Virtual Parental Presence on Induction of Anesthesia vs Premedication With Midazolam

NCT ID: NCT05834049

Last Updated: 2024-02-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

322 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-07-01

Study Completion Date

2027-12-30

Brief Summary

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This multi-center, prospective, clinical trial targets recruiting children undergoing inhalational induction of anesthesia. The primary objective of this study is to assess the Modified Yale Preoperative Anxiety Scale during induction between children receiving oral midazolam 0.5 mg/kg (max 20 mg) versus virtual parental presence on induction of anesthesia. Patients will be randomized to one of two groups by block randomization.

Detailed Description

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Conditions

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Anxiety Surgery

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Virtual Parental Presence on Induction of Anesthesia group

Use of Facetime with child and parents during induction

Group Type EXPERIMENTAL

Virtual Parental Presence on Induction of Anesthesia

Intervention Type BEHAVIORAL

Apple Inc's FaceTimeā„¢ video application will be used when the child is taken to the operating room

Midazolam Group

0.5 mg/kg oral midazolam (max 20 mg) will be given preoperatively.

Group Type EXPERIMENTAL

Midazolam

Intervention Type BEHAVIORAL

Preoperative midazolam (0.5 mg/kg of oral midazolam with a maximum dose of 20mg) will be given unless medically contraindicated.

Interventions

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Virtual Parental Presence on Induction of Anesthesia

Apple Inc's FaceTimeā„¢ video application will be used when the child is taken to the operating room

Intervention Type BEHAVIORAL

Midazolam

Preoperative midazolam (0.5 mg/kg of oral midazolam with a maximum dose of 20mg) will be given unless medically contraindicated.

Intervention Type BEHAVIORAL

Other Intervention Names

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VPPIA

Eligibility Criteria

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Inclusion Criteria

* children from ages 4 years to 8 years old undergoing outpatient surgery
* children identified as needing premedication
* ASA physical status I, II or III
* planned inhalational induction
* children presenting from home prior to surgery (not an inpatient)
* English speaking parents and child

Exclusion Criteria

* children with developmental delay
* children with psychological / emotional disorders
* children with altered mental status
* children in whom midazolam may be medically contraindicated per the discretion of the anesthesia care team
* children with language barrier
* children who are not accompanied by someone able to consent (ie legal guardian)
* children who are inpatient prior to surgery
* children with expected difficult intubation/airway
* children presenting for emergency surgery
* family history or personal history of malignant hyperthermia / risk of MH
* consent not obtained or withdrawal of consent
* children with past history of violent behaviors during induction of anesthesia
* cancellation of surgery
* patients with a diagnosis of COVID-19 or a patient under investigation for COVID-19, including patients being treated with airborne precautions in the operating room
* receipt of any type of medical sedative prior to induction of anesthesia, including (but not limited to) ketamine, and/or dexmedetomidine.
Minimum Eligible Age

4 Years

Maximum Eligible Age

8 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nationwide Children's Hospital

OTHER

Sponsor Role collaborator

Stanford University

OTHER

Sponsor Role lead

Responsible Party

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Thomas Caruso

Clinical Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Vanessa Olbrecht, MD, MBA

Role: PRINCIPAL_INVESTIGATOR

Nationwide Children's Hospital

Central Contacts

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Thomas J Caruso, MD, PhD

Role: CONTACT

650-723-5728

Man Yee Suen, BSc, MMed

Role: CONTACT

650-723-5728

Other Identifiers

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69571

Identifier Type: -

Identifier Source: org_study_id

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