Interactive video game built for mask induction in pediatric patients

Rodríguez, Samuel; Tsui, Jeremy H.; Jiang, Samuel Y.; Caruso, Thomas J.

doi:10.1007/s12630-017-0922-0

Cited by 9 publications

(3 citation statements)

References 5 publications

(6 reference statements)

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“…However, for some children, parent present inductions may paradoxically lead to increased anxiety [32]. Given that anesthesiologists have previously provided induction anxiolysis with distracting screen-based content, virtual reality offers a novel distracting anxiolytic with complete immersion [33–38]. A recent, well designed randomized controlled trial where virtual reality distraction was introduced immediately prior to mask induction of 5-to-12-year old children resulted in significantly lower anxiety [39 ▪▪ ].…”

Section: Periprocedural Care With Virtual Realitymentioning

confidence: 99%

Virtual reality for pediatric periprocedural care

Wang

Thomas

Rodríguez

et al. 2021

Current Opinion in Anaesthesiology

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Purpose of reviewCommercial availability of virtual reality headsets and software has exponentially grown over the last decade as it has become more sophisticated, less expensive, and portable. Although primarily used by the general public for entertainment, virtual reality has been adopted by periprocedural clinicians to improve patient experiences and treatments. The purpose of this review is to explore recently reported evidence for virtual reality effectiveness for pediatric periprocedural care and discuss considerations for clinical implementation. Recent findingsIn the preprocedure setting, practitioners use virtual reality to introduce children to periprocedural environments, distract attention from preprocedural vascular access, and increase cooperation with anesthesia induction. Intraprocedure, virtual reality decreases sedation requirements, and in some instances, eliminates anesthesia for minor procedures. Virtual reality also augments pain reduction therapies in the acute and extended rehabilitation periods, resulting in faster recovery and improved outcomes. Virtual reality seems to be well treated for pediatric use, given close clinical care and carefully curated content. SummaryGiven the multiple clinical applications of virtual reality to supplement pediatric periprocedural care, practitioners should consider developing clinical programs that reliably provide access to virtual reality. Future research should focus on identification of patient characteristics and types of software that yield optimal patient outcomes.

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Section: Periprocedural Care With Virtual Realitymentioning

confidence: 99%

Virtual reality for pediatric periprocedural care

Wang

Thomas

Rodríguez

et al. 2021

Current Opinion in Anaesthesiology

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“…Traditionally, benzodiazepines, beta-blockers, and opioids have been used preoperatively to minimize preoperative anxiety. Although these medications reduce preoperative anxiety, several studies suggest that the emerging approach of tablet-based interactive distraction (TBID) offers a novel and promising alternative equally effective as a preoperative anxiolytic in pediatric patients [1][2][3][4][5][6][7]. TBID involves age-appropriate video games that have been preloaded onto a tablet (TAB) and given to a pediatric patient before administering anesthesia.…”

Section: Introductionmentioning

confidence: 99%

A Systematic Review of Tablet-Based Interactive Distraction as a Preoperative Anxiolytic in Pediatric Patients Undergoing Same-Day Procedures

Aplanalp,

Hansen,

Otto

et al. 2024

Cureus

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Evidence shows tablet-based interactive distraction (TBID) is effective as a preoperative anxiolytic in pediatric patients. TBID involves age-appropriate video games that have been preloaded onto a tablet (TAB) and subsequently given to a pediatric patient before the administration of anesthesia. The purpose of this study is to provide a comprehensive analysis of previous studies that have investigated the use of TBID to minimize preoperative anxiety.The literature criteria for this systematic review included randomized controlled trials and prospective studies that used TBID as a method to reduce preoperative anxiety in pediatric patients aged 1-12 years. Data extraction concentrated on the patient population to which the TABs were introduced, the method of TAB administration, how anxiety was evaluated, who completed the evaluations, and the results of each publication. This chosen data set is to systematically understand if TBID is effective and to identify the most practical ways to implement TBID. Collected data from the selected publications were entered into a table . For this systematic review, 27 publications from 2006 to 2023 were screened for eligibility. These studies were selected using a combination of MeSH terms and a Title-Abstract filter in PubMed, Embase, and Scopus. These data represented 475 total patients (T) and 249 patients who implemented TAB use. The other 226 patients were used as various control groups. The outcome of each study is summarized and placed into a table. This study is expected to provide an overall assessment of the effectiveness of TBID and proposed guidelines for clinicians to incorporate TAB use into preoperative protocols. The time to give the TAB to the children impacts its efficiency. This review accentuates the effectiveness of utilizing TBID to mitigate preoperative anxiety in pediatric patients based on a comprehensive analysis of multiple prior studies conducted in diverse healthcare settings, including pediatric hospitals and surgical centers. TAB use demonstrated an effective reduction in perioperative anxiety, emergence of delirium, and time to discharge, increasing parental satisfaction compared to midazolam. These results are likely replicable across a broader range of clinical settings, provided the intervention parameters, such as the timing of TAB introduction and the personalization of content to patient interests, are carefully adapted to each situation. The anxiety evaluations of patients using TBID varied based on the evaluator. Therefore, future research should analyze if perceived anxiety in patients using TABs is consistent or not among the evaluators. The impact of this TBID review has the potential to set a new benchmark for managing pediatric preoperative anxiety, with significant implications for healthcare quality and patient satisfaction.

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“…One institution even had a pediatric patient tragically die from a malignant cardiac arrhythmia triggered by anxiety after the use of a cast saw 12. In an effort to reduce adverse outcomes, a program within our hospital has designed and implemented the use of interactive video games, Bedside Entertainment Relaxation Theater, and virtual reality technology to reduce anxiety for pediatric patients in the perioperative setting 13,14. In partnership with this program, we explored the potential benefits of virtual reality as a distraction tool within our clinical setting for pediatric patients (ages 7 to 18) undergoing cast room procedures.…”

mentioning

confidence: 99%

Virtual Reality Reduces Fear and Anxiety During Pediatric Orthopaedic Cast Room Procedures: A Randomized Controlled Trial

Richey¹,

Hastings²,

Karius³

et al. 2022

Journal of Pediatric Orthopaedics

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Background: Virtual Reality (VR) has been used as a distraction tool in various medical settings to reduce pain and anxiety associated with procedures. This study evaluates the effectiveness of VR as a distraction tool for decreasing fear, anxiety, and pain in pediatric patients undergoing common outpatient orthopaedic procedures. Methods: A total of 210 patients were recruited from a single orthopaedic clinic between October 2017 and July 2019. Patients were randomized to the VR group or to the control group (standard of care). Outpatient procedures included cast and/or pin removals. Primary outcome measures were collected preprocedure and postprocedure using validated surveys, and included: fear (Children's Fear Scale), anxiety (Children's Anxiety Meter-State), and pain (Numerical Rating Scale). Patients and caregivers in the VR group completed a satisfaction survey at the end of their appointment. Fear, anxiety, and pain scores between the 2 groups were analyzed using multivariable linear regression models, and the satisfaction survey was analyzed using descriptive statistics. Results: One hundred twenty nine patients were included in the final analysis, with 85 patients in the VR group and 44 patients in the control group. During the procedure, patients in the VR group reported significantly lower average fear scores (P < 0.001) and anxiety scores (P = 0.003) as compared with controls. There were no differences between the groups in fear and anxiety scores before and after the procedure, or pain scores before, during, or after the procedure. Overall, patients and caregivers in the VR group reported high satisfaction scores, with 97% of patients and 95% of caregivers recommending this intervention to others. Conclusion:VR technology was found to be an effective distraction tool to improve fear and anxiety during cast removal procedures. Findings build on a body of evidence that supports the use of distraction tools in clinics, specifically pediatric orthopaedics, to improve fear and anxiety. The distraction tools can be easily translated into current practices. Level of Evidence: Level I.

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Interactive video game built for mask induction in pediatric patients

Cited by 9 publications

References 5 publications

Virtual reality for pediatric periprocedural care

Virtual reality for pediatric periprocedural care

A Systematic Review of Tablet-Based Interactive Distraction as a Preoperative Anxiolytic in Pediatric Patients Undergoing Same-Day Procedures

Virtual Reality Reduces Fear and Anxiety During Pediatric Orthopaedic Cast Room Procedures: A Randomized Controlled Trial

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