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CTRI Number  CTRI/2025/08/093526 [Registered on: 25/08/2025] Trial Registered Prospectively
Last Modified On: 22/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison of presence of parents with oral midazolam premedication for reducing preoperative anxiety in children undergoing elective surgery under general anaesthesia. 
Scientific Title of Study   Comparison of parental presence with oral midazolam premedication for reducing preoperative anxiety in children undergoing elective surgery under general anaesthesia. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Averine Paulose 
Designation  Post Graduate Student  
Affiliation  ABVIMS AND DR RML HOSPITAL NEW DELHI-110001  
Address  Room no. 301 3rd floor Department of Anaesthesia ABVIMS and Dr RML hospital Central Delhi 110001 India

New Delhi
DELHI
110001
India 
Phone  9319414185  
Fax    
Email  averinep2010@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Namita Arora 
Designation  Professor 
Affiliation  ABVIMS AND DR RML HOSPITAL NEW DELHI-110001 
Address  Room no. 301 3rd floor Department of Anaesthesia ABVIMS AND DR RML HOSPITAL Central Delhi 110001 India

New Delhi
DELHI
110001
India 
Phone  9868219619  
Fax    
Email  drnamitaarora@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Namita Arora  
Designation  Professor  
Affiliation  ABVIMS AND DR RML HOSPITAL NEW DELHI-110001 
Address  Room no. 301 3rd floor Department of Anaesthesia ABVIMS AND DR RML HOSPITAL Central Delhi 110001 India

New Delhi
DELHI
110001
India 
Phone  9868219619  
Fax    
Email  drnamitaarora@gmail.com  
 
Source of Monetary or Material Support  
ABVIMS AND Dr Ram Manohar Lohia Hospital, Baba Kharak Singh Marg, Near Gurudwara Bangla Sahib, Connaught Place, New Delhi, 110001 
 
Primary Sponsor  
Name  Nil 
Address  Nil 
Type of Sponsor  Other [] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Averine Paulose  ABVIMS and Dr. Ram Manohar Lohia Hospital, New Delhi  Room no. 301 3rd floor Department of Anaesthesia ABVIMS and Dr RML Hospital Central Delhi 110001 India
North
DELHI 
9319414185

averinep2010@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee ABVIMS and Dr. RML Hospital New Delhi  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  , (1) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Oral Midazolam   Midazolam group (Group M), the child will be premedicated with 0.5 mg/kg oral midazolam mixed in honey. The parent will stay with the child in the preoperative room for 30 minutes duration and be separated when the child will be transferred to the operating room. 
Comparator Agent  Parental Presence  In the Parental presence group (Group P) patients will be given plain honey orally. Parent will stay with the child and accompany him into the operating room till the induction of anaesthesia.  
 
Inclusion Criteria  
Age From  2.00 Year(s)
Age To  8.00 Year(s)
Gender  Both 
Details  1.American Society of Anaesthesiologists [ASA] physical status I and II patients.
2. AGE: 2-8yrs.
3. Elective surgical procedure
 
 
ExclusionCriteria 
Details  1. Difficult airway

2. Mental or physical disabilities
3. Treatment with sedatives or anticonvulsant
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
Anxiety score measured by Modified Yale preoperative anxiety scale Score (mYPAS)

 
mYPAS will be measured at 3 points :
1.just before shifting to OT 2.placing patient on OT table 3.On introduction of face mask during induction of anaesthesia.

 
 
Secondary Outcome  
Outcome  TimePoints 
Face Mask acceptance score by Mask acceptance scale (MAS)
Hemodynamic parameters (HR, SpO2) in both groups
 
1.Hemodynamic parameters will be recorded from the time of bringing the child in the preoperative room & then every 10 minutes till the time of putting the child on the operating table & placing the face mask for induction.

2.Face mask will be applied at the start of induction of anaesthesia. Mask acceptance score will be assessed by an independent observer using a 3 point Mask Acceptance Score 
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   02/09/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Randomized Comparative Study will be conducted in the Department of Anaesthesia, ABVIMS & Dr. Ram Manohar Lohia Hospital, New Delhi- 110001 after the Institutional Ethics Committee Approval. Written informed consent from patient’s parents will be taken. The study will include patients, undergoing elective surgical procedures under General Anaesthesia.

Sample size = 80

Primary objective is to compare parental presence with oral midazolam premedication for reducing preoperative anxiety in children undergoing elective surgery under general anaesthesia.

Secondary objective is to compare the face mask acceptance score at the time of induction between the two groups and compare the hemodynamic parameters starting from preoperative period to face mask application for induction in both groups


 
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