 and ASA 2 patients

Exclusion Criteria:

• Patients and attendant refusal
• Emergency surgeris
• Renal insuffciency
• Age less than 5 and more than 10 years

A group of patients selected from a surgical day care units and wards who presented for minor elective surgical procedures.

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   Data quality and validation*: IPD may require additional validation and quality control checks before sharing, which can be time-consuming and resource-intensive.

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