Improving the Quality of Anesthesia Induction by Reducing Preoperative Anxiety in the Operating Room
Anxiety at Induction of Pediatric Anesthesia
What this study involves
The registry does not currently label this study as recruiting. Ask about its status before planning a screening visit.
- Study type
- Interventional
- Phase
- Not applicable
- Age range
- 5 years - 12 years
- Sex eligible
- All sexes
- Healthy volunteers
- Not accepted
- Participants
- 60 Actual
These are starting points, not an eligibility decision. The research team must review the full requirements.
About the research
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:
- First phase, called "Before": Standard preoperative care is provided according to the existing protocol in the department. Anxiety levels will be measured at the time of induction in the operating room.
- Second phase, called "After": In 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. Anxiety levels will again be measured at the time of induction.
Who may be able to participate?
The list below is the sponsor’s full registry wording. It can include conditions, prior treatment, test results and other requirements. A match in search does not mean you qualify.
Inclusion Criteria:
- Children aged between 5 and 12 years, i.e., able to engage in verbal communication;
- Scheduled for surgery requiring hospitalization at least one day prior to the procedure, including but not limited to gastrointestinal or urological surgery, ENT procedures, plastic interventions, and orthopedic surgery (e.g., scoliosis correction);
- Provision of written informed consent by the parents or legal guardians (or by the sole parent/legal guardian, where applicable);
- Parental agreement to participate in the study by completing the required questionnaires;Affiliation with or entitlement to a national social security scheme
Exclusion Criteria:
- Patients with cognitive developmental disorders;
- Patients requiring regular general anesthesia as part of ongoing medical management;
- Patients undergoing emergency surgery;
- Patients with a known psychiatric disorder;
- Patients diagnosed with an autism spectrum disorder (ASD).
Treatment, groups and participation
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- Assignment
- Not randomized
- Masking
- No masking
Part 2: Standard preoperative care before anesthesia induction
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
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.
Behavioral: Hypnosis session
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.
What researchers are measuring
Outcome measures describe what is being studied. They are not proof that a treatment works.
Primary measures
Children's perioperative anxiety levels at the time of anesthetic induction as assessed by the mYPAS
Time frame: Day 1 ( Anesthesia induction and surgery)
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.
Secondary measures
Children's compliance during induction as assessed by the Induction Compliance Checklist
Time frame: Day 1 (Anesthesia induction)
Induction compliance check list at the time of anesthetic induction
Time spent in the PACU
Time frame: Day 1 ( From arrival in the PACU until return to the hospital room)
Duration in minutes between arrival in the PACU and return to the hospital room
Postoperative delirium as assessed by the PAED Scale
Time frame: Day 1 (After surgery)
Assessed in the PACU using the PAED scale (Pediatric Anesthesia Emergence Delirium).
Postoperative pain as assessed by the VAS scale
Time frame: Day 1 (After surgery)
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.
Postoperative pain as assessed by the FLACC scale.
Time frame: Day 1 (After surgery)
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.
Postoperative pain as assessed by the PPMP scale
Time frame: Day 2 and 5 after sugery
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
Behavioral assessment
Time frame: Day 1, 2 and 5 after sugery
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.
Parental satisfaction
Time frame: At the day of patiet sicharge or Day 14 postoperatevly
Assessed via a dedicated questionnaire, either in the hospital or through a phone call
Review the complete result tables and limitations in the official record.
Open official results ↗Research locations (1)
The overall study status and a local site’s status can differ. Confirm that location’s availability before traveling.
1 locations
Assistance Publique Hôpitaux de MarseilleMarseille, FranceStatus unknown
Study team and timeline
- Lead sponsor
- Assistance Publique Hopitaux De Marseille
- Study start
- Jul 2, 2025 Actual
- Primary completion
- Jan 8, 2026 Actual
- Study completion
- Jan 8, 2026 Actual
- First posted
- May 15, 2025 Actual
- Last updated
- Nov 10, 2026 Actual
Official study contacts
No central contact is listed. Check the locations and the official record.
Official study title
Improving the Quality of Anesthesia Induction by Reducing Preoperative Anxiety in the Operating Room
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Source: ClinicalTrials.gov API v2. Information is submitted by sponsors and investigators. NLM does not approve the safety or science of all listed studies. Registry disclaimer.
Retrieved: Nov 12, 2026 · Last registry update: Nov 10, 2026
