Clinical trial Recruiting at 1 site Phase 4 Interventional Ages 2 to 6

Using different methods to help children feel less anxious during anesthesia induction

Official title: Induction in the Dark: a Prospective Randomized Control Trial for Perioperative Pediatric Anxiety

Run by Medical University of South Carolina · NCT06144177 · Data updated 2026-11-12

This study tests different ways to help young children feel less anxious when they are getting ready for surgery with anesthesia.

Quick facts

PhasePhase 4
Study typeInterventional
Ages2 Years to 6 Years
SexAll
Enrollment240 (estimated)
SponsorMedical University of South Carolina
Academic / other
Locations1 site (Charleston, South Carolina)
StatusRecruiting
StartedApril 16, 2024
Main results expectedApril 15, 2027
Study endsMay 22, 2027
Registry record updatedJune 22, 2026
Trial IDNCT06144177 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study are children aged 2 to 6 years who are undergoing elective outpatient surgical procedures under general anesthesia.

Probably not a fit

Patients with a history of previous surgery, severe developmental delays, or significant preoperative anxiety may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study enrolls children aged 2 to 6 who are scheduled for elective outpatient surgeries requiring general anesthesia. Participants will be randomly assigned to one of three groups: a darkened room with a star projector and parental presence, preoperative midazolam with parental presence, or parental presence alone. The study aims to assess preoperative anxiety levels, mask acceptance, and behavioral changes in the week following the procedure. The goal is to determine which method is most effective in reducing anxiety during anesthesia induction.

Why it matters

Potential benefit: If successful, this study could lead to improved methods for reducing anxiety in young children undergoing anesthesia, enhancing their overall surgical experience.

How similar studies have gone: While there have been studies on anxiety reduction in pediatric anesthesia, this specific approach combining environmental factors and medication is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria

* Age 2 to 6 years old
* American Society of Anesthesiologists physical status I-II
* Outpatient elective surgical procedures
* Undergoing general anesthesia
* Parent or guardian willing to be present during induction

Exclusion Criteria

* History of previous surgery
* Fear of the dark
* Contraindication to inhalational mask induction of general anesthesia such as allergy to inhalation medication, NPO violation, active nausea or vomiting, severe GERD, etc.
* Severe developmental delay
* Severe obvious, preoperative anxiety
* Patients currently using psychiatric medications
* Non-English speaking

Where it's running

  • Medical University of South Carolina
    Charleston, South Carolina, United States
    Recruiting

Study contacts

  • Principal investigator: Natalie Barnett, M.D. — Medical University of South Carolina
  • Study coordinator: Haley Nitchie, MHA
  • Email: nitchie@musc.edu
  • Phone: 843-792-1869

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.