REVA: Influence of the "Atelier du rêve" (Dream Workshop) on the Quality of Falling Asleep in the Operating Room.
Study Details
Study Description
Brief Summary
A "dream workshop" is organized for the children by nurses specialized in anesthesia in the CHI Creteil. During this workshop, the anesthesia process is explained to the children using games, drawings, songs, etc. The impact of this workshop on the child stress and acceptance of the mask during induction is studied in this research.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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Detailed Description
For more than two years, nurse anesthetists have developed a personalized treatment of children who will be asleep using the theoretical bases of hypnosis in children and distraction, in order to improve the conditions of falling asleep, especially by promoting the acceptance of the mask during inhalation induction, or by preparing it for an Intra Venous induction, if it so desires or if it is obligatory.
Indeed, the announcement of a surgical intervention is sometimes experienced as a real emotional shock by the parents and / or the child, whatever the gravity or the stake of the surgical gesture. To all this is added the phobic fear of anesthesia and all conditions are met to generate a climate of maximum stress. The work of nurse anesthesists prior to this surgical procedure was to establish a relationship of trust with the child through this "dream workshop", to restore a more serene climate.
Thus, is it the idea of this "workshop of the dream", allowing thanks to the imagination of the child, to recreate a universe of confidence full of colors, songs and perfume ...
After consultation with the pediatric surgeon or the anesthesiologist, parents and children are invited to meet nurse anesthesists, if they wish, in a room dedicated to this purpose and specially designed to accommodate children; they will find a playmobil model, photographs of the patient circuit as well as different games or activities that can be performed during induction; the nurse anesthetist will take care to explain to them the progress of the hospitalization and help them to choose a pleasant dream, a perfume adapted to their taste, a distraction adapted to their age (animated book, soap bubbles, favorite song ...) ; he can customize his mask and choose the blanket he wants to take; the most recalcitrant or special sites (autism, long-term hospitalization) will be able to be accompanied by a parent during sleep.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| dream workshop After consultation with the pediatric surgeon or the anesthesiologist, parents and children are invited to meet the nurse anesthetist, in a room dedicated to this purpose and specially designed to accommodate children; they will find a playmobil model, photographs of the patient circuit as well as different games or activities that can be performed during induction; The nurse anesthetist explains the hospitalization process and will help them to choose a pleasant dream, a perfume adapted to their taste, a distraction adapted to their age (animated book, soap bubbles, favorite song ...); the child will be able to customize his mask and choose the blanket he wants to take along; the most recalcitrant or special sites (autism, long-term hospitalization) will be able to be accompanied by a parent during sleep |
Other: participation in a workshop: "dream workshop" animated by a nurse anesthesist
After consultation with the pediatric surgeon or the anesthesiologist, parents and children are invited to meet the nurse, in a room dedicated to this purpose and specially designed to accommodate children; they will find a playmobil model, photographs of the patient circuit as well as different games or activities that can be performed during induction; the nurse anesthetist will take care to explain to them the progress of the hospitalization and help them to choose a pleasant dream, a perfume adapted to their taste, a distraction adapted to their age (animated book, soap bubbles, favorite song ...) ; he can customize his mask and choose the blanket he wants to take; the most recalcitrant or special sites (autism, long-term hospitalization) will be able to be accompanied by a parent during sleep
|
| control No "dream workshop" |
Outcome Measures
Primary Outcome Measures
- Acceptance or not acceptance of the mask in the operating room [day of planned surgery]
evaluated by the operating nurse
Secondary Outcome Measures
- Paediatric Anaesthesia Emergence Delirium score [day of planned surgery]
- Yale Preoperative Anxiety Scale [day of planned surgery]
- Visual analogic anxiety score [day of planned surgery]
on a 0 to 10 scale
- Face Legs Activity Cry Consolability [1h post planned surgery]
post-surgery pain in the recovery room
- Post Hospitalization Behavior Questionnaire [day 1 post planned surgery]
- Post Hospitalization Behavior Questionnaire [day 7 post planned surgery]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Children who need an ambulatory surgery
-
benefiting from a health care insurance
Exclusion Criteria:
-
surgery planned in another hospital
-
hospitalized children
-
refusal to participate
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | CHi Creteil | Créteil | France | 94000 |
Sponsors and Collaborators
- Centre Hospitalier Intercommunal Creteil
Investigators
- Principal Investigator: Sophie Lebourdiec, CHI Creteil
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- REVA