Varying screen size for passive video distraction during induction of anesthesia in low‐risk children: A pilot randomized controlled trial

Autor: Alexandria Joseph George, Laura E. Simons, Thomas J Caruso, Olivia Jang, Jessica M. Hernandez, Samuel Rodriguez
Rok vydání: 2019
Předmět:
Zdroj: Pediatric Anesthesia. 29:648-655
ISSN: 1460-9592
1155-5645
DOI: 10.1111/pan.13636
Popis: BACKGROUND Preoperative anxiety affects up to 65% of children who undergo anesthesia induction and often results in uncooperative behavior. Electronic devices have been used to distract children to reduce anxiety and create a more enjoyable preoperative experience. Few studies have compared the effects of different video delivery systems on preoperative anxiety. AIMS The primary aim was to determine if a large projection-based video screen mounted to a patient's bed decreased anxiety when compared to a tablet during mask induction of anesthesia in children from 4-10 years of age. METHODS We performed a prospective, randomized trial to determine differences in our primary outcome, preoperative anxiety, between the large Bedside Entertainment and Relaxation Theater (BERT) and a smaller tablet screen. Secondary outcomes included (a) induction compliance; (b) child fear; (c) frequency of emergence delirium; and (d) satisfaction. RESULTS In examining the primary outcome for 52 patients, there was a main effect for time on mYPAS scores, f(2, 51) = 13.18, P
Databáze: OpenAIRE
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