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CompletedNCT02860377MatherVoiceUpdated Jan 29, 2020

Maternal Voice on Anesthetic Emergence Period

An interventional study of recorded maternal voice and recorded stranger's voice in Anesthesia, General, sponsored by Daegu Catholic University Medical Center. Completed at 1 site in Korea, Republic of. Open to participants aged 2 Years to 8 Years. Per ClinicalTrials.gov, last updated 2020-01-29.

Sponsored by Daegu Catholic University Medical Center · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
10
Allocation
Randomized
Ages
2 Years to 8 Years
Sex
All
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Study summary

Mother spend a large amount of time with their children. It is assumed that mother contributes to their neurological development not only with visual stimuli, but also with auditory stimuli. A recent study revealed that prefrontal cortex can be activated in response to the self-name being spoken by the mother than by a stranger. Therefore, investigators suppose that recorded maternal voice can stimulate the pediatric patients and thereby fasten the emergence from general anesthesia.

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Conditions studied

  • Anesthesia, General

Keywords

  • emergence agitation
  • emergence time
  • pediatric
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In context

Lead sponsor

Daegu Catholic University Medical Center is the lead sponsor of 28 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
2 Years to 8 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Children aged between 2 and 8 years of American Society of Anesthesiologists physical status (ASA PS) I or II who are planned to receive an operation under general anesthesia

Exclusion criteria

Exclusion Criteria:

  • ASA PS III or IV
  • with developmental delay or neurological diseases associated with symptoms of agitation
  • refusal of consent
  • with developmental delay
  • with allergy or contraindication to use of ketamine (presence of an active upper respiratory tract infection (URI), increased intracranial pressure, open-globe injury, and a psychiatric or seizure disorder)
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Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
10 participants (actual)

Study arms

  • Active comparator
    stranger's voice

    At the end of surgery, patients were stimulated to wake up by recorded stranger's voice, which was recorded before the operation.

    Procedure: recorded stranger's voice

  • Experimental
    maternal voice

    At the end of surgery, patients were stimulated to wake up by recorded maternal voice, which was recorded before the operation.

    Procedure: recorded maternal voice

Interventions

  • Procedurerecorded maternal voice

    A voice recording will be performed before the operation. At a preoperative visit or preoperative clinic, informed consent was obtained before the recording. On a calm environment, the mother was asked to speak following sentences. " OO (first name of child), wake up\~. Let's go home with mommy. OO, wake up\~. Open your eyes. Take a deep breath. " At the end of surgery, the recorded maternal voice was delivered to the child every 15 seconds until he/she wakes up.

  • Procedurerecorded stranger's voice

    A voice recording will be performed before the operation. On a calm environment, a blinded female investigator was asked to speak following sentences. " OO (first name of child), wake up\~. Let's go home with mommy. OO, wake up\~. Open your eyes. Take a deep breath. "

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What researchers measure

Primary outcomes

  1. Emergence time

    time from discontinuation of anesthetics to extubation

    Time frame: During 1 hour after operation

  2. Incidence of emergence delirium (ED)

    The incidence of emergence delirium (ED) was defined as pediatric anesthesia emergence delirium (PAED) score of \>12 or Watcha scale over 3.

    Time frame: During 30 minutes after PACU admission

Secondary outcomes

  1. peak PAED scale

    The PAED scale is a validated observational measure of 5 aspects of child behavior (caregiver eye contact, purposeful movement, evidence of awareness of surroundings, restlessness, and inconsolability). Ratings are summed to produce a total score ranging from 0 to 20; greater scores indicate greater severity.

    Time frame: During 30 minutes after PACU admission

  2. peak Watcha scale

    The Watcha scale is a four-point as followings. 1. calm 2. crying, but can be consoled 3. Crying, cannot be consoled 4. Agitated and thrashing around

    Time frame: During 30 minutes after PACU admission

  3. eye opening or purposeful movement time

    time from discontinuation of anesthetics to spontaneous eye opening

    Time frame: During 1 hour after operation

  4. BIS over 60

    At the end of operation, investigators stop the anesthetics and carefully watch the bispectral index (BIS) monitor. Simultaneously, investigators check the duration of time from discontinuation of anesthetics until the BIS \>60.

    Time frame: During 1 hour after operation

Other outcomes

  1. peak FLACC score

    Face, legs, activity, cry, and consolability (FLACC) score is checked every 10min after PACU admission.

    Time frame: During 30 minutes after PACU admission

  2. The amount of analgesic/anesthetic consumption at PACU/ward

    The amount of analgesics/anesthetic consumption was checked during hospital admission. At PACU, a total PAED score of \>12 or a FLACC scale \>4, intravenous fentanyl 0.5 mcg/kg was administered as rescue medication and repeated after 10 min if the agitation does not subside.

    Time frame: During 1 hour at PACU

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Study locations

1 site
  • Daegu Catholic University Medical Center
    Daegu, Korea, Republic of
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 29, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02860377
Lead sponsor
Daegu Catholic University Medical Center
Responsible party
Eugene Kim (Assistant professor, Daegu Catholic University Medical Center) — Principal investigator
First posted
Aug 9, 2016
Start date
Aug 2016
Primary completion
Aug 2017
Completion
Sep 2017
Last update
Jan 29, 2020

Study contacts

Eugene Kim, MD
study director · Daegu Catholic University Medical Center
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jan 2020. You cannot join it, but the record below documents what was studied.

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