Do not mask the mask: use it as a premedicant

Aydın, Taner; Şahin, Levent; Algin, Cem; Kabay, Şahin; Yücel, Mehmet; Hacioğlu, Alper; Yaylak, Faik; Kilicoglu, Alev

doi:10.1111/j.1460-9592.2007.02381.x

Cited by 32 publications

(19 citation statements)

References 24 publications

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“…However, children who were provided the intervention 1 week before surgery did not demonstrate significantly lower anxiety scores than children who did not receive the intervention (Walker et al, ). Conversely, in Aydin et al () study children in the intervention group who were given anesthesia mask to home for training before the day of surgery demonstrated a significantly lower level of anxiety at the time of anesthesia induction than children in the control group.…”

Section: Discussionmentioning

confidence: 90%

Video game distraction and anesthesia mask practice reduces children's preoperative anxiety: A randomized clinical trial

Dwairej

Obeidat

Aloweidi

2019

Specialist Pediatric Nursing

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Purpose: The study aims to evaluate the effectiveness of combined video game distraction and anesthesia mask exposure and shaping intervention as compared to conventional preoperative preparation on the preoperative anxiety, anesthesia induction compliance and emergence delirium of children undergoing day-case surgery.Design and Methods: The CONSORT guidelines were followed in the current study; a randomized clinical trial, two groups, pre posttest, between subjects design with 1:1 allocation ratio was employed. Children (5-11 years of age; N = 128) admitted for day case surgery were invited to participate in the study. Sixty-four children were assigned to the intervention group receiving combined videogame distraction and anesthesia mask exposure and shaping intervention, and 64 children were assigned to the control group. Results:The results showed that children in the intervention group reported statistically significant lower anxiety scores than the children in the control group at three preoperative points of time: postintervention t = 4.48, p < .001, at the time of transfer to the operation room t = 10.18; p < .001 and during anesthesia induction t = 7.76; p < .001. In addition, compared with the children in the control group, fewer children in the intervention group demonstrated poor anesthesia induction compliance χ 2 = 3.91; p = .04. The results, however, did not reveal statistically significant differences in children's emergence delirium scores.Practice Implication: Combined video game distraction and anesthesia mask exposure and shaping are simple, safe, and time-effective intervention that the nurses can implement at the day of surgery to mitigate children anxiety and to enhance their anesthesia induction compliance. K E Y W O R D S anesthesia induction compliance, preoperative anxiety, anesthesia mask exposure and shaping, children, combined intervention, emergence delirium, preoperative anxiety, randomized clinical trial, video game distraction

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Section: Discussionmentioning

confidence: 90%

Video game distraction and anesthesia mask practice reduces children's preoperative anxiety: A randomized clinical trial

Dwairej

Obeidat

Aloweidi

2019

Specialist Pediatric Nursing

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“…By providing a shared focus for the child, parent and health professional, play can shift the attention away from the discomfort of medical treatment and create a potential for positive caregiver–child interaction [28]. In addition to being used by parents in our study, play has been found to motivate children to accept topical treatment [29] and inhalations [30]. …”

Section: Discussionmentioning

confidence: 99%

Strategies parents use to give children oral medicine: a qualitative study of online discussion forums

Bergene

Rø

Steinsbekk

2017

Scandinavian Journal of Primary Health Care

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AimThe aim of this study was to describe strategies parents use to give oral medicine to children.MethodsWe conducted an Internet-based qualitative study of posts from online forums where parents discussed how to give children oral medicine. The posts were analyzed using systematic text condensation. The investigators coded and developed groups iteratively, ending up with a consensus on final themes.ResultsWe included 4581 posts. Parents utilized three main strategies to give oral medicine to children: (1) Open administration give medicine to the child knowingly by changing the palatability, actively involve the child in play or use persuasion; (2) Hidden administration give medicine to the child unknowingly by camouflaging it in food, while sleeping or distracted by another activity; (3) Forced administration force children to take medicine with the use of restraint. Parents expressed three perspectives towards using force: Finding it unproblematic, using force despite not liking it or refusing to use force. No single strategy was described as the obvious first choice, and the strategies were not used in any particular order. Parents who gave up getting their child to ingest the medicine reported to contact the prescriber for a different medication, or stopped the treatment completely.ConclusionsThe three strategies are a robust and precise way to categorize techniques used by parents to give children oral medicine. We suggest that health professionals use the strategies to talk to parents and children about administration of oral medicines.

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“…5,6 Presurgical anesthetic mask exposure is one non-pharmacological intervention that has demonstrated promising research support. [7][8][9][10][11][12] Nevertheless, most studies had methodological limitations (i.e., no comparison group or standardized measure of child anxiety). 7,8 An exception is a study by MacLaren and Kain, 12 who examined the efficacy of a brief, standardized, parent-directed anesthetic mask exposure and shaping protocol on the day of surgery against a control group who received standard care.…”

Section: Résumémentioning

confidence: 99%

Randomized-controlled trial of parent-led exposure to anesthetic mask to prevent child preoperative anxiety

Walker

Wright

Raazi

2018

Can J Anesth/J Can Anesth

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Do not mask the mask: use it as a premedicant

Abstract: Playing with an anesthesia mask given during a preanesthesia visit relieved anxiety, improved mask acceptance quality and shortened the induction period. We believe that this type of premedication would be feasible in gaseous induction of anesthesia in children.

Cited by 32 publications

References 24 publications

Video game distraction and anesthesia mask practice reduces children's preoperative anxiety: A randomized clinical trial

Video game distraction and anesthesia mask practice reduces children's preoperative anxiety: A randomized clinical trial

Strategies parents use to give children oral medicine: a qualitative study of online discussion forums

Randomized-controlled trial of parent-led exposure to anesthetic mask to prevent child preoperative anxiety

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