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Giving toys to children reduces their anxiety about receiving premedication for surgery

Leonard Golden1, Murali Pagala, Sujatha Sukhavasi

  • 1Department of Anesthesiology, Maimonides Medical Center, Brooklyn, New York, USA. lganesthesia@yahoo.com

Insights

Giving children a toy before oral premedication significantly reduces preoperative anxiety. This simple intervention improves the experience of administering medications like midazolam to young patients.

Area of Science:

  • Pediatric Anesthesiology
  • Child Psychology
  • Medical Interventions

Background:

  • Preoperative anxiety is common in children, impacting their experience and cooperation.
  • Administering oral premedication to children often faces resistance due to fear and apprehension.
  • Effective strategies are needed to mitigate anxiety during this critical period.

Purpose of the Study:

  • To investigate the efficacy of providing a small toy as an intervention to decrease preoperative anxiety in children.
  • To assess the impact of a toy on children's willingness to accept oral premedication.
  • To evaluate a novel, non-pharmacological approach to managing pediatric preoperative anxiety.

Main Methods:

  • A prospective study involving 100 children aged 3-6 years.
  • Participants were randomized into two equal groups: one receiving a toy, the other not.
  • Anxiety levels were measured using the Modified Yale Preoperative Anxiety Scale before oral midazolam administration.

Main Results:

  • Children who received a toy prior to oral midazolam administration exhibited significantly lower anxiety levels.
  • The intervention demonstrated a measurable positive effect on reducing anxiety associated with premedication.
  • Providing a toy proved to be an effective strategy in this pediatric cohort.

Conclusions:

  • Offering a small toy is a simple yet effective method for reducing preoperative anxiety in children undergoing medical procedures.
  • This non-pharmacological intervention can improve the administration of oral premedication and enhance the overall patient experience.
  • Further research could explore this strategy in different age groups and procedural contexts.

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