Anesthesia Induction Using Video Glasses as a Distraction Tool for the Management of Preoperative Anxiety in Children

Abstract

The use of video glasses and midazolam alone or in combination maintains baseline levels of anxiety at time of transport to the OR and prevents significantly increased anxiety during induction of anesthesia in children. Video glasses are not inferior to midazolam for preoperative anxiolysis and provide a safe, noninvasive, nonpharmacologic, and pleasant alternative.

The effectiveness of age‐appropriate pre‐operative information session on the anxiety level of school‐age children undergoing elective surgery in Jordan

“…Children in the intervention group may had higher anxiety scores, because they were undergoing for orthopedic surgeries, which may be more anxiety provoking. Congruent findings were reported in other studies (Fincher et al, ; Fortier et al, ; Kerimoglu, Neuman, Paul, Stefanov, & Twersky, ; Vaezzadeh et al, ).…”

“…Congruent findings were reported earlier when vital signs readings showed some changeability among children of the intervention and control groups; yet, this difference was not statically significant (Al‐Yateem et al, ). Inversely, a study of Kerimoglu et al () showed no changes in the HR of the intervention group; however, all groups of the study experienced significant change in heart rate from pre‐to‐post intervention. In the same line, no significant difference in HR and BP readings of children in intervention and control groups was seen (Berger et al, ).…”

A comparison of midazolam and zolpidem as oral premedication in children, a prospective randomized double‐blinded clinical trial

“…Based upon the point estimates in previous studies, statistical power analysis was performed for sample size estimation using a two‐group Mann‐Whitney test. Given a significance level of 0.05, power of 0.80, and effect size of 0.71 (delta = 2.902, the noncentrality parameter) the projected sample size of 70 (35 patients per group) in total is required to detect a difference of at least 15 points in mean mYPAS across two independent groups, provided a common variance of 21 . Based upon these values, our proposed sample size of 40 patients in each group is adequate to allow for attrition.…”

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

“…The mYPAS was assigned partial weights to compensate for different number of subscales and to obtain a global score as previously suggested . The global score ranged from 23 to 100 where 23 represents low anxiety and 100 high levels of anxiety.…”