The effect of audiovisual distraction on the tolerability of flexible bronchoscopy: a randomized trial

Navidian, Ali; Moulaei, Nezarali; Tabas, Ebrahim Ebrahimi; Solaymani, Shahla

doi:10.1111/crj.12486

Cited by 14 publications

(17 citation statements)

References 28 publications

(40 reference statements)

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“…Previous studies have also confirmed that the higher the patient’s satisfaction after bronchoscopy, the higher their willingness to undergo the examination again 7. Many studies have sought to improve patients’ satisfaction by improving perioperative nursing,8 the operating room environment, shortening the waiting time9 and using music therapy 10. However, these methods only affected the patients on a psychological level, and the physiological discomfort in the perioperative period was the main reason for the low acceptance and low satisfaction of the diagnosis and treatment technique.…”

Section: Discussionmentioning

confidence: 96%

Prospective cohort study of topical versus general anaesthesia for flexible bronchoscopy

Feng

Liu

et al. 2022

Postgraduate Medical Journal

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BackgroundTopical anaesthesia (TA) and general anaesthesia (GA) are performed for flexible bronchoscopy (FB) worldwide. However, few studies have compared the two anaesthesia methods in terms of perioperative discomforts.Methods648 patients undergoing FB were recruited in Shanghai Pulmonary Hospital, a specialised medical centre in China, from January 2019 to December 2019. The patients underwent FB under TA or GA. The TA group received 1% lidocaine by nasal route, and the GA group received total intravenous anaesthesia. The level of perioperative discomfort and patient satisfaction were assessed. The investigators were blind to the group allocation.ResultsFinally, 239 patients received TA and 182 patients received GA. The basic demographic properties were comparable between two groups. There were no significant differences in terms of sore throat, 61.5% in TA group vs 57.1% in GA group. However, there was a significant difference in terms of postoperative nausea and vomiting (34.3% in TA group vs 56.6% in GA group), and dizziness (37.7% in TA group vs 78% in GA group). There was a significant difference in terms of total complication scores (17.2±5.1 in TA group vs 7.7±4.3 in GA group) and satisfaction degree of patients (2.6±1.1 in TA group vs 4.3±0.8 in GA group).ConclusionsCompared with TA, GA significantly reduced the total complication scores of perioperative discomforts and improved the satisfaction score of patients for FB.Trial registration numberThis clinical trial was registered with www.chictr.org.cn (ChiCTR1800019971).

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Section: Discussionmentioning

confidence: 96%

Prospective cohort study of topical versus general anaesthesia for flexible bronchoscopy

Feng

Liu

et al. 2022

Postgraduate Medical Journal

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“…14,17 Distraction is a non-pharmacological intervention technique, which can divert a patient's attention away from noxious or unpleasant stimuli, and is applied in clinical practice to reduce pain, anxiety, and fear associated with painful medical procedures. [18][19][20] The ideal distractor should possess multiple sensory modalities such as visual, auditory and kinesthetic, and active emotional involvement. These various abilities can hold the full attention of a child so as to minimize dental anxiety.…”

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confidence: 99%

Effect of audiovisual distraction on the management of dental anxiety in children: A systematic review

Liu

Wang

et al. 2018

Int J Paed Dentistry

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Summary Background Audiovisual distraction, a non‐pharmacological intervention, has been used to manage dental anxiety in prior clinical trials. Aim Synthesize the available evidences to evaluate the efficacy of audiovisual distraction techniques on the management of dental anxiety in children. Design Electronic databases (PubMed, Cochrane Central Register of Controlled Trials, and Embase) were searched. We included randomized controlled trials (RCTs), and methodological quality of included trials was assessed using the Cochrane Collaboration's criteria. Information on reported anxiety, pain, behaviors, vital signs (including blood pressure, oxygen saturation, and pulse rate), and children satisfaction was analyzed. Results Nine studies were included for a systematic review, and none of them had low risk of bias. Significant differences in anxiety were found. According to the study, a majority of results indicated a significant difference in pain and behavior between the audiovisual and control group. Three studies reported children in the audiovisual group preferred usage of an audiovisual device for future dental visits. No significant differences could be found regarding blood pressure. Conclusions There is some low‐quality evidence suggesting that the usage of audiovisual distraction during dental treatment may relieve children's dental anxiety.

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“…Navidian study and other studies did not report any significant change in anxiety levels by listening to music. [ 11 26 27 ] Gupta concluded that music did not decrease pain, anxiety, or unfavorable behaviors significantly. [ 28 ] The heterogeneity in audio and audiovisual distraction results may be due to the different forms and types of equipment used, different types of content played, and the volume.…”

Section: Discussionmentioning

confidence: 99%

“…This technique results in the involvement of the patient's attention, the distraction of the patients' vision from the dental treatment field, resulting in a comforting dental experience. [ 11 ]…”

Section: Introductionmentioning

confidence: 99%

Evaluation effect of color in dental office and dentist's uniform while using two different distraction techniques on injection anxiety of 6–9 years' old children referring to Hamedan Dental School

Rafatjou

Ahmadi

Farhadian

et al. 2021

Dental Research Journal

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Background: The management of children's anxiety in dental offices is still a challenge for the treatment team. The most important factors which affect children's dental anxiety are the clinician-related factors and the physical factors of the dental operatory. Color is an environmental factor whose relationship with the perceptive and emotional factors of children has been reported. On the other hand, distraction is essential factors in a treatment environment that can be used to manage children's anxiety. Materials and Methods: In this randomized clinical trial study, from 132 6 to 9 years of age children, 52.3% were male, and 47.7% were female, with a mean age of 7.45 ± 1.1 years. The children's anxiety levels were determined using the Venham Picture Test and pulse oximetry before and after the administration of local anesthesia. The children were randomly assigned to two groups (n = 66): Group 1, music, and Group 2, animated cartoons. The data were analyzed with SPSS 25, using descriptive statistics and the statistical tests consisting of one-way analysis of variance (ANOVA), t-test, and repeated-measures ANOVA, followed by Tukey honestly significant difference tests. Statistical significance was set at P < 0.05. Results: The anxiety levels were the lowest in the blue and pink environments and the highest in the black and red. Anxiety levels between different colors in terms of physiologic markers and the questionnaire in each distraction technique at different intervals was significantly different. Conclusion: The use of blue, pink, green, and yellow for dentists' attire, and the interior design of the dental operatory decreased the child patients' anxiety.

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The effect of audiovisual distraction on the tolerability of flexible bronchoscopy: a randomized trial

Abstract: Our findings showed that audiovisual distraction had a positive effect on the tolerability of FB. This method has important potential as a simple and practical approach in reducing discomfort during invasive diagnostic and treatment procedures.

Cited by 14 publications

References 28 publications

Prospective cohort study of topical versus general anaesthesia for flexible bronchoscopy

Prospective cohort study of topical versus general anaesthesia for flexible bronchoscopy

Effect of audiovisual distraction on the management of dental anxiety in children: A systematic review

Evaluation effect of color in dental office and dentist's uniform while using two different distraction techniques on injection anxiety of 6–9 years' old children referring to Hamedan Dental School

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