Streamed Video Clips to Reduce Anxiety in Children During Inhaled Induction of Anesthesia

Abstract

Playing video clips during the inhaled induction of children undergoing ambulatory surgery is an effective method of reducing anxiety. Therefore, pediatric anesthesiologists may consider using video distraction as a useful, valid, alternative strategy for achieving a smooth transition to the anesthetized state.

Improving Pediatric Radiography Patient Stress, Mood, and Parental Satisfaction Through Positive Environmental Distractions: A Randomized Control Trial

“…Consistently, patients in the intervention conditions engaged in more positive affect talks and tended to report to be happier even though the difference in self-reported happiness was not statistically significant. This finding from pediatric radiography rooms is consistent with previous studies in other pediatric settings that reported significant benefits (e.g., lower stress and anxiety, calming effects) associated with the provision of nature images, artworks, music, and other audio-visual environmental distractions (e.g., Caprilli et al, 2007;Hartling et al, 2013;Malone, 1996 ;Mifflin et al, 2012;Pati & Nanda, 2011) as well as the provision of non-environmental distractions (e.g., pet, hypnosis, pre-procedural preparation) (Alexander, 2012;Kettwich et al, 2007). As observed in the study, radiography procedures were much shorter and less stressful than other medical procedures.…”

“…Pati and Nanda (2011) found that visual distractions presented on a plasma screen had a calming effect on pediatric patients in outpatient waiting areas by reducing their fine and gross movements. In another recent study on ambulatory surgical pediatric patients undergoing inhalation anesthetics, lower anxiety level was found in the group exposed to video clips chosen by patients themselves than another group receiving traditional behavioral distraction techniques including humor and nonprocedural talk (Mifflin et al, 2012).…”

“…Among them, one highly effective measure is the provision of positive visual and audio distractions (e.g., artworks with nature scenes, music) which has been found to significantly reduce stress and improve healthcare outcomes (Mifflin, Hackmann, & Chorney, 2012;Pati & Nanda, 2011). Physical environment distractions include a set of environmental features that provide an appropriate level of sensory stimulation (e.g., artworks, nature scene video played in video goggles) for diverting patients' attention from stressors (e.g., noise, medical procedures), improving environmental aesthetics, and fostering psychological restoration in both adult and pediatric settings (DeLoach Walworth, 2005;Lee et al, 2004;Ulrich, 1991;Ulrich et al, 2008).…”

“…Research on positive environment distractions in pediatric radiology settings is very limited, even though findings from other similar pediatric settings (e.g., acute care procedure/ treatment rooms, emergency care rooms, anesthesia induction areas, outpatient waiting areas) strongly suggest that the provision of positive environmental distractions for pediatric radiology patients may be effective in reducing patient stress and improving outcomes (e.g., Caprilli et al, 2007;Hartling et al, 2013;Malone, 1996 ;Mifflin et al, 2012;Pati & Nanda, 2011). Positive environmental distraction intervention refers to the utilization of physical environment distractions (such as artworks and gardens, as opposed to other non-environmental distraction methods such as hypnosis) for the purpose of reducing stress and improving patient experience.…”

“…First, the positive distraction elements of the intervention including lighting and artworks may improve the attractiveness of physical environment and reduce stress, according to well-documented research findings from pediatric care settings (Malone, 1996;Mifflin et al, 2012;Pati & Nanda, 2011) as well as adult care settings (Arneill & Devlin, 2002;Becker & Douglass, 2008;DeLoach Walworth, 2005;Diette, Lechtzin, Haponik, Devrotes, & Rubin, 2003;Lee et al, 2004;Nelson, West, & Goodman, 2005;;Ulrich, 1991;Ulrich et al, 2008). Second, the provision of personal choices of lighting and animation themes may lead to higher patient sense of environmental control, which may compensate for patient loss of privacy and control due to medical procedures thus lead to lower stress, better outcomes, and higher satisfaction (Williams, Dawson, & Kristjanson, 2008).…”