The Change in Pulse Rate and Behavioral Score by Using Video Assisted Induction of Pediatric Anesthesia

Abstract

Purpose: Objective of this study was to determine whether video assisted anesthesia induction reduced pediatric patients' stress. Methods: With approval from the local ethics committee and parental informed consent, 75 children undergoing minor surgery were investigated in this prospective observational study. Patients were divided into three groups: group 1 was aged two to three years old, group 2 was aged four to six years old and group 3 was aged from seven to ten years old. The following three characteristics were evaluated: 1) the pulse rate at four points (the ward, the entrance at the operating room, mask notification and the mask fit); 2) the behavioral score in the operating room; 3) the amount of pain killers after the operation. Results: In group 1 (N = 20), there was a significant difference between the control group and the video assisted group regarding the percentage change in pulse rate based on the children's ward when the patients looked at the mask. In group 2 (N = 26), there was no significant difference regarding any points. In group 3 (N = 29), there was a significant difference between control and video assisted group regarding the percentage change in pulse rate based on the children's ward for all points. Also, regarding to the behavioral score, there was a significant difference between the control group and the video assisted group of all ages. However, there was no significant difference regarding the use of NSAIDs in the postoperative period between the control and the video assisted group. Conclusion: These results show that the video assisted anesthesia induction is effective for pediatric patients.

The use of a scented face mask may facilitate the induction of anesthesia in pediatric patients: a randomized controlled trial

“…Various approaches to facilitate slow induction have been examined in pediatric patients. Showing a children's audiovisual program, selected by the patient or parent in advance, during slow induction was found to facilitate induction in patients aged 7-10 years [9]. Patients aged 2-3 years had di culty paying attention to videos before and during induction, indicating that video-assisted induction was not useful for these patients.…”

“…Patients with intellectual disability, developmental delay, or without a documented pulse rate (PR) were excluded, as were uncooperative patients, de ned as those with di culty wearing the pulse oximeter. Patients were strati ed by age into three groups: group 1, patients aged 2-3; group 2, patients aged 4-6 years; and group 3, patients aged 7-10 years [9].…”

“…Showing video programs to the patient during slow induction is another resort used to facilitate anesthesia induction in pediatric patients; however, the effectiveness of audiovisual stimuli is dependent on the patient's age [9]. This result inspired us to examine whether the effectiveness of a scented mask for the induction of anesthesia in pediatric patients is dependent on age.…”

The use of a scented face mask in pediatric patients may facilitate mask acceptance before anesthesia induction

“…Patients with intellectual disability, developmental delay, or without a documented pulse rate (PR) were excluded, as were uncooperative patients, defined as those with difficulty wearing the pulse oximeter. Patients were stratified by age into 3 groups: group 1; patients aged 2-3, group 2; 4-6 years, and group 3; 7-10 years (9).…”

“…There have been made many efforts to facilitate the induction of general anesthesia in pediatric patients: premedication with sedative agents such as midazolam or dexmedetomidine (3), parental presence during the induction of anesthesia (4,5), giving toys (6), video games (7), and clown doctors (8). Showing video programs to the patient during slow induction is another resort to facilitate anesthesia induction in pediatric patients; however, the effectiveness of audiovisual stimuli was dependent on the patient's age (9). This result inspired us that the effectiveness of a scented mask to facilitate induction in pediatric patients may also be dependent on age.…”