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Category: Bollywood films
Category: Indian films
Category: Hindi-language films
Category:2010s Hindi-language films
Category: Indian comedy-drama films
Category: Indian romantic comedy filmsInformed consent and parental presence for minor surgical procedures in children.
The Informed Consent and Parental Presence (ICPP) study was designed to determine if the results of surgical studies can be appropriately extrapolated to children and thus, if parental presence is required for informed consent. ICPP was a prospective, observational trial of pediatric surgery that compared surgical outcomes in a parental presence group with an informed consent only group. Cases were performed by three pediatric surgeons with specific training in procedural sedation and whose practice includes pediatric surgery. Patients were required to be American Society of Anesthesiologists I or II and scheduled to undergo a minor elective procedure under general anesthesia. The study was a single-center, nonrandomized trial comparing the outcomes of 121 patients with informed consent and 129 patients with ICPP. The mean age of the children was 4.6 years. The study was powered to detect an effect size of 0.3 in the ICPP group and 0.5 in the informed consent only group. The primary outcome measure was duration of the procedure. Secondary outcomes included time to eye opening, supplemental sedation and complications. General anesthesia was successful in 93% of cases with no differences between the two groups. There was no difference in success between the two groups (p = 0.62). Mean (SD) time to eye opening was 2.7 (1.4) minutes for the informed consent group and 2.6 (1.3) minutes for the ICPP group (p = 0.61). Mean (SD) time to compliance was 3.4 (2.2) minutes for the informed consent group and 2.7 (2.2) minutes for the ICPP group (p = 0.02). There was no difference between groups in complications. Ninety percent of children received their entire requested dose of medication, no complications occurred and no children had adverse effects. ICPP did not have any clinically significant effects on the success rate or duration of the procedure.
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