Unique ID issued by UMIN | UMIN000022584 |
---|---|
Receipt number | R000024415 |
Scientific Title | A Study of general anesthesia management method in patients with autistic spectrum disorders |
Date of disclosure of the study information | 2016/06/02 |
Last modified on | 2023/01/04 18:35:48 |
A Study of general anesthesia management method in patients with autistic spectrum disorders
A Study of general anesthesia management method in patients with autistic spectrum disorders
A Study of general anesthesia management method in patients with autistic spectrum disorders
A Study of general anesthesia management method in patients with autistic spectrum disorders
Japan |
Autistic spectrum disorder
Anesthesiology | Dental medicine | Adult |
Child |
Others
NO
The purpose of this study is to investigate the effectiveness of "structured teaching methods", which is used for education of autism spectrum disorder, to avoid physical restraint and to same a safe and smooth induction of general anesthesia.
Efficacy
Exploratory
Pragmatic
Not applicable
Whether physical restraint was needed or not during induction of anesthesia after rehearsal and training for the induction of anesthesia: the comparison with past cases
1) Comparison of the cooperation before and after rehearsal and training of the anesthesia induction.
2) Evaluation of stress for anesthesia induction: Comparison of degree of the stress between anesthesia induction and venipuncture to take blood samples using analysis of hormone such as epinephrine, norepinephrinedopamine, cortisol and ACTH.
3) Relevance of the items which can grasp preoperatively and the presence and the degree of physical restraint
4) The comparison of the degree of physical restraint between the rehearsal for the induction of anesthesia and the induction of anesthesia of the day.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Historical
No need to know
1
Treatment
Behavior,custom | Maneuver |
1) Preoperative consultation day:
1. A rehearsal for induction of anesthesia
The patients are shown picture cards, which consist of a series of pictures of the places, tools and processes that the patient will see and experience during the induction of anesthesia.
Then we take them to the treatment room presenting the picture cards.
We try to attach monitors such as pulse oximeter, ECG seal and manchette and finally, conclude the rehearsal by putting and holding a facemask.
2. Blood sampling for measuring stress hormone
We take blood samples more than about 4cc to measure stress hormone such as epinephrine, norepinephrine, dopamine, cortisol and ACTH.
2) Training at home and facilities for induction of anesthesia:
We lend the picture cards and facemask to the patient's guardians, and ask them to practice the procedure repeatedly with them at home or at their care facility from preoperative consultation day to operative day.
3) The operative day:
1. We try to give anesthesia in the same way as rehearsal and training for induction of anesthesia consultation day.
2. Blood sampling for measuring stress hormone same kinds as preoperative consultation day.
5 | years-old | <= |
Not applicable |
Male and Female
Patients with autism spectrum disorder who is scheduled to undergo dental treatment under general anesthesia at the Outpatient Clinic of the Department of Dental Anesthesiology of Hokkaido University Hospital.
1) Patients whose communication ability is completely lacked.
2) Patients less than 5 years old
55
1st name | Makiko |
Middle name | |
Last name | Shibuya |
Graduate School of Dental Medicine, Hokkaido University
Department of Dental Anesthesiology
0608586
KIta-13 Nishi-7 Kita-ku Sapporo, 060-8586, JAPAN
+81-11-706-4336
shibu@den.hokudai.ac.jp
1st name | Makiko |
Middle name | |
Last name | Shibuya |
Graduate School of Dental Medicine, Hokkaido University
Department of Dental Anesthesiology
0608586
KIta-13 Nishi-7 Kita-ku Sapporo, 060-8586, JAPAN
+81-11-706-4336
shibu@den.hokudai.ac.jp
Hokkaido University Hospital
None
Self funding
Institutional Review Board of Hokkaido University Hospital
North 14, West 5, Kita-ku, Sapporo
011-706-7636
crjimu@huhp.hokudai.ac.jp
NO
北海道大学病院(北海道)/Hokkaido University Hospital(Hokkaido)
2016 | Year | 06 | Month | 02 | Day |
Unpublished
Completed
2011 | Year | 02 | Month | 03 | Day |
2013 | Year | 06 | Month | 10 | Day |
2011 | Year | 08 | Month | 08 | Day |
2016 | Year | 07 | Month | 31 | Day |
2017 | Year | 09 | Month | 01 | Day |
2016 | Year | 06 | Month | 02 | Day |
2023 | Year | 01 | Month | 04 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000024415