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Preoperative anxiety refers to a range of physical and/or psychological manifestations, which can have a significant impact on medical outcomes and the experience of the child and their parents. This study aims to evaluate the impact of preoperative preparation combined with a hypnosis session conducted by nurse anesthetists (IADE) trained in working with children and their families. The goal is to improve the child's experience and reduce perioperative anxiety and stress.
It is divided into two phases:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 2: Standard preoperative care before anesthesia induction | No Intervention | Part 2: Children aged between 5 and 12 years scheduled for surgery requiring hospitalization, recieving standard preoperative care prior to anesthesia induction. Anxiety levels will be measured at the time of induction in the operating room. | |
| Parti 1: Preoperative care combined with a hypnosis session | Experimental | Part 1: Children aged between 5 and 12 scheduled for surgery requiring hospitalization, recieving a 20 min hypnosis session within two weeks prior to anesthesia induction in addition to standard preoperative care. Anxiety levels will be measured at the time of induction in the operating room. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Hypnosis session | Behavioral | Within the two weeks prior to surgery, in addition to the standard preoperative care currently in place, the patient will receive a 30-minute visit from a nurse anesthetist trained in hypnosis. This is an added procedure complementing the anesthesia consultation. The visit is divided into two parts: 10 minutes to review and clarify the explanations given by the anesthesiologist and surgeon, and 20 minutes of a formal hypnosis session. A personalized liaison form will be completed to facilitate communication between the consultation and the operating room. |
| Measure | Description | Time Frame |
|---|---|---|
| Children's perioperative anxiety levels at the time of anesthetic induction as assessed by the mYPAS | Mesure of the Modified Yale Preoperative Anxiety Scale by anesthetics or surgical nurse. The total score ranges from 23 to 100: children are considered moderately anxious for a score above 24, and highly anxious for a score above 30. | Day 1 ( Anesthesia induction and surgery) |
| Measure | Description | Time Frame |
|---|---|---|
| Children's compliance during induction as assessed by the Induction Compliance Checklist | Induction compliance check list at the time of anesthetic induction | Day 1 (Anesthesia induction) |
| Time spent in the PACU |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Fleur Vincent-Jabouille | Contact | +33 (0) 4 91 38 63 28 | 04 13 42 94 28 | Fleur.VINCENT-JABOUILLE@ap-hm.fr |
| Name | Affiliation | Role |
|---|---|---|
| François CREMIEUX | Assistance Publique Hopitaux De Marseille | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Assistance Publique Hôpitaux de Marseille | Recruiting | Marseille | 13005 | France |
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The study is a monocentric, pilot, exploratory, open-label, prospective quasi-experimental "before/after" study
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Duration in minutes between arrival in the PACU and return to the hospital room
| Day 1 ( From arrival in the PACU until return to the hospital room) |
| Postoperative delirium as assessed by the PAED Scale | Assessed in the PACU using the PAED scale (Pediatric Anesthesia Emergence Delirium). | Day 1 (After surgery) |
| Postoperative pain as assessed by the VAS scale | Evaluated in the recovery room using the Visual Analogue Scale (VAS). Total scole ranging from 0 to 10 where a higher scores mean worse pain. | Day 1 (After surgery) |
| Postoperative pain as assessed by the FLACC scale. | Evaluated in the recovery room using the Face Legs Activity Cry Consolability (FLACC) scale. Total scole ranging from 0 to 10 where a higher scores mean worse pain. | Day 1 (After surgery) |
| Postoperative pain as assessed by the PPMP scale | Assessed by parents on postoperative days 2 and 5 using the Parents' Postoperative Pain Measure (PPPM), either during hospitalization or via telephone follow-up. The score ranges from 0 to 15, where a higher scire mean worse pain | Day 2 and 5 after sugery |
| Behavioral assessment | The child's postoperative behavior will be assessed on postoperative days 2, 5, and 14 using the PHBQ (Post-Hospitalization Behavior Questionnaire), either in the hospital or via a phone call. | Day 1, 2 and 5 after sugery |
| Parental satisfaction | Assessed via a dedicated questionnaire, either in the hospital or through a phone call | At the day of patiet sicharge or Day 14 postoperatevly |