Tablet‐based Interactive Distraction (<scp>TBID</scp>) vs oral midazolam to minimize perioperative anxiety in pediatric patients: a noninferiority randomized trial

Seiden, Samuel C.; McMullan, Susan P.; Sequera‐Ramos, Luis; Oliveira, Gildàsio S. De; Roth, Andrew G.; Rosenblatt, Audrey; Jesdale, Bill M.; Suresh, Santhanam

doi:10.1111/pan.12475

Cited by 79 publications

(90 citation statements)

References 43 publications

(43 reference statements)

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“…In comparison to a control group (devoid of any specific prevention of preoperative anxiety), parental presence with or without midazolam, or vs favorite toy, children in the video groups exhibited significantly less anxiety in operative room. Two other recently published investigations remain conflicting: The study by Seiden et al compared video distraction and midazolam, and reported superiority of video to midazolam in minimizing parental separation anxiety in children aged 1‐11 years . In contrast, Kerimoglu et al found no difference between video glasses alone, midazolam alone, or a combination of both to maintain baseline anxiety levels and prevent increased anxiety during anesthesia induction .…”

Section: Discussionmentioning

confidence: 99%

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

Sola¹,

Lefauconnier²,

Bringuier³

et al. 2017

Pediatric Anesthesia

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Section: Discussionmentioning

confidence: 99%

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

Sola¹,

Lefauconnier²,

Bringuier³

et al. 2017

Pediatric Anesthesia

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“…In general, one of the most commonly used methods to reduce children's anxiety is oral or parenteral sedative medication [4,17,18]. However, sedative drugs sometimes have several undesirable effects, including respiratory depression, hypotension, seizure-like activity, and paradoxical reactions [18,19]. Moreover, it is difficult to determine the effective dosage because children have a narrow safety margin and a large variation among sedative drugs [6].…”

Section: Discussionmentioning

confidence: 99%

Effect of transportation method on preoperative anxiety in children: a randomized controlled trial

Park

Lee

et al. 2020

Korean J Anesthesiol

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Background:This study was performed to evaluate the effect of a wagon as a transport vehicle instead of the standard stretcher car to reduce children's anxiety of separation from parents. The secondary goal was to evaluate whether this anxiolytic effect was related to age. Methods: We divided 80 children (age 2-7 years) into two groups. The stretcher group was transferred to the operating room on a conventional stretcher car, whereas the wagon group was transferred using a wagon. The level of anxiety was evaluated three times using the Modified Yale Preoperative Anxiety Scale (mYPAS): in the waiting area (T0), in the hallway to the operating room (T1), and before induction of anesthesia (T2). Results: The mYPAS score was significantly lower in the wagon group (36.7 [31.7, 51.7]) than in the stretcher group (51.7 [36.7, 83.3]) at T1 (P = 0.007). However, there was no difference in the mYPAS score between the two groups at T2 (46.7 [32.5, 54.2] vs. 51.7 [36.7, 75.0], respectively, P = 0.057). The baseline anxiety tended to be lower with increasing age (r = −0.248, P = 0.031). During transportation to the operating room, the increase in the mYPAS score (T1-T0) was greater as the age of children decreased in the stretcher group (r = −0.340, P = 0.034). However, no correlation was observed in the wagon group (r = −0.053, P = 0.756). Conclusions:The wagon method decreased preoperative anxiety, suggesting that it may be a good alternative for reducing preoperative anxiety in children.

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“…Some apps that are particularly popular with children include Fruit Ninja (Halfbrick Studios, Brisbane, Australia), Angry Birds (Rovio Entertainment Ltd., Espoo, Finland), and Talking Tom Cat (Outfit 7 Ltd., Pissouri, Cyprus). 10 It should be remembered that if they are to be used for a series of patients it would be preferable to have an easily cleanable protective case. Cronin).…”

Section: Vascular Accessmentioning

confidence: 99%

Equipment and monitoring for paediatric anaesthesia

Leslie¹,

Froom²,

Gildersleve³

2015

Anaesthesia & Intensive Care Medicine

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There have been considerable developments in the equipment and monitoring available for paediatric anaesthesia over the past 3 years. Advances in airway management have come about primarily through the increased use of videolaryngoscopes. Numerous second-generation supraglottic airway devices are also now available with features aimed at improving both their safety profile and utility during difficult airway management. Concerns surrounding the endocrine effects of phthalates have led to the introduction of phthalate-free airway devices. The role of ultrasound continues to expand, with good evidence for its use where vascular access is challenging, while evidence in favour of alternative vascular access aids remains sparse. Smartphones and tablets have become an almost ubiquitous part of the paediatric anaesthetist's armoury, functioning as distraction devices for children and providing a wealth of useful information through applications. A number of cardiac output monitors are now available for use in paediatric anaesthesia and, with the advent of enhanced recovery programmes after surgery, it is likely that their use will increase in the future. This review will discuss a number of these devices and provide insight into the rationale for their use, focusing on those for which the best evidence is available.

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Tablet‐based Interactive Distraction (TBID) vs oral midazolam to minimize perioperative anxiety in pediatric patients: a noninferiority randomized trial

Abstract: A TBID tool reduces perioperative anxiety, emergence delirium, and time-to-discharge and increases parental satisfaction when compared to midazolam in pediatric patients undergoing ambulatory surgery.

Cited by 79 publications

References 43 publications

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

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

Effect of transportation method on preoperative anxiety in children: a randomized controlled trial

Equipment and monitoring for paediatric anaesthesia

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