Childhood preoperative anxiolysis: Is sedation and distraction better than either alone? A prospective randomized study

Sola, Chrystelle; Lefauconnier, Audrey; Bringuier, Sophie; Raux, Olivier; Capdevila, Xavier; Dadure, Christophe

doi:10.1111/pan.13180

Cited by 44 publications

(44 citation statements)

References 31 publications

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“…2,4,44 However, another study revealed that both pharmacological and nonpharmacological preparation can reduce preoperative anxiety but that nonpharmacological intervention did not reduce or affect the dosage of sedative drugs when used as a combination. 50 Our study had some limitations. First, we did not record baseline variables, such as the number of previous bone marrow aspiration procedures, which might influence patients' levels of anxiety.…”

Section: Discussionmentioning

confidence: 90%

A New Mobile Application to Reduce Anxiety in Pediatric Patients Before Bone Marrow Aspiration Procedures

Wantanakorn

Harintajinda

Chuthapisith

et al. 2018

Hospital Pediatrics

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OBJECTIVES: Insufficient preparation for children who are undergoing bone marrow aspiration can cause anxiety and negative outcomes. Nonpharmacological therapies have been proven to reduce fear in children who are undergoing painful procedures. We have therefore developed a mobile application to help reduce these patients’ anxiety by providing them with procedural information and coping skills. METHODS: This single-blinded, randomized controlled trial included 60 patients age 5 to 12 years old who were undergoing bone marrow aspiration procedures in Thailand that were conducted between May 2015 and May 2016. Sixty participants were randomly assigned to the intervention group (mobile application added to usual care) or the control group (usual care only). Preprocedural anxiety levels were evaluated by visual analog scales (child anxiety visual analog scale); this was repeated in the intervention group immediately after patients used the mobile application. On the day of the procedure, the patients’ cooperation levels were assessed by using the modified Yale Preoperative Anxiety Scale. The total amount of sedative drugs that were used was also recorded. The paired t test and the Wilcoxon signed rank test were used to analyze within-person change, whereas the t test and the Wilcoxon rank sum test were used for group comparisons. RESULTS: The child anxiety visual analog scale score of patients in the intervention group decreased significantly after they used the mobile application (P < .0012). The modified Yale Preoperative Anxiety Scale score of patients in the intervention group was significantly lower than that in the control group (P < .01). There was no difference in sedative use between the 2 groups. CONCLUSIONS: This mobile application possibly had effectiveness in routine use for reducing anxiety and increasing patients’ cooperation in bone marrow aspiration procedures.

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Section: Discussionmentioning

confidence: 90%

A New Mobile Application to Reduce Anxiety in Pediatric Patients Before Bone Marrow Aspiration Procedures

Wantanakorn

Harintajinda

Chuthapisith

et al. 2018

Hospital Pediatrics

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“…The emergence delirium was measured in two studies [27] [30]. In both studies the authors used PAED to measure children emergence delirium and both studies included a premedication control group.…”

Section: The Effectiveness Of Video Distraction Intervention On Childmentioning

confidence: 99%

The Effectiveness of Video Distraction on Children Preoperative Anxiety: An Integrative Literature Review

Dwairej¹,

Obeidat²,

Khalaf³

2018

OJN

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Background: Children who undergo a day case surgery experience high levels of preoperative anxiety. Preoperative anxiety interferes with anesthesia induction compliance and is associated with many short and long term postoperative complications. Recently, video distraction intervention has been evaluated for its anxiolytic effects in preoperative children. Aim: The aim of this integrative review was to demonstrate the varying methodological approaches utilized to evaluate the effectiveness of a video distraction intervention in reducing preoperative anxiety in children undergoing day case surgery. Methods: A total of 8 articles, meeting the inclusion criteria, were evaluated and included. Findings: The eight studies investigating the effect of video distraction on children preoperative anxiety concluded that video distraction was significant in controlling children preoperative anxiety. Four of the eight studies (50%), investigated video distraction effectiveness against pharmacological comparisons and demonstrated superior or equal anxiolytic effect of video distraction on different points along the surgical continuum. Three of the eight studies compared video distraction against parental presences and video distraction showed superior anxiolytic effect. Three of the eight studies evaluated the effect of video distraction on anesthesia induction compliance and emergence delirium. A significant effect on anesthesia induction was demonstrated while non-significant effect on emergence delirium was documented. Conclusion: Video distraction is a safe, time and cost effective non pharmacological anxiolytic intervention. It can be provided by nurses to control children high level of anxiety before surgery and during anesthesia induction.

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“…Não houve diferença entre os grupos, o que mostra que medidas não farmacológicas para diminuição da ansiedade são tão eficazes quanto medidas farmacológicas. Em um estudo similar, Sola et al 73 comparou midazolam, midazolam com vídeo e vídeo isoladamente como medidas de diminuição da ansiedade pré-operatória. Os autores também não observaram diferença na ansiedade pré-operatória medida pela escala mYPAS e por uma escala visual analógica.…”

Section: Questões Práticasunclassified

Leading papers in pediatric anesthesia from the last year

Quintão¹

2018

Revista Médica De Minas Gerais

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This paper aims to discuss the main articles of pediatric anesthesia published in the last year. For this, a manual review was conducted in the main journals of anesthesiology, pediatric anesthesiology, pediatric intensive care and pediatrics. 170 articles were selected and, after reading the abstracts, 85 were included in this review. We divided this review into five topics, where we will discuss the main articles on airway management in children, the use of ultrasound in pediatric anesthesia, quality and safety in pediatric anesthesia, the implications of anesthesia for neurotoxicity and neurodevelopment, and practical questions of the pediatric anesthesiologist. RESUMOEste artigo tem como objetivo discutir os principais artigos de anestesia pediátrica publicados no último ano. Para isso, foi realizada uma revisão manual nas principais revistas de anestesiologia, anestesiologia pediátrica, terapia intensiva pediátrica e pediatria. Foram selecionados 170 artigos e, após a leitura dos resumos, 85 foram incluídos nesta revisão. Dividimos esta revisão em cinco tópicos, onde iremos discutir os principais artigos sobre o manejos das vias aéreas em crianças, o uso do ultrassom em anestesia pediátrica, qualidade e segurança em anestesia pediátrica, as implicações da anestesia em relação a neurotoxicidade e neurodesenvolvimento e questões práticas do dia a dia do anestesiologista pediátrico.Palavras-chave: Anestesia. Pediatria. Revisão. Manuseio das vias aéreas. Ultrassonografia. Neurotoxicidade. Qualidade. Segurança.

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Childhood preoperative anxiolysis: Is sedation and distraction better than either alone? A prospective randomized study

Abstract: Both pharmacological premedication and video distraction are effective strategies for controlling preoperative childhood anxiety. The combination of midazolam and Digital Video-Disk player was not better than either alone.

Cited by 44 publications

References 31 publications

A New Mobile Application to Reduce Anxiety in Pediatric Patients Before Bone Marrow Aspiration Procedures

A New Mobile Application to Reduce Anxiety in Pediatric Patients Before Bone Marrow Aspiration Procedures

The Effectiveness of Video Distraction on Children Preoperative Anxiety: An Integrative Literature Review

Leading papers in pediatric anesthesia from the last year

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